COMMUNITY NOTED
The health insurance company whose CEO Taylor Lorenz 
tweeted the face of has almost immediately reversed a new policy to stop paying for anesthesia if it takes longer than the claims adjusters think it should
BREAKING: Anthem Blue Cross Blue Shield calls off decision to cap anesthesia for surgical patientshttps://t.co/cG6H5Jf3Qi
— Axios (@axios) December 5, 2024
go upmarsey this comment, i like it more than carp's post
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major victory for the anesthesiology cartel, whose members make $470k on average
now they won't be forced to accept medicare rates for their commercial pts
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I'm ok with anesthesiologists getting overpaid until the insurance companies do their job and make them accept less without beggaring people who need anesthesia
It's actually really weird to suggest the reverse should be true
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Isn't that exactly what they were doing?
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Making millions of people fight with and likely give up on fighting with kafkaesque medical billing and end up 5-6 figures in debt which means the anesthesiologists will likely not actually get paid and eventually make less money over a long time is technically doing the same thing I guess. That is not the patient's responsibility though, the insurance company can and does nickel and dime all the nickel and diming right back when they have to pay a claim. They don't make a profit paying claims though and will do everything in their power to avoid doing so with even the slightest bit of wiggle room.
A redditeur put it very nicely, "every cent spent on his funeral was paid for by someone else's."
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Max out of pocket per year is 4 figures btw
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Are you an overseether alt or something
I don't understand how there are two separate adults with the same puerile understanding of health insurance
The issue isn't high deductibles or out of pocket maximums, it's denied coverage. Do you think if they refuse to pay a claim that it's just part of your out of pocket maximum and then once you've reached your $3500 or whatever for the year that they're out of options and suddenly pay for the treatment you received and have already been billed for, or will pay for the treatment that you need but they say isn't covered, orβ¦
Anyway your dead bud's company is at the bottom of this graph. They were around 8% denials prior to his three-year tenure, under him they now refuse to pay for just shy of one-third of healthcare their insured, paying customers receive:
Defend this cute twink. !commenters
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I don't know and I don't care. Both of you are cute twinks and should keep your respective selfs safe
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I have no stakes in either side of this argument. I just want to see more violence against rich people. Not because I'm a commie but there's so much media bootlicking seethe when one of their Epstein island friends die. Throw the fricking tea into the ocean.
!schizomaxxxers Onwards and forwards.
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What kind of claims are we talking about?
I just filed one about my prescription, and it was denied (oh no!) because they don't cover prescriptions. I have to go bark at my prescription people, but then my doctor gave me membership info for a better pharmacy discount that I used at the store. Wow, life is so hard with so many options.
Because valuepenguin.com isn't a serious place of research, you silly cute twink.
https://www.valuepenguin.com/health-insurance-claim-denials-and-appeals
You've done the most basic r-slurred shit you can: (1) google what I want to find, (2) go with the dumbest.com article I can find that proves my point, (3) post on my cute cat forum and declare victory.
Stupid carp. Stupid stupid stupid carp.
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I just rob the pharmacy. Different strokes
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Oh okay darn you really got him with this one. Some guy on the phone said "nah" and we're supposed to believe that, not the Google search.
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Funny how wingcucks will always defend a megacorp when the other side doesnt like them. All these righttoids with "actually this health insurance company is good" takes are r-slurs
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Somewhere else in the thread I pointed out the growing prevalence of stopping covering chemo mid-treatments and you'll never guess one of the replies
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What is your fricking solution, b-word?
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You can make the argument that we don't want to deal with long wait times like Canada or Europe due to socialized healthcare, however true that is. But anyone arguing that the health insurance companies need to allow people to die so that they can make money and their C-Suites can live the high life should be put into forced labor.
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Kaiser chads stay winning
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Good thing this dude was cleaning up out-of-control spending, we lost a great man
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Covered benefits are outlined in your evidence of coverage. If something from that list is denied, then you didn't prove it was necessary
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I get the feeling the average person is just as lazy with their insurance as they are with their health
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32%? They need to make it higher.
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Why does insurance cover things I don't need and don't want to use and not the things I do need to pay for?
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I'm a fricking I'M GAY AND MY PEEPEE IS SMALL actually
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The reads very gay and very dumb
What do you think health insurance companies' profit margins are
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37%
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United health group made $22.4 billion profit out of $371.6 revenue in 2023 so that's just wrong. It's more like 6%. Which is absolute dog shit. L
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6% is pretty darn good profit margin. Remember the margin is after you take out operating costs like their bloated staff payroll/crazy high pay for the CEOs etc.
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The average for the s&p 500 last year was ~12% so not really.
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If you are only able too make a 6% profit after raping the third biggest country population's worth of sick people with zero other options that's on you at that point. You're company is already saturated and matured and you either need too innovate or be replaced.
Jewish lives matter too women and children.
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If only there were a way for some regular person to buy into these companies and get a share of those profits.
