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UnitedHealthcare CEO Brian Thompson assassinated
- Thread starter EviLore
- Start date
Dr.Guru of Peru
played the long game
There are modifiers that reduce the payment depending on whether the CRNAs are being directed or supervised. Directed cases require the anesthesiologist to be more involved and require the anesthesiologist to personally perform the more complex parts of the case. The base (covers the pre-op consultation) and time fees are splint 50% between the CRNA and anesthesiologist. If the anesthesiologist is involved in more than 4 cases, they are supervising which is a lower level of involvement. This is for cases of low complexity. In this case the anesthesiologist can only bill for the base units and up to a maximum of one time unit only if they were physically present at induction.I wonder how much that anesthesiologist is doing when 6 CNAs are running the cases and they are just popping into each room to check
Standardizing anesthesia billing to surgical case is probably more of a prediction model issue and an attempt to eliminate the need for the anesthesia provider to carefully itemize their time and then the need for a coder to account for it in increments and the insurance company to audit that for accuracy.
But no doubt someone would lose $$$ in this and thats who drummed up the mobPretty much any change proposed by an insurance company is assumed to be at the expense of the docs or the patient. An assumption that is sadly often correct
Insurance companies use the complexity of medical billing because they know a certain proportion can be rejected based on technicalities. They only streamline when they know it'll allow them to refuse to pay for more care.
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crazepharmacist
Member
Jsisto
Member
Everyone should honestly just get off their moral high grounds here. Obviously, I have sympathy for a family who lost a husband and dad. And I'm sure this guy just thought of it as a job and wanted his company that is built on a broken system to succeed. He obviously didn't think of himself as a supervillain who purposely denied critical care to needy patients just for fun. That doesn't happen in the real world. But that IS in effect what his job was. We are animals at the end of the day. Corner an animal against a wall and they will often react violently as a last resort. For someone to do this, I can't imagine what kind of personal tragedy they might have had to endure to be in a state of mind where they'd meticulously plan to execute this guy. Of course, it could turn out that this was just some insane person, but there's no denying there's people who have suffered immensely tragic loss at the hands of the insurance industry who probably wish they had the courage to do it themselves.
I just find the "violence is never the right option" particularly exhausting considering we are fortunate enough to live in an, all things considered, prosperous country that natives were slaughtered on to claim, that we fought a war against the British to gain independence, fought a civil war against ourselves to free enslaved blacks.... violence, righteous or not is baked into the experience of all living things and all civilizations. Push an individual or a people far enough and they will react violently. Its certainly not my place to dictate when its justified or not.
I just find the "violence is never the right option" particularly exhausting considering we are fortunate enough to live in an, all things considered, prosperous country that natives were slaughtered on to claim, that we fought a war against the British to gain independence, fought a civil war against ourselves to free enslaved blacks.... violence, righteous or not is baked into the experience of all living things and all civilizations. Push an individual or a people far enough and they will react violently. Its certainly not my place to dictate when its justified or not.
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Pegasus Actual
Member
^Lol, the civil war. This dude was walking down the street and got shot in the back.
If "he made healthcare worse" is a justification, you can justify shooting a lot of fucking people.
If "he made healthcare worse" is a justification, you can justify shooting a lot of fucking people.
StreetsofBeige
Gold Member
If shooting him is justified for sapping away money and not contributing to society, then it can be argued all the deatbeat bums, losers, druggies and drunks on the street should be rounded up and shot too because they are drain on society not pulling their weight. And these people will also commit crime and can devalue entire blocks of property value and business.
Meicyn
Gold Member
Folks gonna be on a terror watch list. Straight up dumbasses.
StreetsofBeige
Gold Member
Not surprised young people would do this. And they wonder why older people think they are immature dumbasses. I dont think you'll get any 55 year olds having shooter look-a-like contests.
crazepharmacist
Member
Can we justify shooting everyone who owns UNH stock because I guarantee that’s you assuming you have a 401k or some kind of retirement plan.
CEO’s work for shareholders. They work for you.
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StreetsofBeige
Gold Member
Exactly.
