4 ms·
It took four years for me to be accepted into TennCare with one denial. That seems average, from what I can tell. This system definitely contributed to some su
by throwaway902984 2y ago
It took four years for me to be accepted into TennCare with one denial. That seems average, from what I can tell. This system definitely contributed to some suicides.
With many of those decisions as incorrect as they were, with people as poor as they are here... This is a tragedy that has had people hiding the cause of their suicides for an insurance payout to their families.
I am guessing that the healthcare costs for those denied are generally larger now than they would have been had they been accepted; that the hospital system is still paying the price tag, not the destitute. - A layered tragedy in that the finances are worse for everyone but Deloitte.
- hsbauauvhabzb 2y agoI don’t live in your country and so I’m not familiar, is a denial some potentially ‘fraudulent’ transaction, or something else?
- benbayard 2y agoNot everyone qualifies for government assistance. The software Deloitte built was supposed to automatically determine if someone was eligible. It is now being alleged that the software did not function correctly and was denying people because of bugs and issues with the software, not because the person was ineligible.
- hsbauauvhabzb 2y agoI’ve commented a similar story about australia in the root of the comment stream, if you’re interested.
- throwaway902984 2y agoYou have to apply for the social benefits here, like you would apply for a job. It is when the state government says no, you don't get to benefit from social welfare programs. In this case, TennCare, a health insurance system for the poor and disabled. This government denies those applications at around a 50% rate, iirc. With that decision taking around 4 months to a year Then an appeal is launched, with that decision generally taking 2+ years. A judge rules on that appeal eventually. A panel is convened with a couple of lawyers, the judge, a vocational expert (job fitness person), a health care professional, and yourself. Who you are and what you are capable of is summed up and deliberated upon. If you are deemed indigent, you are given an insurance policy with TennCare.
- IG_Semmelweiss 2y agoThis is well explained but its missing a key ingredient. You are dealing with government. Its not a business like Instagram or a grocer like Costco. If IG crashes consistently or if Costco has long lines at chekout, you take your business elsewhere. With Medicaid you dont have an option, and the govt program, unlike IG or Costco, will never go out of business due to poor business services
- SoftTalker 2y agoAnd some people want everyone to have to use this system. Our private insurance system in the USA is far from perfect but it's a lot better than the government system. I have never once had an issue with my employer provided insurance covering any care that a doctor feels is necessary. I dread the day I have to move to Medicare.
- deleted 2y ago[deleted]
- amanaplanacanal 2y agoMy experience so far on Medicare (a couple years) has been that it is equivalent to the private insurance I had before. No surprises.
- smogcutter 2y agoThe application process parent is talking about is Medicaid, not Medicare. Medicare is pretty ironclad, because the recipients are elderly and vote. Medicaid recipients tend to be marginalized and high need, so they’re used as a punching bag by local governments in states where that’s a good way to score political points.
- mannykannot 2y agoYou don't have to move to Medicare if you do not want to - you can continue with all the private insurance your employer offers or you can afford, or you can 'self insure'.
- 2y ago
- deleted 2y ago[deleted]
- justinclift 2y agoWonder if there's an up-and-coming AI based version of the system in development already? ;)