UPDATE: #Cigna is such a massive piece of shit company that they’ve seen fit to contact me multiple times by phone to try to have someone with no technical experience read instructions for the Cigna website at me since they couldn’t read the fact that the bug report was about the app, THEN call me again and try to read a “resolution” at me despite me telling them I already got my ID cards another way, but also REFUSING TO TELL ME THE RESOLUTION without validating my PII. FUCK CIGNA. #FuckCigna
#cigna
How #Cigna Saves Millions by Having Its Doctors Reject Claims Without Reading Them https://www.propublica.org/article/cigna-pxdx-medical-health-insurance-rejection-claims
Got billed $1700 for a 1 hr ER visit. #Cigna still hasn't paid for my prescription that their website says they cover, leaving me on the hook for $127 when it cost me $10 before.
The ratio of #claims to premiums for the full year was [about] 4% to 7% higher than what #Cigna had expected. #StopLoss #LevelFunded #PremiumIncreases #HealthInsurance (Free registration req'd.) https://buff.ly/3WJENh9
PBMs made billions marking up specialty drugs by more than 1,000 percent: FTC
https://thehill.com/policy/healthcare/5085119-ftc-report-pharmacy-benefit-managers/
#pbm #pbms #PBMreform #cigna #unitedhealth #prescriptions #pharmacybenefitmanagers #cvs #caremark #ushealthcarecosts #ushealthcare #healthinsurance
Lord, we don't need another #Aetna,
There are #Cigna and #Anthem to screw us, oh,
There's #United, #Humana, way out of line,
They all should go, if you want to know
What the world needs now
Is Lu-i-gi
It's the only thing there's too little of, you see
What the world needs now
Is Lu-i-gi
Not just for insurance but every evil company
I remember injuring my back in 2012, was in mind bending pain for weeks, hobbling around with a cane in my early 30's, doing everything I could (physical therapy, acupuncture, better diet, quit smoking cigarettes) to avoid surgery and literally the first day after I was able to slowly hobble around without a cane, #Cigna #healthinsurance decided they were no longer going to pay for any of my care-- despite having collected tens of thousands of dollars in premiums.
1/2
#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.
Despite speculation in media outlets, such a deal really made little sense, especially given #Cigna’s move to get out of the #Medicare business. #Humana #HealthInsurers https://buff.ly/3ALNj7i
Regeneron Pharma $REGN reported EPS of $12.46, beating the forecast of $11.72, with revenue at $3.72B, surpassing the $3.66B expectation.
Cigna $CI posted EPS of $7.51, above the $7.23 forecast, with revenue at $63.7B, exceeding the $59.64B estimate.
ICE $ICE reported EPS of $1.55, meeting the forecast, while revenue came in at $2.3B, slightly under the $2.35B projection.
#Earnings #Regeneron #Cigna #ICE #StockMarket #Finance #Investing #EPS #Revenue
Email2Toot Robot. Please see entry below for author.
Propublica Article: Denial of Medical Claims
/All,
I am sharing Dr. Linden's post below with permission.
You may also wish to see her opinion article from October 22nd in the
Delaware Bay to Bay News in which she primarily outlines deterioration
to medical care through the intrusion of big business. She also ties
the future of medical care to election results:
https://baytobaynews.com/stories/linden-improvement-in-health-care-depends-on-election,148362
Michael Reeder LCPC
Baltimore, MD
/~~~~~~~~~~~~~~~~~~~~~
There is an excellent article in yesterday's Propublica about how
companies like Unitedhealthcare, Cigna, and Aetna are using affiliated
companies like Evicore to deny tens of millions of claims a year.
It is unclear in the article whether this includes mental health claims.
However it is relevant to our own medical insurance and that of our clients.
I urge you to read the whole article
Jill Linden, Ph.D.
psychologist, retired
Delaware
~~~~
#insurance #claims #aetna #unitedhealth #cigna #priorauthorizations
#claimspayments #medicalclaims #EviCore#healthcare #denials
~~~~~~~~~~~~~~~
“Not Medically Necessary”:
Inside the Company Helping America’s Biggest Health Insurers Deny Coverage for Care
Every day, patients across America crack open envelopes with bad news.
Yet another health insurer has decided not to pay for a treatment that their doctor has recommended.
But the insurance companies don’t always make these decisions.
Instead, they often outsource medical reviews to a largely hidden industry
that makes money by turning down doctors’ requests for payments, known as #prior #authorizations.
Call it the denials for dollars business.
The biggest player is a company called #EviCore by #Evernorth, which is hired by major American insurance companies
and provides coverage to 100 million consumers
— about 1 in 3 insured people.
It is owned by the insurance giant #Cigna.
A ProPublica and Capitol Forum investigation found that
EviCore uses an algorithm backed by artificial intelligence,
which some insiders call “the dial,”
that it can adjust to lead to higher denials.
Some contracts ensure the company makes more money the more it cuts health spending.
And it issues medical guidelines that doctors have said delay and deny care for patients.
EviCore and companies like it approve prior authorizations
“based on the decision that is more profitable for them,” said Barbara McAneny, a former president of the American Medical Association and a practicing oncologist.
“They love to deny things"
How Is This Flying Under The Radar?
https://comics.peertube.biz/videos/watch/c7f8e805-bf0c-44b9-b482-9681952a5b63
Fucking #Cigna has sent me the same "Billing Notification" email at least 300 times in the past 36 hours; every few minutes, another copy arrives. I finally added a procmail rule to trash them for now. Cigna is allegedly aware of the problem, but what kind of operation are they running that nobody can stop these emails from going out?
Cigna $CI: Q2 EPS came in at $6.72, beating the forecast of $6.43. Revenue was $60.52B vs. $58.3B expected. #Cigna
Becton Dickinson $BDX: Q2 EPS of $3.5 exceeded the forecast of $3.31. Revenue was $5.06B, slightly below the $5.08B forecast. #BectonDickinson #Earnings #Stocks
Propublica: A Doctor at Cigna Said Her Bosses Pressured Her to Review Patients’ Cases Too Quickly. #Cigna Threatened to Fire Her.
A Doctor at #Cigna Said Her Bosses Pressured Her to Review Patients’ Cases Too Quickly. #Cigna Threatened to Fire Her. https://www.propublica.org/article/cigna-medical-director-doctor-patient-preapproval-denials-insurance
Work faster or be fired. This is the shittiest healthcare system in the world. No wonder many of us leave the profession. #Cigna #ProPublica
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