4 ms·
The combination of paying of pocket or face horrific medical consequences along with ERISA limiting legal claims makes it unlikely the insurance companies face
by kurthr 3y ago
The combination of paying of pocket or face horrific medical consequences along with ERISA limiting legal claims makes it unlikely the insurance companies face any consequences to their actions.
Unless you're a wealthy litigation attorney who has friends that will rack up enormous bills as insurance takes it to federal appeals court.
https://www.propublica.org/article/blue-cross-proton-therapy-cancer-lawyer-denial https://www.propublica.org/article/blue-cross-proton-therapy...
- scythe 3y agoOne thing that's especially egregious about the situation in RadOnc is that there are plenty of situations where the doctors and physicists have already planned a treatment, billing $xxx per hour, and only then it is denied by insurance, so the hospital counts this as a loss and plans another inferior treatment, increasing the cost, in order to offer a "cheaper" procedure as demanded by the insurance company. The losses are of course amortized to drive up the cost of all treatments while the patients are given inferior care. It's absolutely infuriating. A friend who is a therapy physicist left the country and went back to work in Canada taking a 40% pay cut because he couldn't stand it anymore.