GK .Dundas
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Oh , nurse hand me that mallet would you ?
"UnitedHealthcare CEO is fatally shot in a ‘targeted attack’ outside a New York hotel"
- Thread starter The Bread Guy
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I don’t know- NYPD might get lucky. Maybe the perp did the recce at around the same time in the morning.
PrairieFella
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Subsonics
PrairieFella
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UHC denial policies are morally abhorrent on a good day. They use AI refusals which is illegal in several states allegedly. Definition of a soulless corporation that'll do anything for a buck. Frankly, I'm surprised corporate types like this dude don't get shot in the street. Even the Robber Barons understood you have to build the Poors a park or a library from time to time.
Blackadder1916
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I don't know what you're referring to as "that" in the statement "right after that, this came out", but the actual announcement from the insurance company in question was issued on 1 Nov.
The American Society of Anesthesiologists response is discussed on their site.
Anthem Blue Cross Blue Shield Won’t Pay for the Complete Duration of Anesthesia for Patients’ Surgical Procedures
In an unprecedented move, Anthem Blue Cross Blue Shield plans representing Connecticut, New York and Missouri have unilaterally declared it will no longer pay for anesthesia care if the surgery or procedure goes beyond an arbitrary time limit, regardless of how long the surgical procedure takes...
www.asahq.org
No, it's not a coin operated machine that requires the meter to be fed during surgery; once anaesthesia is started the gaspasser continues to provide care until the procedure is completed and the patient is recovered. What the policy
Health insurance billing in the USA is an industry in itself. While I had some familiarity with it, the complexity of the system(s) compared to medical billing in Canada would be like comparing a row boat to an aircraft carrier.
In a similar move about a year ago, anaesthesia for colonoscopies was restricted until there was some pushback.
Blue Cross colonoscopy policy prompts outrage among Mass. doctors
The state’s largest health insurer, Blue Cross Blue Shield of Massachusetts, has begun restricting the use of anesthesia during colonoscopies, triggering a backlash from doctors who argue the change will discourage people from going through an unpleasant but important procedure.
www.wbur.org
Blue Cross halts controversial colonoscopy changes after backlash from doctors
The debate was over the level of sedation used during colon exams. Blue Cross said it will pause policy changes that would have restricted the use of anesthesia.
www.wbur.org
OldSolduer
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Most people can’t hit a barn wall if they were standing inside it. This person was either lucky or trained. I’d wager trained
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Just a random ass question,I don't know what you're referring to as "that" in the statement "right after that, this came out", but the actual announcement from the insurance company in question was issued on 1 Nov.
The American Society of Anesthesiologists response is discussed on their site.
Anthem Blue Cross Blue Shield Won’t Pay for the Complete Duration of Anesthesia for Patients’ Surgical Procedures
In an unprecedented move, Anthem Blue Cross Blue Shield plans representing Connecticut, New York and Missouri have unilaterally declared it will no longer pay for anesthesia care if the surgery or procedure goes beyond an arbitrary time limit, regardless of how long the surgical procedure takes...
No, it's not a coin operated machine that requires the meter to be fed during surgery; once anaesthesia is started the gaspasser continues to provide care until the procedure is completed and the patient is recovered. What the policydoesattempts to do is download the cost (or cost recovery) onto the anaesthesiologist who either bills the patient for the extra charge or eats it. In the absence of other news reports/releases, what I suspect is that the ASA (and other professional and patient advocacy bodies) will continue to oppose this, including taking them to court.
Health insurance billing in the USA is an industry in itself. While I had some familiarity with it, the complexity of the system(s) compared to medical billing in Canada would be like comparing a row boat to an aircraft carrier.
In a similar move about a year ago, anaesthesia for colonoscopies was restricted until there was some pushback.
Blue Cross colonoscopy policy prompts outrage among Mass. doctors
The state’s largest health insurer, Blue Cross Blue Shield of Massachusetts, has begun restricting the use of anesthesia during colonoscopies, triggering a backlash from doctors who argue the change will discourage people from going through an unpleasant but important procedure.Blue Cross halts controversial colonoscopy changes after backlash from doctors
The debate was over the level of sedation used during colon exams. Blue Cross said it will pause policy changes that would have restricted the use of anesthesia.
