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Dr. Debby Day said her bosses at Cigna gave her a stark warning: Work faster, or the company might fire her. She said her bosses cared more about being fast than being right: “Deny, deny, deny. That’s how you hit your numbers.” (Published April 2024 w/ @capitolforum.bsky.social)

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 health care. Dr. Debby Day said her bosses cared more about being fast than being right: “Deny, deny, deny. That’s ho...

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Metrics for work output, metrics for attendance, metrics for for error rates, metrics for eye focus, metrics for conversion rates. I'm about 90% convinced that we just need to make metric-based management and HR a crime. Don't like the metrics you have? Hire more.

Few will shed a tear when the heart is torn out of the private insurance industry in this country. They apparently didn't learn anything when the whole country collectively shrugged when one of their execs was murdered.

PP: what was inaccurate? Cigna wouldn't elaborate PP: asked how it calculated that score Cigna: the company wouldn’t say That pattern repeats over and over and it demonstrates that in for profit health care that profit always comes first.

Remove the profit motive. Doctors, nurses, etc deserve to be paid well, but the vulture capitalists who've gobbled up independent practices, insurers like Cigna, etc are not driven by best outcomes for patients, their sole motivation is making money.

Liking capitalism doesn't mean defending every version. Healthcare isn't a car; demand always exceeds supply, so free-market pricing has no cap. Healthcare is a right, not based on ability to pay. Every human deserves the same standard of care. No life is more valuable than another.

It's sort of free already, but I see what you mean. I personally want a system similar to the free lawyer. Everyone has the right to an attorney. It's not the best in the world, but it's something. There's still the option to buy a better lawyer.

Cigna and UHC are literally the worst health insurers. And working in the healthcare industry I can personally attest to how horrible their customer is. They purposely won’t answer provider questions about patients’ coverage

The profit motive in healthcare produces exactly what you'd expect: maximum revenue per patient, minimum cost per treatment, every incentive pointed away from prevention. The surprise isn't that the system fails patients. It's that anyone expected a market to optimize for health.

When I was at Anthem we had to offer ideas on how to reduce appeals volumes in our review. I had just started in the industry and I simply said "deny less claims", it got me blank stares from the boss.