UnitedHealthcare CEO assassinated in NYC

[AbsolutEnduser]

Ok, but what are your odds on that vs a political assassination...

lol, much smaller than simply a business, ahem, competitor/gambling/debt case.

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

sadly this simply means that the patient is on the hook after that anyway. It's not like the anesthesiologist "will not get paid"(at some point).

in fact even in my limited personal experience, the anesthesiologist is exactly the one that was out of network.. and you never choose that one either!

 

[NorCalBusa]

Wow. I saw an anesthesiologist job listing for $650k/year on Reddit. Im not for medical professionals milking it but, patients cant have a Dr walk out mid surgery either.

Anesthesiologists have the highest malpractice insurance rates of all of medicine...

 

[N4teTheGreat]

The anesthesiologist will still get paid, it'll just be a bit delayed while their former patient has their house / wages / etc garnished to cover their new massive debt they found out about after waking up from surgery.

 

[Mike95060]

Anesthesiologists have the highest malpractice insurance rates of all of medicine...

My Nurse practitioner sister tells me the drug addict medical professionals gravitate towards anesthesiology

 

[NorCalAthlete]

I feel bad that I don't feel bad about this.

So....your empathy is out-of-network?

 

[Mike95060]

So....your empathy is out-of-network?

Couldn't afford the deductible.

 

[Reli]

Wow. I saw an anesthesiologist job listing for $650k/year on Reddit

Which is especially hilarious when considering that nurse anesthetists do most of the work

 

[stangmx13]

Here's another for convo. I don't have a source so we can be skeptical.

 

[Mike95060]

^ Sums up my feels. Live your life in such a way that you being gunned down innocently isn't met with a sarcastic "shucks."


twist: what if, and i sincerely doubt this is true, what if he was the ONE healthcare CEO who was trying to make insurance companies less evil and it was the other CEO's that put the hit on him??

 

[byke]

What's weird is that, the way it's worded, it sounds like the anesthesia denial is an all-or-nothing deal, as opposed to what you might expect where they allocate 8hrs and if it goes to 9hrs, you're billed for 1hr.

 

[Reli]

Here's another for convo. I don't have a source so we can be skeptical.

View attachment 570296

Given that chart, is it any surprise that most large employers choose UHC and Anthem (now called "Elevance" )

Those "competitive group rates" are made possible by denying a lot of claims

 

[PorradaVFR]

Was discussing this with my boys earlier and my sentiment is that it’s wrong to celebrate a killing but also if the attacker had suffered a loss due to insurance denials it’s ... conceivable (for lack of a better word) to a degree. I think we all know someone or have ourselves seen how the insurance business ≠ healthcare. This is not in any way the solution but it’s sadly not as shocking as it should be in a just world.

 

[byke]

Probably the whitest thing said today, but how exactly does a claim denial happen? You go to the doc with a broken arm and they get you into surgery and then after the work is all said and done, they say, "sorry, we don't cover broken arms, here's your bill"...? The only time I've had a claim denial was with my dentist, but I just sent an email saying no fuck you, I told you not to do any work that wasn't covered, and then it just went away after that. But, that also wasn't a $250k bill.

 

[stangmx13]

^ Sums up my feels. Live your life in such a way that you being gunned down innocently isn't met with a sarcastic "shucks."


twist: what if, and i sincerely doubt this is true, what if he was the ONE healthcare CEO who was trying to make insurance companies less evil and it was the other CEO's that put the hit on him??

If it was a hit by CEOs, he would have been found locked in his truck in a hotel parking lot with a “self-inflicted” gunshot wound.

 

[Mike95060]

In my experience, my sons appendix removal being the data point, you get a bill from the hospital asking for whatever the insurance company decides not to cover. The hospital gives no fucks who pays them as long as they get paid. The hospital will tell you to take the disagreement up with your insurance company. They, the hospital, wants paid on their terms or you go to collections. Deal with it. And people wonder why cheap and easy healthcare gets ignored… no one can absorb a “surprise” bill they had no control over. Easier to just not get care.

 

[Climber]

What's weird is that, the way it's worded, it sounds like the anesthesia denial is an all-or-nothing deal, as opposed to what you might expect where they allocate 8hrs and if it goes to 9hrs, you're billed for 1hr.

I read it the same way. If the time goes over, they pay $0 for the anesthesiologist instead of paying up to the max time.

Seems like the typical shit they're pulling these days.

 

[byke]

I guess I don't understand how coverage of a procedure could be unknown in advance unless it were a crazy cutting edge surgery.

 

[Mike95060]

I guess I don't understand how coverage of a procedure could be unknown in advance unless it were a crazy cutting edge surgery.

Shit can go sideways in any procedure. No one is expected to code on the table but it happens.

 

[byke]

Is that what claim denials essentially represent, when something goes wrong? Claims are the gap between flat rate and actual?

 

[stangmx13]

I guess I don't understand how coverage of a procedure could be unknown in advance unless it were a crazy cutting edge surgery.

It's not only "coverage of a procedure". It's also "are you sick enough and have you paid enough to deserve coverage of this procedure". Medical billing is a whole profession. Everyone's case is different and the goal posts are constantly moving. And I'm sure there are a million other things adding to the complexity.

IMO, the complexity and the runaround is by design.