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Episode 803: Not Medically Necessary (Patreon)

Published:
2024-11-14 02:52:53
Edited:
2024-11-14 03:00:57
Imported:
2024-12
Tags:

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Content

https://www.propublica.org/article/evicore-health-insurance-denials-cigna-unitedhealthcare-aetna-prior-authorizations

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Comments

Richard Stifle

Hey guys, I wanted to share this idea hope you’ll share it on the show. Reddit obviously allows anybody to create a subreddit for anything. Today I created a new user account for privacy reasons and created a subreddit called r/queeractiongreeley for my home town to coordinate and educate queer folks in my small home town of Greeley Colorado. I then shared it to state politics subreddits, more broad LGBTQ+ advocacy subreddits and the local town subreddit (there is a good chance any town of like 50k or more people has one). So far I’m kind of basing it on the Where There’s Woke model and I’m collating information right now about our local school board including the members stances, recent news stories about the crazies coming to town, resources for people to speak at meetings or volunteer with the district, and I’ll be adding information on running for local offices in the town like mayor and city council. Within 6 hours I have thirty members on the subreddit. Within a narrow focus, I think I might be able to genuinely move the needle, and the more people we have in local offices, the easier states can resist the coming federal policies however they can.

Julie Love

Hi, so I play this prior authorization game for a living and this is no joke. They, along with United Health and Cohere are the worst. They use online portals, take sometimes up to a week to make a decision and then, if denied give you 2 days to have the doctor call to fight. They all handle multiple insurance companies. Doctors aren't trusted to make decisions without oversight. Many are still unaware of the problem. I could go on forever about this and PBM's who mail and fax Doctors daily with idiocy. They are actively telling providers to put patients on different medications and control which ones patients have access to. Would be happy to discuss this disgusting thing.

Haeley Curry

The woman mentioned is getting her surgery now because she finally figured out the right super secret form to have the doctor fill out to request the same surgery by the same surgeon he asked for the first time. Medical side quests is the perfect description.

TreeHuggerPestControl.com

I'm getting close to 60 and I haven't been to a doctor in 30 years. I started working for myself about 6 years ago, and I'm making more than I ever have before, but it's still not enough. I might make it another 5 years, but if they raise the age for Medicare to 70, I'll just die at home. Oh well, I hope they find my dog before he starves to death. Not much meat on my bones.

A_Tower99

You think that maybe all those CEOs of Evil incorporated or whatever, have their houses built on top of the literal bones of the ones they denied care to? Like in “Poltergeist” but the demons are the humans in the house?