But they'd never let you do that
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They really do think that lmao
You gotta go higher for them to even register the satire
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Insurance companies do that for you because they're big and have influence.
Which one of your junkie siblings do not have health insurance?
What in the name of r-slur math is this, carp?
And if they paid out $0, they'd be out of business. What do you think competitors do?
This is r-slurred cute twink talk. Please log out, grow some balls, and log back in.
!metashit, carp is being genuinely r-slurred again!
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keep yourself safe lol !metashit
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Why are leftoids so violent? After decades of failure, you'd think they'd have learned something.
!chuds, when will it end?
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I'm guessing insurance rejected xer titty skittles
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None of your medical "needs" are salient, sit this one out big man
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Not following just saw ping. Calm down.
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Are you on very poor terms with your family and so you don't know any old people or
These companies will cut you off of chemo if they don't like your prognosis BIPOC
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They also have health insurance.
Are you talking about shoving your old folks in a home?
Someone has to be realistic.
Everyone wants everyone else in their insurance pool to blow millions on keeping their loved one alive for a couple of months or a year, but you have to think about others.
If your magical government provided everything, they would lack the treatment (because of killing the golden goose), so you'd have nothing to whine about. Or, they'd have it, but put it under stricter rationing as all the other government healthcare systems in the first world. But at least it's "free."
You people really are ungrateful and have no idea how the world works. You demand everything for practically free and have no idea what happens when government gets more involved.
It's all so r-slurred.
!neolibs,
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But if it saves just one lifeβ¦
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but I want NO COSTS and UNLIMITED care
Gimme gimme
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If you're not showing any improvement, why continue chemo?
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Remember when Obamacare came along, and the Feds said you HAD to buy their products, and they just got worse? They're doing everything in their power to make you pay them in exchange for nothing.
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I keep forgetting to contact the foot place. They took xrays and gave me steroids but I've never seen anything in the mail from them. No bill, no insurance statement, nothing.
Is there a balance being sent to collections
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I has a ghost bill sent to collections a couple years ago and I just ignored it until they called at a time when I was looking at my phone and paid it in full there
BCBS didn't do shit even though it was lifesaving emergency care
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Did you learn your lesson at least?
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It was a deeply educational experience trying and failing to get the health insurance I pay for and have paid for for almost two decades to in turn pay a few thousand dollars for emergency care that I needed imminently to not die yes
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Good.
I didn't check before driving across town, they close at noon on Fridays
Live Smokey reaction:
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yes except the asa misrepresented anthem's policy to get people upset
there are already rules against balance billing for this sort of thing
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we should imprison every anesthesiologist and let people self-dose with over-the-counter ketamine
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this but unironically
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It's crazy we have insurance company shills on here but it's rdrama so I guess I shouldn't be surprised.
No, the ASA didn't misrepresent Anthem's policy.
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Setting a limit gives them an easy out where they still get paid and get to blame insurers for the shortfall.
Covering a procedure for any duration, but at a lower rate, makes them accept less or refuse to provide the service at all
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People have this misconception that anesthesia is a human right. It's not. I earned mine, did you yours? It should be reserved for people of Wealth, not commie beggars.
Don't wanna pay the meds? You can always use hyponsis
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Just have a nap until the surgery is over, r-slur.
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Dem crazy eyes....
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I'm not afraid of crazy eyes, that's how I know I can trust them.
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I saw that episode of scrubs
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Scrubs-chads, we out here!
(I got into Scrubs this fall)
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Are you okay with premiums going up? Because that's the end result of this
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I hate the medical profession
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i still don't understand why those people are paid so much, or why they can't be replaced by a machine.
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the actual answer is, malpractice insurance. anesthesiologists have to buy mandatory insurance to practice and it can like $225,000/per year.
The reason its expensive is because in the united states the laws and regulations are dramatically stacked in favor of the patient allowing them to sue the shit out of doctors. this was meant to protect the patients rights, however it was abused a lot as well and the market righted itself back.
the real solution is tort reform and it needs to reasonably more difficult to sue your doctor
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Doctors also kill their patients at astonishing rates. Medical error is like one of leading causes of death of burgers
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It needs to be significantly more difficult to sue people in general in the US.
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Because every person and every surgery is different and needs to monitored continuously. Every application is unique and not just based on a table of numbers. Also even with all the PPE and precautions the constant exposure to the drugs involved leads to noticeably higher rates of infertility, cancer and possibly cognitive issues in their later years.
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maybe we just suck at it tho, and haven't found the right technique that isn't so finicky
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Are you under the impression that insurance companies set the rates that medical personnel get paid?
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yes? what do you think in-network means? a provider or group agrees to see a plan's members at contracted rates (e.g. 120% of Medicare)
physicians in larger groups and hospitals can be paid a salary but there is ultimately some contract between their organization and the payor
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kill all medical patents, make it all at the prices the rest of the world does
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