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Please. Whenever our side said that you called us everything but white men, RG. Don't even start that now.
Not here in Arizona. You have to have insurance, or, cash and you're right, you have to schedule online.
Please. Whenever our side said that you called us everything but white men, RG. Don't even start that now.
stiffing patients too
https://jacobinmag.com/2021/10/corpo...n-biden-letterThe Biden administration’s interim final surprise billing rule and the legislation that prompted it, the 2020 No Surprises Act, were mostly a response to companies sending people huge medical bills after they visit hospitals that are part of their insurance networks but treated by doctors or staff who are out of network.
The rule, from the Centers for Medicare & Medicaid Services, also cracks down on an absurdly evil health insurance practice: insurers have been retroactively denying emergency room claims and sticking people with massive ER bills, because they say the patients’ medical events were not emergencies.
UnitedHealthcare, the nation’s biggest health insurer, announced in June it was planning to more closely scrutinize emergency room visits, warning that claims “determined to be non-emergent will be subject to no coverage or limited coverage.”
Following outcry, the company quickly backtracked with a statement saying it had “decided to delay the implementation of our emergency department program until at least the end” of the COVID-19 pandemic. However, the Daily Poster reported on several cases where UnitedHealthcare denied emergency room claims as nonemergency or was accused of doing so.
The rule language bolsters those reports, making clear some insurers have in fact been systematically issuing retroactive ER denials. It says some plans have been denying claims solely based on final diagnosis codes and “might automatically deny coverage based on a list of final diagnosis codes initially, without regard to the individual’s presenting symptoms or any additional review.”
It further indicates that insurers might not consider the federal prudent layperson standard — which is designed to protect patients and allow them to seek emergency care if an average person would believe they need immediate medical attention — unless a patient appeals. Generally speaking, only a tiny fraction of Americans appeal denials, meaning that insurance companies often get away with this scam.
Kahn’s comment letter thanked the Biden administration for moving to stop these retroactive ER denials, and adds more detail about the various ways insurers are selecting claims to deny.
He wrote that “some plans may violate the Affordable Care Act’s (ACA) patient protections by making an initial coverage determination based on final diagnosis codes and then applying the prudent layperson standard only if the participant, beneficiary, or enrollee appeals or seeks further consideration of the claim. Other plans or issuers may inappropriately require ‘sudden onset’ of the emergency medical condition or impose a time limit between the onset of symptoms and the patient’s presentation at the emergency department.”
Kahn went on to describe several other abusive health insurance practices, such as “inappropriate plan denials based on general plan exclusions and otherwise, down-coding and reclassifications; extended observation care; delayed credentialing to avoid payment; and reference pricing-based plans that operate without a network.”
He further noted that the Health and Human Services Department’s inspector general previously found that private Medicare Advantage insurers “overturned 75 percent of their own denials from 2014-2016 and that independent reviewers at higher levels of review overturned additional denials ‘in favor of beneficiaries and providers.’”
“These activities,” Kahn wrote, “impose inappropriate burdens on patients receiving and providers or facilities furnishing both in-network and out-of-network services, and, in the context of emergency services, generate surprise bills, cause patients to forego seeking emergency services, and burden emergency facilities and providers with unnecessary disputes and administrative burdens.”
Haven't been ignoring it, sorry.
Haven't been losing much sleep over people who die after life saving vaccines are available though.
I especially haven't been ignoring the efforts the administration has made to try and save lives, even ones in red states.
They won't run becasue they think they can't win on it. it is ed, and they should. Absolutely the fault of the Democratic politicians.
Props to right wing propaganda though, because they have dupes like you convinced that a system that works in dozens of other countries for decades magically won't work here.
the idee fixe that the COVID death count has been ignored since Jan 21st approches blindness or senility.
maybe both.
This is what was going to happen when you built a ty healthcare initiative on insurance instead of actual healthcare.
Dem coffers were/are just as padded as Repub coffers with Big Pharma and Insurance dollars.
no doubt about it, just look at Sen Sinema
How large are the other countries that this works for? How much in local and global welfare do those countries dole out compared to the US? What are the tax rates in those countries?
Sorry, but to say "Oh, it works in these other countries that are fractions of the size of the US, let alone most of those countries have tax rates that would send most Muricans to the morgue from shock."
You're not going to make it work- it will take decades of cultural change for this to work. You're not going to get the average Murican to work and be taxed extraordinarily high to pay for healthcare. Proportionate correlation and being honest about how greedy and materialistic our society is and it's easy to see why no system that works for a select handful of countries will work for us.
Chooch
You're not going to get this gov't to hand out health care. It bugged them no end to hand out that free money the last two years...even to the point that Biden robbed the last $600 of it from both us & President Trump.
Not ignoring it but no longer care. Got it. All the obesity driven comorbidities that led to a lot of deaths, those were horrible.
The inaction, and incompetence of the Trump administration really was horrible.Jared's intern task farce.
Can't say I'm a fan of Biden's COVID policy either. Rapid testing and contact tracing still haven't been scaled to need.The inaction, and incompetence of the Trump administration really was horrible.
The decisions not to mandate vaccines until it was too late to prevent another e and not to regulate workplaces through OSHA were also momentous, as was the decision to deemphasize layered protection. Telling vaccinated people to throw away their masks last spring was utter stupidity, but it dovetailed with a political narrative that overrode and still overrides science -- "back to normality"
Messaging has been awful. The failure to emphasize that COVID is airborne and the suite of protections that entails for congregating indoors -- masking, air quality monitoring, filtration, humidification and ventilation -- could end up undermining the pell-mell rush to reopen in-person schooling, to say nothing of exposing millions of kids to preventable disease and the suite of potentially life-changing outcomes thereto related.
More contuinuity than change, tbh
Eyup. Nothing changes until we get money out of PACs and politics. those companies, give me single payor
Eyup. Well put, and mostly valid criticisms.
Shudder to think what would have happened had Loser McLoserface gotten his second term.
can't imagine it would have been any better than his first term.
just saw this, btw
I got nary problem with the testing, though President Trump wouldn't do it, and neither will mother er Biden. Nothing good can come from it/testing in (their) eyes.
They have no problem touting how the vaccine is free, but you never see anyone trumpet that the testing is free. Nope.
You put that vaccine inside you, that's it, your choice is gone.
You get a clear test and you're happier than a pig in . You ain't looking ahead to the next test. You got that clear in your pocket and no vaccine coursing thru your veins forever more. It do not get better than that.
"Just look at our own Benedict Arnold!"
Kamala is knocking out of the park, and Fauci is up for an Emmy just like the gov of NY.. errr... former gov.The inaction, and incompetence of the Trump administration really was horrible.
Did a great job not being Trump.
there are plenty of others
"Just look at our own Benedict Arnold!"
apparently not being Trump beats the out of Trump. i hope it works just as well next time.
That's my point. You just went right for the jugular of the one about to be voted off the island even though there are others. Hey it's not your fault, it's a bias you learn from youth and you cannot seem to shake it even if you try.
I wasn't the one ing about how he's handled COVID knowing full well that's not why he was elected.
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