5 ms·
Medicare/medicaid denies for medical necessity all the time.
by thallium205 2y ago
Medicare/medicaid denies for medical necessity all the time.
- ceejayoz 2y agoDo the workers making those decisions get "bonuses and stock options" like Cigna's do in the article?
- SoftTalker 2y agoAs do the European healthcare systems that have so many advocates here. In any system, there is a finite amount of money that can be paid out. Some level of review and denial of some claims or authorizations is unavoidable. I'm not saying that the current system in the US is great, but moving to a 100% "single-payer" model will not get rid of claim review.
- Rinzler89 2y agoPretty much. I'm insured in the public system of my relatively wealthy EU country but I still pay for a lot of stuff out of my own pocket. Not life threating stuff, that would usually be free, but still, things I need to make my conditions more bearable or for prevention, or physiotherapy for back pain, or getting appointments sooner than 3 months for a checkup. With the ever increasing ageing population, and stagnating economy, the pressure on the healthcare system balloons while the money pot is finite, so the existing resources keep getting split more and more aggressively creating a system of winners and losers. It's inevitable when the resources are finite but the demand virtually infinite.
- fragmede 2y agoYes but are they denied by accountants or doctors? Death panels already existed, it's just a question of who's on them.