Obamacare

Gern Blansten

mace1229 said:

mickeyrat said:

Internal documents and former company executives reveal how Cigna doctors reject patients’ claims without opening their files.

“We literally click and submit,” one former company doctor said.

(Published March 2023 with The Capitol Forum)
https://propub.li/3Foz1f7

My wife has been on Humira for about 15+ years, since it was pretty much new. She was forced to go on the generic about 6 months ago, even though it isn't the same. Even before then she'd get periodically denied for no reason, and have to jump through a bunch of hoops to get the medication she was on for years.  And has already happened with the generic once since she's been on it.
And we've been fighting to get a new med for my son covered for about a month now too. It's just so ridiculous that we can pay 2k a month in premiums just to get denied prescriptions that our doctor is giving us.
I've said before, insurance fraud should go both ways. If a company or persons are wrongfully denying coverage to save money, they should be held to the same standard of fraud as someone who is faking an injury to get money.

It's absolute bullshit. My wife does medical transcription and it's just letter after letter from doctors to insurance companies telling them to allow them to treat their patients.

mickeyrat

The FDA has found problems at an Indian factory that makes generic drugs for American patients, including one medication that was made there and has been linked to at least eight deaths.

The inspection comes after a ProPublica investigation revealed that drugs made at the plant accounted for an outsized share of U.S. recalls for pills that didn’t dissolve properly and could harm people.

Read the full story: https://propub.li/4l2Pc1N

mickeyrat

NEW: Blue Cross authorized mastectomies and breast reconstructions for women with cancer but refused to pay the full doctors’ bills.

But the insurer did make some exceptions. On several occasions, Blue Cross executives signed deals to pay for their wives’ treatment.
https://propub.li/4j7PXW9

mickeyrat

NEW: An Indian drugmaker, investigated by ProPublica last year, has recalled two dozen medications sold to U.S. patients.

The drug recalls cover a wide range of commonly prescribed medicines — including ones that treat epilepsy, diabetes, multiple sclerosis, heart disease and high blood pressure: https://propub.li/43UCoVh