United Healthcare CEO shot to death in front of NYC investor meeting

[summit]

ACA saw over $1B in lobbying just on the initial bill.

Pharma/Insurance/Hospitals spent $12B on lobbying in the past 25 years with 1/3 of that coming from insurance companies.

That is 9x what the defense industry spent.

[MultiVerse]

Yeah, all that lobbying buys them (and gets us) perverse incentives in federal policy leading to market consolidation and ineffective spending

[riser4]

Are you on LSD right now?

Y is say that like it's bad things

[J. Barron DeJong]

Looks like we’re going to need some more dead CEOs. (Kidding…ish.)

[stealurface831]

Looks like we’re going to need some more dead CEOs. (Kidding…ish.)

not just CEOs...

[m2711c]

Truly, a banquet of the rich need to be eaten by the hoi polloi on a daily basis…


dinner is served!



fact.

[fomofo]

This is a bit much...



Or is it?

https://old.reddit.com/r/fakehistory...rs_through_the

[stealurface831]

here is the defense fund if anyone is so inclined to pitch in a buck or two.
https://www.givesendgo.com/legalfund...ooting-suspect

[m2711c]

how much did you give?

[stealurface831]

$37.

[bennymac]

[dan_pdx]

This is a bit much...



Or is it?

https://old.reddit.com/r/fakehistory...rs_through_the

Overkill to keep Luigi in custody, they must be worried that people are going to try to break him out. Which, like, that would be terrible, obviously.

[neufox47]

So who thinks they’d annul if they were on the jury? Saying it now is one thing, doing it under pressure from the fellow jury members and the judge is another…


Sent from my iPhone using TGR Forums

[Kenny Satch]

here is the defense fund if anyone is so inclined to pitch in a buck or two.
https://www.givesendgo.com/legalfund...ooting-suspect

His family is wealthy.
I don't think his brother Super Mario will leaving him hanging.
Pun invented.

[exsparky]

If they thought he was going to get shot they would put a vest on him, so they must think somebody is going to bust him out with all that security.

[MultiVerse]

It's a dumb show of force by a clueless NYC mayor. Eric Adams is protecting us from Luigi, lol. A stupid way to disincentivize terrorism—make murderers international celebrities

His family is wealthy.
I don't think his brother Super Mario will leaving him hanging.
Pun invented.

Heh, his family owns golf courses and nursing homes

[I Skied Bandini Mountain]

It's a stupid fucking perp walk, all for the cameras. Eric Adams is desperate for anything to take the attention off his own ass.

[Trackhead]

Over the last week I’ve had to edit a chart three times so a patient could get insurance coverage/refitted for a lower leg prosthesis secondary to amputation. Doing a word dance for insurance.

You’d think medical necessity would be obvious. But this is part of the deny delay defend bullshit we, as ordering providers, get to waste our time on over and over again. It’s infuriating and humiliating.

[skaredshtles]

Over the last week I’ve had to edit a chart three times so a patient could get insurance coverage/refitted for a lower leg prosthesis secondary to amputation. Doing a word dance for insurance.

You’d think medical necessity would be obvious. But this is part of the deny delay defend bullshit we, as ordering providers, get to waste our time on over and over again. It’s infuriating and humiliating.

And you're a doctor... this is untenable horseshit we have going.

I saw my spine guy last Monday, he looked at my MRI, and placed an *emergent* order for surgery. His scheduling specialist got everything scheduled for a crack-of-dawn slot on Friday.

Then 17:30 on Thursday I hit the call that insurance hadn't approved yet, so they pushed to 15:00 Friday.

By 12:30 Friday they still hadn't received approval, so they canceled the surgery.

Approval came in at 15:15 Friday.

I finally got the surgery done yesterday, almost a week "late."

I did tell the scheduler to let the insurance company know that if I end up with permanent nerve damage, I would be engaging an attorney.

[Trackhead]

^^^^hey, no big deal if you get erectile dysfunction or permanent foot drop, you’ll be ok.

The stories are never ending.

[J. Barron DeJong]

It's a stupid fucking perp walk, all for the cameras. Eric Adams is desperate for anything to take the attention off his own ass.

Saw someone joking that it was nice of Luigi to take time from his current busy schedule to escort Adams to prison.

[summit]

Over the last week I’ve had to edit a chart three times so a patient could get insurance coverage/refitted for a lower leg prosthesis secondary to amputation. Doing a word dance for insurance.

You’d think medical necessity would be obvious. But this is part of the deny delay defend bullshit we, as ordering providers, get to waste our time on over and over again. It’s infuriating and humiliating.

There are entire software packages and decent paying jobs that hospitals pay for built around guiding/bothering doctors into doing exactly that more or less realtime. I did it part time ontop of my other jobs. The money paid better than patient care because it required experience and the dept could show direct $ recouped that would otherwise not have been reimbursed, and yet I was making hourly <1% of what I was grossing the hospital/physicians. That is how our system works.

[MultiVerse]

Harvard Medical group "Partners Healthcare," spent over a billion dollars to upgrade from a proprietary EHR system to Epic which has more billing code capability. Epic quickly paid for itself by generating additional revenue.

The issue is providers and practitioners within our healthcare system exercise a significant amount of discretion when it comes to the total amount of money that they are paid. Every healthcare expenditure is someone else's income. Even wasteful expenditure is someone else's income. So there's this whole private health insurance system with people processing claims on one side, then you also have, on the provider side, people managing all these different streams of payment.

The situation described above is not all on insurance companies. If insurers could align their policies and their reimbursements with providers and practitioners then the system could operate a lot more efficiently. Instead we have private insurers negotiating constantly with providers who in fact have more market power.

[summit]

I'd disagree with that concept that the providers have more power. Provider reimbursements have been consistently falling year over year. In some sectors, like mental health, they are are so low that some of the shortage is due to insurance companies being unwilling to pay a livable wage. Eg United offering a single provider practice PhD psychologist with 30 years of experience $50 for a 1 hour appointment which is supposed to cover all of the overhead and then pay him for his time means that guy is not going to be on your plan.

I'll also tell you that the insurance companies play fuck fuck games constantly changing what "magic words" people like Trackhead have to put in their charts to get paid for obviously necessary shit. The words that would have gotten reimbursed last year are new this year and so you have to go out and get people to chart differently.

[MultiVerse]

It's a repeated cat and mouse game between provider and insurer. A useful comparison on who has more power is with Medicare, which is that, on average, private insurers reimburse at rates far higher than Medicare.