Oh, all the tech bro, bank, pharma and oil company CEOs are rich monopolistic slobs making millions off people's backs.
Ok, care to give back 50% of your retirement fund gains the past 10 years? This goes for not only you, but also the millions of other people in the same boat whose investment funds have zoomed up?
Uhhhhh...... nope.
sharp weiner
Member
uhhhhh, yeah gladly
Jsisto
Member
That’s kind of my point. None of these people have any kind of moral high ground in this system. Try telling someone who lost multiple family members to claim denials “well it’s ok because the insurance company didn’t do it because they hate your wife, they are just trying to maximize value for the shareholders!” I’m sure the now motherless children’s tears would instantly dry up once they realized that hey, atleast a lot of people got a nice payout from their mom dying. It wasn’t all for nothing!
Dirk Benedict
Member
I see damaged dna at work here.
Mr1999
Member
I knew people wouldn't have much sympathy for the CEO at the start of this but I'm kind of surprised now honestly. I was watching a Ben Shapiro video about the CEO shooting, and it had something like 24,000 downvotes compared to only 4,000 upvotes. The comments are mostly people saying he's wrong, and some were saying they had sympathy for the shooter. I think cops said they have a name now but having watched FBI TRUE, there were several episodes where they admitted they had nothing and still said how they knew who the person was to try him to get him to make a mistake, lets hope that isn't the case.
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SlimySnake
Flashless at the Golden Globes
it would be hilarious if the shooter pulled a timothy chalamet and showed up at his own look alike contest.
You know there's an in-between the extremes, it can't just be price gouging health care that does it's best to not pay out what people have put into the system OR murderous anarchy.
Maybe reforming the system a little bit so it's not using an AI to automatically reject 90% of claims? Insurance is supposed to be basic, what the hell you guys have in America is so bizarre.
crazepharmacist
Member
I highly doubt they reject 90% of claims. Source for that?
I have blue cross blue shield and have never had anything totally rejected. Sometimes medications will get rejected at first but I will need to work with my doctor to get the proper paperwork submitted and then the prior authorization will be approved. Or sometimes you have to get an X-ray first before they approve the CT or MRI. All of that is pretty normal. I assume just ways the insurance companies try to save money by not paying for things that could potentially be solved with cheaper means first.
How much of the outrage is due to these claims being denied at the 1st stage and people losing their shit on the Internet instead of just calling the insurance rep or their doctor and finding out what the next step is.
SlimySnake
Flashless at the Golden Globes
No. They were rejecting 32% of the claim. 16% is the national average.
The 90% figure comes from their AI model incorrectly rejecting 90% of the claims it rejected.
StreetsofBeige
Gold Member
Or what would solve a lot of this is have the gov intervene. No different than the recent chat about min wage. Of course companies will pay low if the min wage is low. Just make it higher (in Canada I think every province is minimum $15 regardless if it's a high cost of living province or a low one)
Youre not going to get companies complying as much to customer service if the regulations are dogshit policies set by government.
But the US is set up in a way opposite to other western countries where it's a very every man for himself place. And that starts with government, not companies. Heck, even poor countries have some forms of universal healthcare - even Cuba.
It's actually a 90% error rate with claims.
So they were rejecting double the rate of other companies and no one was questioning this?
SlimySnake
Flashless at the Golden Globes
they were under investigation by the u.s government.
FunkMiller
Member
Every non American reading this thread.
SlimySnake
Flashless at the Golden Globes
We are trying to do something very different here. In a civilized society, it's people on the moral high ground who keep it from falling apart. You need Jon Snows like us. Or you will get chaos.
None of this is supposed to make any sense. We let Murderers and Rapists get out of prison after just a few years. This guy wasn't doing anything illegal. All of this is allowed by law. Maybe the blame lies with the government or the elected officials for not outlawing this behavior. But in that case, you might as well blame the people who keep getting these lawmakers elected.
