#cigna
These are public posts tagged with #cigna. You can interact with them if you have an account anywhere in the fediverse.
How #Cigna Saves Millions by Having Its Doctors Reject Claims Without Reading Them https://www.propublica.org/article/cigna-pxdx-medical-health-insurance-rejection-claims
Internal documents and former company executives reveal…
ProPublicahttps://www.europesays.com/1925733/ Cigna Closes $3 Billion Medicare Business Sale To Big Blue Cross Plan #america #BlueCrossAndBlueShieldOfIllinois #BlueCrossAndBlueShieldOfTexas #business #Cigna #HealthCareServiceCorp. #UnitedStates #UnitedStatesOfAmerica #US #USA
PBMs made billions marking up specialty drugs by more than 1,000 percent: FTC
https://thehill.com/policy/healthcare/5085119-ftc-report-pharmacy-benefit-managers/
#pbm #pbms #PBMreform #cigna #unitedhealth #prescriptions #pharmacybenefitmanagers #cvs #caremark #ushealthcarecosts #ushealthcare #healthinsurance
Lord, we don't need another #Aetna,
There are #Cigna and #Anthem to screw us, oh,
There's #United, #Humana, way out of line,
They all should go, if you want to know
What the world needs now
Is Lu-i-gi
It's the only thing there's too little of, you see
What the world needs now
Is Lu-i-gi
Not just for insurance but every evil company
Y’all, let’s talk about American healthcare and Wall Street. Yes, insurance executives are monsters, but...the wolves of Wall Street are their masters: their relentless profit demands, their growing entanglement in the health care sector is a large factor in our pain.
The ACA required health plans to spend at least 80% to 85% of premiums insurers take in on enrollees’ care, known as the medical loss ratio. But insurers figured out if they also become health care providers — by buying physician practices, clinics, and pharmacy benefit managers — they can meet that threshold by paying themselves and avoiding payment for their customers’ care.
Hundreds of acquisitions later, UnitedHealth is now the fourth largest U.S. company — just behind Walmart, Amazon, and Apple. And traded companies care more about shareholders than patients.
https://www.statnews.com/2024/12/11/wall-street-unitedhealthcare-ceo-shooting-brian-thompson/
#uhc #unitedhealthcare #cigna #wallstreet #MakeGuillotinesGreatAgain #KillHedgeFunds
@dbattistella@mstdn.caThis is how health insurance CEOs think and talk about us, our kids, our suffering.
According to them parents sending threatening emails because they deny seizure meds for their kids, have 'lost their humanity'.
#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.
Cigna tracks every minute that its staff doctors spend…
ProPublicaPropublica Article: Denial of Medical Claims
/All,
I am sharing Dr. Linden's post below with permission.
You may also wish to see her opinion article from October 22nd in the
Delaware Bay to Bay News in which she primarily outlines deterioration
to medical care through the intrusion of big business. She also ties
the future of medical care to election results:
https://baytobaynews.com/stories/linden-improvement-in-health-care-depends-on-election,148362
Michael Reeder LCPC
Baltimore, MD
/~~~~~~~~~~~~~~~~~~~~~
There is an excellent article in yesterday's Propublica about how
companies like Unitedhealthcare, Cigna, and Aetna are using affiliated
companies like Evicore to deny tens of millions of claims a year.
It is unclear in the article whether this includes mental health claims.
However it is relevant to our own medical insurance and that of our clients.
I urge you to read the whole article
Jill Linden, Ph.D.
psychologist, retired
Delaware
~~~~
#insurance #claims #aetna #unitedhealth #cigna #priorauthorizations
#claimspayments #medicalclaims #EviCore#healthcare #denials
~~~~~~~~~~~~~~~
Medical care in this country has gotten much worse,…
Bay to Bay News“Not Medically Necessary”:
Inside the Company Helping America’s Biggest Health Insurers Deny Coverage for Care
Every day, patients across America crack open envelopes with bad news.
Yet another health insurer has decided not to pay for a treatment that their doctor has recommended.
But the insurance companies don’t always make these decisions.
Instead, they often outsource medical reviews to a largely hidden industry
that makes money by turning down doctors’ requests for payments, known as #prior #authorizations.
Call it the denials for dollars business.
The biggest player is a company called #EviCore by #Evernorth, which is hired by major American insurance companies
and provides coverage to 100 million consumers
— about 1 in 3 insured people.
It is owned by the insurance giant #Cigna.
A ProPublica and Capitol Forum investigation found that
EviCore uses an algorithm backed by artificial intelligence,
which some insiders call “the dial,”
that it can adjust to lead to higher denials.
Some contracts ensure the company makes more money the more it cuts health spending.
And it issues medical guidelines that doctors have said delay and deny care for patients.
EviCore and companies like it approve prior authorizations
“based on the decision that is more profitable for them,” said Barbara McAneny, a former president of the American Medical Association and a practicing oncologist.
“They love to deny things"
When companies like Aetna or UnitedHealthcare want…
ProPublicaFucking #Cigna has sent me the same "Billing Notification" email at least 300 times in the past 36 hours; every few minutes, another copy arrives. I finally added a procmail rule to trash them for now. Cigna is allegedly aware of the problem, but what kind of operation are they running that nobody can stop these emails from going out?
A Doctor at #Cigna Said Her Bosses Pressured Her to Review Patients’ Cases Too Quickly. #Cigna Threatened to Fire Her. https://www.propublica.org/article/cigna-medical-director-doctor-patient-preapproval-denials-insurance
Cigna tracks every minute that its staff doctors spend…
ProPublicaWork faster or be fired. This is the shittiest healthcare system in the world. No wonder many of us leave the profession. #Cigna #ProPublica
Cigna tracks every minute that its staff doctors spend…
www.propublica.orgA #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 #HealthCare.
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.
Cigna tracks every minute that its staff doctors spend…
www.propublica.orgSo, I have instructions on how to submit my claim a THIRD time to #Cigna, and of course they pinky sore that it'd really work this time. Of course their system is so slow that it takes more than 25 minutes for them to send electronic "messages" internally.
Starting to thing that suing #Cigna in small claims court would be easier to get my claim paid than following the process.
#Cigna is now claiming that the second process that they told me to follow didn't work and now I have to follow yet another process, but they haven't told me what it is I need to do yet, I'm in a chat now, and very annoyed that this continues to be such a problem.
@BenjaminHCCarr@hachyderm.io#Congress finds #pharmacies give patient records to #lawenforcement without warrants
Sen. #RonWyden urged the Biden administration to revise #HIPAA rules to better guard #Americans’ pharmaceutical records from #warrantless law enforcement requests.
Researchers looked at #CVS; #Walgreens; #Cigna; #OptumRx; #Walmart; #Kroger; #RiteAid; and #Amazon #Pharmacy; None of the eight require a warrant prior to sharing #patientrecords.
https://therecord.media/congressional-report-pharmacies-give-patient-records-law-enforcement-no-warrants #privacy #surveillance
Hot antitrust environment hangs over called-off merger between Cigna and Humana
Besides that, "investors hated the merger proposal."
More:
https://www.statnews.com/2023/12/11/cigna-humana-deal-antitrust/ via @STAT
#humana #cigna #health #healthcare #healthinsurance #antitrust #pbm #ftc
A Cigna-Humana deal raised antitrust concerns for a…
STAT