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.
  • Bluefalcon@discuss.tchncs.deEnglish
    114·
    7 months ago

    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.

    • chuckleslord@lemmy.worldEnglish
      8·
      7 months ago

      In this case, this is a staff doctor. A person whose job is to review the medical necessity of procedures. So yeah, she literally works for the insurance.

      Also, doctors in hospitals are in antagonistic roles with insurance unless they work for an insurance hospital (god, I wish that was a joke). I actually don’t know what you’re taking about here

      • Bluefalcon@discuss.tchncs.deEnglish
        3·
        7 months ago

        All of it. Our medical system needs a massive reevaluation. How we run it, how it generates money, who can benefit from the revenue, and who deals with discipline all staff when issues arise. So all of it.

      • acetanilide@lemmy.worldEnglish
        3·
        7 months ago

        Why did i look that up

        Apparently not only are there insurance companies that own hospitals but there are hospitals that are making their own insurance 🫠

  • Daxtron2@startrek.websiteEnglish
    2·
    7 months ago

    One of my family members works for a major health insurance company and has a similar experience. The people doing the reviews are understaffed and the people with close medical knowledge of the patients current situation don’t actually make final decisions. They give recommendations to the few overworked doctors who are given these ridiculously short deadlines and arbitrary pass/fail rules on whether to cover or not.