Really what it should be is that if a doctor prescribes unnecessary care
That’s the core problem. The entity that defines unnecessary care is health insurance. And there are TONS of stories of them denying Diabetes medication for people with diabetes and anti-nausea meds to pediatric patients getting chemo.
If they were doing the right thing, no one would be pissed off. The “recent target” was the one to decided to run on AI driven denials that were denying 90% of care for months.
They are not fulfilling their duty to take the money from the subscribers and pay their righteous medical bills and instead using it as raw profit.
They are employing their own ‘doctors’ to prove stuff that is definitely necessary is labeled unnecessary.
Not just meds. Patients with chronic pain are expected to take painkillers for treatment but omg if the doctor prescribes therapy deny that shit. Even though therapy helps faaaar better than medications for chronic pain sufferers.
That’s the core problem. The entity that defines unnecessary care is health insurance. And there are TONS of stories of them denying Diabetes medication for people with diabetes and anti-nausea meds to pediatric patients getting chemo.
If they were doing the right thing, no one would be pissed off. The “recent target” was the one to decided to run on AI driven denials that were denying 90% of care for months.
They are not fulfilling their duty to take the money from the subscribers and pay their righteous medical bills and instead using it as raw profit.
They are employing their own ‘doctors’ to prove stuff that is definitely necessary is labeled unnecessary.
Reminds me of the Tobacco Instrustry setting up the “Tobacco Institute”, to disprove any links between smoking being addictive, and lung cancer.
They were constantly gaslighting the public, even tried to discredit the Surgeon General for his report on second hand smoke.
Not just meds. Patients with chronic pain are expected to take painkillers for treatment but omg if the doctor prescribes therapy deny that shit. Even though therapy helps faaaar better than medications for chronic pain sufferers.
It’s the conflict of interest in the “decision maker”