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Our seventh most-read story of this year: When companies like Aetna or UnitedHealthcare want to rein in costs, they turn to EviCore, whose business model depends on turning down payments for care recommended by doctors for their patients. Read more (published October) ⬇️

propub.liInside the Company Helping America’s Biggest Health Insurers Deny Coverage for TreatmentsWhen companies like Aetna or UnitedHealthcare want to rein in costs, they turn to EviCore, whose business model depends on turning down payments for care recommended by doctors for their patients.

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I know this is like 200th in order of importance of things to note in this story. But Jesus H Christ, they actually named themselves "EviCore?" I mean "EvilCorp and EvilCore" are what evil corporations are named in satires and comic books.

“EviCore is not alone in engaging in the denials-for-dollars business. The second-biggest player is Carelon Medical Benefits Management, a subsidiary of Elevance Health, the health insurer formerly known as Anthem.”

But, but, if we have universal healthcare you might have to wait for treatment! Remember when the tea party types exclaimed that would lead to death panels? No panels, just some rando doctor mashing the deny button.

Maybe we should form citizen death panels that discuss who the most egregious companies are, then publicly disclose their CEOs names and their daily routines/schedules and let the people decide how they want the natural consequence of angry people in a country full of guns to play out.

They are definitely trolling us on a certain level, although from their perspective they don’t see the dystopia we are experiencing. The class separation generates different realities and our current society is built to support theirs while disregarding ours.

In the 1997 movie « The Rainmaker » , the insurance company procedure book had the same concept: when you receive a claim, step one, refuse it. An old practice still happening.

President of Intl Markets at Cigna, Jason D Sadler worth at least $40.4 mil & owns Cigna stock worth >$14.5 mil. He makes $3.5 mil a yr. IDK bonus info. CEO, David Cordani’s net worth’s $97.01 mil & stock worth >$97 mil. Annual salary is $5.1 mil. No bonus info-he’s worth much> what’s here.

Won’t see any of this in their ads. It’s high time for Congress to address their shortcomings in regulating this huge industry. Lack of regulation is neither promoting competition among the various providers or is it protecting consumers from what seem like arbitrary healthcare decisions.

Yeah. I’ve dealt with evicore for the last three years. I will say: you pester them enough and get Doctors to advocate for you…. You CAN win. But you have to be merciless in your advocacy for yourself. Don’t take NO for an answer. Keep calling.

ProPublica’s reporting should be the basis for either a RICO case against the industry or a class action where every patient denied care that caused financial ruin or death can sue for trauma/wrongful death. They operate a conspiracy to commit murder and mayhem of their own customers.

Doctors earn $300K. CEOs are making way higher. The CEO of Aetna earned a salary of about $977,000 in 2012; however, when you factor in non-salary compensation such as stocks and options, his total compensation package that year was valued at over $36 million. medschoolinsiders.com/pre-med/are-...

medschoolinsiders.comAre American Doctors Overpaid?America is known for having some of the highest-paid doctors in the world, but are they making too much? Let's find out.

The real money sucker in medicine is not in the delivery of care, but rather in overseeing the business of medicine. The average insurance chief executive officer earns approximately $584,000 per year, the average hospital CEO earns $386,000 per year.

Even though the doctors do earn more than in the other countries the overhead of parasitic insurance costs exasperated the problem for the common people. We need a single payer system like they have in other developed countries. If they can provide the services at lower costs we can too.

Aetna denied mom rehab 2times after she fell & spent 18days in hospital. Even after doc peer-to-peer reviews. Our fam self paid. Out $23k so far w rehab/PT/Copays. Mom is fine now & walking. No thanks to Aetna. We are furious w them.

This is why you call your insurance company immediately and request the name of the doctor who declined the procedure, what their specialty is, and what their license number is and where they're licensed to practice. More often than not, they'll back down and approve the procedure.

Currently wrestling with UHC over whether we go by my doctor's orders or the typo of a pharmacy tech who cut my dosage in half when entering the script into their system. UHC now "thinks" they should only have to chip in for my 30 day inhaler every 60 days. My lungs (and Doctor) disagree.

From the article: "Do You Have Insights Into Dental and Health Insurance Denials? Help Us Report on the System. Insurers deny tens of millions of claims every year. ProPublica is investigating why claims are denied, what the consequences are for patients and how the appeal process really works."

I had a letter from them show up in my "mail preview" from the USPS. I was so worried until it arrived. Amazingly, they decided that yes, my oncologist was right in ordering a CT scan of my abdomen which had had cancer three times. Funny that.