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>A few hours after the session, Moore drove herself to a hospital and was admitted to the emergency room, accelerating a downward spiral that would eventually c
by Imnimo 2y ago
>A few hours after the session, Moore drove herself to a hospital and was admitted to the emergency room, accelerating a downward spiral that would eventually cost the insurer tens of thousands of dollars, more than the cost of the treatment she initially requested.
Is the issue here that most patients in this slot would have just made-do with the lower level of care, so the insurance company is saving money even if a handful end up in the emergency room? Or is it that the insurance company is inept and is not even saving money in expectation?
I'm not sure whether "is too cut-throat at saving money" or "is too incompetent at saving money" is the worse problem to have, but they probably have different solutions.
- cyanydeez 2y agoIt just means that rather than "trust doctors" or "evaluate care" it's cheaper to hire a random doctor who evaluates and sets limits based on arbitrary reasoning about "excess" and that reasoning follows from what crimes they've gotten way with previously (lawyers). This is not a system of care; it's a system of squeeze the turnip, with a parade of MBAs who constantly need to turn the screws to ensure they can climb the latter. It's sociopathy, like the entire business capitalism. It's just that in this case, the consumers arn't directly the costumers.