Like I said, running a civilized society is not easy and nothing about this is normal. We are indeed supposed to turn a blind eye to this and hope that our justice system take care of this. In NYC just a couple of weeks ago, there was a homeless guy who went on a stabbing spree killing 3 people. He had been arrested and released 9 times over the last year alone. Clearly, a NYC woke policy so now should the kids of those 3 victims just go up to the NYC mayor and shoot him in the head?
Or you know be normal and vote him out. 32% denial rate. You can start a class action lawsuit with that info. you can go to your congressman. you can go to the news agencies. you can contact other victims and start a facebook group and spread awareness.
SlimySnake
Flashless at the Golden Globes
i have relatives in england who are sent back from the ER because the wait is 6 hours and there is no room in the waiting areas. they have to sit home with bleeding fingers for six hours before they can be bandaged up. this happened two weeks ago.Every non American reading this thread.
my other relative was refused scans until she had heart attacks and only then did they do scans and found all three of her valves were shut, and the fourth barely open. they were like how are you even alive. well, she had been complaining for two years you dumb cunts and you didnt give her the care she needed to save NHS money.
Canada has similar issues. And private insurance companies deny claims in every country.
in the u.s, i can go to any urgent care or any ER and ask for any scan and my insurance would cover it. i might have to pay $2-4k in out of pocket before they cover the costs but most of the time its covered and i dont have to wait 6 hours to be seen. we have our issues but so do other nations.
crazepharmacist
Member
Or you can petition your employer to switch to a different insurance company. Or find a new job.
but no, the woke internet mob says these things aren’t logical.
The only logical thing was to assassinate the ceo.
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SidViscous
Member
demigod
Member
ProtoByte
Weeb Underling
I'm convinced all of this is a smokescreen. Message violence isn't done so cleanly by amateurs with an axe to grind.
Artoris
Gold Member
"They were rejecting 32% of the claim"
why would any one use them. can something with 32% rejection rate even be called insurance
Unknown Soldier
Member
UnitedHealthcare CEO Brian Thompson assassinated
I feel that if you pay for insurance, you should simply be covered and that's that. You shouldn't have to worry about anything at that point, otherwise what IS the point of insurance? It is unfortunate that someone was killed like this, and I am surprised we don't see this kinda thing happen...
SF Kosmo
Al Jazeera Special Reporter
People are often stuck with whatever their job offers.
There are issues with the NHS but that's due to years of underfunding from the previous government followed by the cull of Brexit. If you look at charts and satisfactory results they started to go down around 2011 onwards by the time the last government started chipping away.
I'm lucky that I live in an area where the service is well numbers wise and the staff are always doing their best. Any serious issues are dealt with fast, it's only minor where I've been waiting a long time.
That's the issue that needs to be addressed here, should politicians of the country where the NHS is being accepting donations and back handers from US Private Healthcare companies? Why do these companies have a keen interest in giving money to UK politicians?
DragoonKain
Neighbours from Hell
Reports say police know his identity, but are not releasing it to the public. I figured. They've tracked him too far to not know who he is. They just don't know where he is.
Kraz
Member
yet_another_alt
Member
Wow, the balls on this guy. Police should be looking for someone that can barely walk.
daffyduck
Member
Or they’re just bluffing.
Party McHardy
Member
Nobody cares.
NecrosaroIII
Ultimate DQ Fan
My guess. If they knew his identity theyred reveal it so they could get tips on his whereabouts.
DragoonKain
Neighbours from Hell
Kacho
Gold Member
Plenty of people do.
Kraz
Member
Selective memory, cognitive dissonance, false equivalencies, moralizing and deflections are explainable by hero complex combined with persecution complex and delusions of grandeur.Every non American reading this thread.
12Goblins
Lil’ Gobbie
To muddy the waters further...lot of these CEOs being socio/psychopaths... how can we blame someone for something he is incapable of? like empathy
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DragoonKain
Neighbours from Hell
Hey if the heartless sociopathic thing is your shtick, then it is, but I’ve found a lot of the people who play the “mock death” thing are also people who go on social media begging for sympathy and compassion because they’re in a deep depression after someone called them a fatty on social media or because their friend hasn’t texted them for a week.
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