A Doctor at Cigna Said Her Bosses Pressured Her to Review Patients’ Cases Too Quickly. Cigna Threatened to Fire Her.
A Doctor at Cigna Said Her Bosses Pressured Her to Review Patients’ Cases Too Quickly. Cigna Threatened to Fire Her.
Cigna tracks every minute that its staff doctors spend deciding whether to pay for health care. Dr. Debby Day said her bosses cared more about being fast than being right: “Deny, deny, deny. That’s how you hit your numbers,” Day said.
If you just need to be faster, why is it "deny, deny, deny" and not "approve, approve, approve?"
The implied subtext there would pretty clearly be that too many approvals would also cost them their job.
The doctors discussed in the article are reviewing cases that have already been denied by a nurse. They can deny a case instantly by copying and pasting the nurse's justification for a denial. To approve a case, they have to write their rationale for overturning the original decision.
Rationale: "Gotta go fast!"
Never forget that Doctors work for the insurance company, not the hospital. Healthcare in the US is a fuckin joke and we are the punchline.
In the US, yes. Other countries actually care about their humans.
Sure they do. That's why their health services are constantly under attack by the parasite class.
Can you imagine going to school for all those years just to have some MBA condescendingly tell you how to do medicine?
This is a reality for many, maybe most Drs in the US
SSA just sent my SSDI claim (some two years after I submitted it) over to their "doctors".
I know exactly what to expect.
I have to wonder how anybody could still consider themselves a doctor if they fall in line and do this shit with insurers? They should lose their medical licenses for this. It’s despicable.
This falls under the "I have to pay rent and student loans" category.
As does so many millions of other Americans, and yet here we are talking about life and death.
Valid, but also "I'm going to work at this evil company, giving them the benefit of my labor, which they will take far more profit from my labor than they will ever give back to me, because I'm desperate and need to pay bills, so I'm going to ignore the knock-on effects about how this is worse for society as a whole because gosh darn it my personal needs are just so much more important than what happens to wider society."
To me, it feels like nihilism or solipsism. "There's no such thing as society." It ignores the existence of Mutual Aid groups, despite their weakness and lack of exposure to rural areas. It's giving into American isolation, where only you can save yourself and feed yourself. Never lean on anyone. Never form a real society.
These are professionals with professional credentials, not someone working at McDonald's in a rural area with no access to a mutual aid group to help them. Out of anyone, they are the most likely to have a network of friends and connections that could conceivably help them if they lost their job.
I get really tired of that attitude. You're suffering under the thumb of the problem, so your solution is to just give into the thumb and give it more weight for others, worsening the problem? The price of your education is making others suffer?
After nearly three months I finally got a prescription approved by United Healthcare. Their 'Doctors' couldn't accept that I was unable to take a stimulant with a heart condition. Most of those doctors couldn't cut it in the real world and took a desk jockey job interfering with real doctors and their patients.
this kind of pressure create a negligent environment should be illegal as it endangers patients. Nothing less than criminal prosecutions will resolve it