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PSA for folks in Northern California: The Sutter Health Network / Palo Alto Medical Foundation routinely get caught committing widespread insurance fraud. The

by hedora 11mo ago

PSA for folks in Northern California: The Sutter Health Network / Palo Alto Medical Foundation routinely get caught committing widespread insurance fraud. They also offer products that seem to be junk insurance to me, but I’m not a lawyer. Here are three examples of their alleged widespread insurance fraud: https://allaboutlawyer.com/claim-your-sutter-health-settlement-money-228-5m-available-for-northern-california-residents/ https://allaboutlawyer.com/claim-your-sutter-health-settleme... https://www.sfgate.com/bayarea/article/sutter-health-accused-of-fraud-by-state-2375081.php https://www.sfgate.com/bayarea/article/sutter-health-accused... https://www.justice.gov/archives/opa/pr/government-intervenes-false-claims-act-lawsuit-against-sutter-health-and-palo-alto-medical https://www.justice.gov/archives/opa/pr/government-intervene... Some of those suites involve other big providers, like KP. Not sure if any of the healthcare providers around here are reputable at this point.

BLKNSLVR 11mo ago
So Luigi Mangione had no effect, or it's too early to tell?
- bigfishrunning 11mo ago
  He never had any chance of having any effect, except maybe for an increased bodyguard budget. A single murderer rarely triggers societal change.
  - potato3732842 11mo ago
    >A single murderer rarely triggers societal change. I was gonna bring up Franz but you said "rarely" not "never". I think people are wising up to the fact that at scale modern forms of insurance, all forms not just health, is not a real product that delivers value to both parties, it's a contrived way to use government force to lighten everyone's pockets to the benefit of a few while paying out only as needed to justify the pretext and the only thing it really shares with it's free-ish market equivalents from 50+yr ago is the name. So there will probably be more murders before things change.
    - dboreham 11mo ago
      Great powers were already on the brink by the time the archduke thing happened. It would have been some other trigger.
      - potato3732842 11mo ago
        If Franz isn't good enough we can do Caesar. You can call things inevitable and on some level they likely are but +/-5yr makes a huge difference in the exact turns of events and the form that history takes because at the very least it determines who the parties involved are and/or affects the circumstances they are balancing. Do we still get Hitler if WW1 starts later or goes slightly differently? You don't get the modern world without Hitler. Us typing this here and now with the world as it is is necessarily predicated on a ton of things who's details came down in large part to chance. And it goes back way, way, way further than that.
  - deleted 11mo ago
    [deleted]
- tourmalinetaco 11mo ago
  If Ted K. had no effect what hope did Mangione have?
  - cebert 11mo ago
    Well, the woman Ted threw into Poucha Pond didn’t have any ties to health care.
- deleted 11mo ago
  [deleted]
- LorenPechtel 11mo ago
  Note that most of his complaint is with experimental stuff. Why should insurance be required to cover experimental stuff? It's basically chasing the illusion of a solution.
darth_avocado 11mo ago
Just use Kaiser if you’re down bad. It’s cheaper than the absolute cheapest scam insurances and will get you a decent level of care.
- jpollock 11mo ago
  Kaiser (Nor Cal), has been amazing. I highly recommend them. I hear lots of complaints from friends who have other providers, but Kaiser "just works". We've been through cancer and diabetes (so far).
- nothercastle 11mo ago
  You actually get great level of care they suck at advertising though and most people think they are bottom tier when they are not
- pengaru 11mo ago
  Until you find yourself desperate for a malpractice suit, and Surprise! your insurer and care provider are on the same team and you already agreed to arbitration when you got that insurance. A friend had his life wrecked by Kaiser, and none of the attorneys he consulted wanted to touch the case because according to the attorneys they had an army of lawyers and he'd already agreed to arbitration when getting the insurance. The max they claimed could be won wouldn't even cover the legal fees. You definitely don't want insurance from the same team you're getting the insured services from. It's the conflict of interests to end all conflict of interests, especially in the context of health care.
  - triceratops 11mo ago
    From what you tell us, binding arbitration sounds like the actual problem. Not the insurer and provider being the same company. To me the latter is an alignment of interests. The insurer will happily pay for preventive screenings and care to save itself costs on treatment later.
    - autoexec 11mo ago
aidenn0 11mo ago
Sutter recently bought the company that my kids' pediatrician works for. The changes so far have been sufficiently negative that I have to decide if I want to go through the pain of finding a new pediatrician or just stick it out for the next few years until my youngest switches to a GP.
- lumost 11mo ago
  Ooc what issues do you encounter?