How often does this type of structure come into conflict with the medical professions' various Codes of Ethics and or the Hippocratic Oath?
medicineman
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When I was the Med Fin clerk in Calgary, I remember getting a bill from an anaesthesiologist with an attached apology asking for extra units because the surgery went longer than anticipated - the procedure would normally be billed for "x" number of work units, however all wasn't as it seemed, so ti went over a few hours...I can guarantee that if this were in the States, this would have been declined, and better than even odds, some of the worst offender companies would have declined the entire anaesthetic cost because of the overtime run.I don't know what you're referring to as "that" in the statement "right after that, this came out", but the actual announcement from the insurance company in question was issued on 1 Nov.
The American Society of Anesthesiologists response is discussed on their site.
Anthem Blue Cross Blue Shield Won’t Pay for the Complete Duration of Anesthesia for Patients’ Surgical Procedures
In an unprecedented move, Anthem Blue Cross Blue Shield plans representing Connecticut, New York and Missouri have unilaterally declared it will no longer pay for anesthesia care if the surgery or procedure goes beyond an arbitrary time limit, regardless of how long the surgical procedure takes...
No, it's not a coin operated machine that requires the meter to be fed during surgery; once anaesthesia is started the gaspasser continues to provide care until the procedure is completed and the patient is recovered. What the policydoesattempts to do is download the cost (or cost recovery) onto the anaesthesiologist who either bills the patient for the extra charge or eats it. In the absence of other news reports/releases, what I suspect is that the ASA (and other professional and patient advocacy bodies) will continue to oppose this, including taking them to court.
Health insurance billing in the USA is an industry in itself. While I had some familiarity with it, the complexity of the system(s) compared to medical billing in Canada would be like comparing a row boat to an aircraft carrier.
In a similar move about a year ago, anaesthesia for colonoscopies was restricted until there was some pushback.
Blue Cross colonoscopy policy prompts outrage among Mass. doctors
The state’s largest health insurer, Blue Cross Blue Shield of Massachusetts, has begun restricting the use of anesthesia during colonoscopies, triggering a backlash from doctors who argue the change will discourage people from going through an unpleasant but important procedure.Blue Cross halts controversial colonoscopy changes after backlash from doctors
The debate was over the level of sedation used during colon exams. Blue Cross said it will pause policy changes that would have restricted the use of anesthesia.
Daily...I see this online on X/Twitter and the PA boards I haunt that are largely American - folks getting stuck on the phone waiting for approval for a med or a procedure, then having to fight it out because it's better business for the company for people to not get treatment. My favourite is hearing about the "peer to peer" chats some folks have to go through, who are physicians employed by the insurance company to decline ordered tests/treatments - many of them, when confronted, aren't licensed in the specialty required to be a peer, aren't actually practicing in the real world/not up do date on current standards of care and often are forced to back down when asked about where/if they're actually licensed, as they know full well a formal complaint will be going to their regulator. The issue with this is the MD/PA/NP concerned is stuck on the phone, not seeing patients and not being able to bill for seeing the patient they're discussing, since the company is stalling them out...and while the insurance company is making money, the provider isn't.
PrairieFella
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Speaking of clusters of D words, this just in (highlights mine) ....
Words carved into bullet casings, police sources say amid search for gunman in shooting of U.S. CEO
Investigators are searching for clues that could help them identify the masked gunman who killed the leader of one of the largest U.S. health insurance companies on a Manhattan sidewalk, then disappeared into Central Park.
Retired AF Guy
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According to the original report above the NYPD state they recovered 9mm brass at the scene.
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So, not a pro.
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The bodyguard business just got a pay raise.
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PrairieFella
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I think we may have found a motive...can I get the ten G's?Speaking of clusters of D words, this just in (highlights mine) ....
View attachment 89539Words carved into bullet casings, police sources say amid search for gunman in shooting of U.S. CEO
Investigators are searching for clues that could help them identify the masked gunman who killed the leader of one of the largest U.S. health insurance companies on a Manhattan sidewalk, then disappeared into Central Park.www.ctvnews.ca
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Especially if it's entirely true that the shooter "personalized" the brass.
daftandbarmy
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Meanwhile, timing is off at corporate 
OldSolduer
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Most people can’t hit a barn wall if they were standing inside it. This person was either lucky or trained. I’d wager trained
OldSolduer
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Not necessarily. I would have used a revolver though.
PrairieFella
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You can't suppress a revolver though.
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