by hedora 11mo ago

BLKNSLVR 11mo ago

So Luigi Mangione had no effect, or it's too early to tell?

bigfishrunning 11mo ago
He never had any chance of having any effect, except maybe for an increased bodyguard budget. A single murderer rarely triggers societal change.
- potato3732842 11mo ago
  >A single murderer rarely triggers societal change. I was gonna bring up Franz but you said "rarely" not "never". I think people are wising up to the fact that at scale modern forms of insurance, all forms not just health, is not a real product that delivers value to both parties, it's a contrived way to use government force to lighten everyone's pockets to the benefit of a few while paying out only as needed to justify the pretext and the only thing it really shares with it's free-ish market equivalents from 50+yr ago is the name. So there will probably be more murders before things change.
  - dboreham 11mo ago
    Great powers were already on the brink by the time the archduke thing happened. It would have been some other trigger.
    - potato3732842 11mo ago
      If Franz isn't good enough we can do Caesar. You can call things inevitable and on some level they likely are but +/-5yr makes a huge difference in the exact turns of events and the form that history takes because at the very least it determines who the parties involved are and/or affects the circumstances they are balancing. Do we still get Hitler if WW1 starts later or goes slightly differently? You don't get the modern world without Hitler. Us typing this here and now with the world as it is is necessarily predicated on a ton of things who's details came down in large part to chance. And it goes back way, way, way further than that.
- deleted 11mo ago
  [deleted]
tourmalinetaco 11mo ago
If Ted K. had no effect what hope did Mangione have?
- cebert 11mo ago
  Well, the woman Ted threw into Poucha Pond didn’t have any ties to health care.
deleted 11mo ago
[deleted]
LorenPechtel 11mo ago
Note that most of his complaint is with experimental stuff. Why should insurance be required to cover experimental stuff? It's basically chasing the illusion of a solution.

darth_avocado 11mo ago

Just use Kaiser if you’re down bad. It’s cheaper than the absolute cheapest scam insurances and will get you a decent level of care.

jpollock 11mo ago
Kaiser (Nor Cal), has been amazing. I highly recommend them. I hear lots of complaints from friends who have other providers, but Kaiser "just works". We've been through cancer and diabetes (so far).
nothercastle 11mo ago
You actually get great level of care they suck at advertising though and most people think they are bottom tier when they are not
pengaru 11mo ago
Until you find yourself desperate for a malpractice suit, and Surprise! your insurer and care provider are on the same team and you already agreed to arbitration when you got that insurance. A friend had his life wrecked by Kaiser, and none of the attorneys he consulted wanted to touch the case because according to the attorneys they had an army of lawyers and he'd already agreed to arbitration when getting the insurance. The max they claimed could be won wouldn't even cover the legal fees. You definitely don't want insurance from the same team you're getting the insured services from. It's the conflict of interests to end all conflict of interests, especially in the context of health care.
- triceratops 11mo ago
  From what you tell us, binding arbitration sounds like the actual problem. Not the insurer and provider being the same company. To me the latter is an alignment of interests. The insurer will happily pay for preventive screenings and care to save itself costs on treatment later.
  - autoexec 11mo ago

aidenn0 11mo ago

Sutter recently bought the company that my kids' pediatrician works for. The changes so far have been sufficiently negative that I have to decide if I want to go through the pain of finding a new pediatrician or just stick it out for the next few years until my youngest switches to a GP.

lumost 11mo ago
Ooc what issues do you encounter?