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Unless they have a stipulation in place that they will only pay with a prior auth or referral in place. Very common with the VA,Medicare,Medicaid,IHS...anything government related.I agree about protecting themselves from lawsuits. Which is why they harp on you to sign paperwork about DNR from the second you show up until you leave.They can't run every test possible. Medicare audits them and then charges penalties ( in the millions per year). Since they only allow less than the bare minimum.I have, and it's pretty much "do everything possible to guard against a lawsuit." Then they proceed to run every test under the sun whether it's related to the injury or not.
That's not my experience but then again, I'm not on Medicare.
My experience is they run you through any and everything in effort to protect themselves from any accusation of incompetency. It's part of the problem of healthcare being unaffordable today. While most lawsuit fail, the cost for administrations to protect themselves is a fortune. It's no secret that insurance companies hire the best lawyers possible for that protection, and those people are likely doing better than six figures a year.
I'm an older person so I can remember the days where you only went to one doctor most of the time. Today, doctors are merely referral agents of sorts. They want to pass off their liability to somebody else. So now, to get a problem solved, you don't see one doctor, you see two or three, and of course, this gets very expensive for government systems as well as private insurance.
Since you're in the industry, you know that years ago, you could never just go to a specialist. The insurance company would only allow that if your primary doctor refereed you to one. Today, they welcome going to a specialist first because they know that's all your family doctor is going to do anyway, and it saves them from paying that initial visit.
A lot of times you can't even get. Blood pressure or other medication without submitting to more tests for a prescription to be re filled. Both via government or private insurance. I think that's dumb.
There's a ridiculous amount of defensive medicine out there, as providers protect themselves with all kinds of unnecessary tests and procedures.
Some level of tort reform would have to be a part of any final plan.
And you still have no clue what Medicare covers.All you have to do is ask your doctor for a referral. Your insurance will honor it. You can't see a specialist without one unless you want to pay for it out of pocket.
Um, yeah, I had a wonderful 2 year fight with Cigna that says otherwise.
Abolish the insurance companies. I also wouldn't mind harvesting their executives for transplant organs, but that would be harsh.
Yeah. I don't know either. 10 years ago I was working directly with the contracts between supply distributors,buying groups and the Hospitals.Unless they have a stipulation in place that they will only pay with a prior auth or referral in place. Very common with the VA,Medicare,Medicaid,IHS...anything government related.I agree about protecting themselves from lawsuits. Which is why they harp on you to sign paperwork about DNR from the second you show up until you leave.They can't run every test possible. Medicare audits them and then charges penalties ( in the millions per year). Since they only allow less than the bare minimum.
That's not my experience but then again, I'm not on Medicare.
My experience is they run you through any and everything in effort to protect themselves from any accusation of incompetency. It's part of the problem of healthcare being unaffordable today. While most lawsuit fail, the cost for administrations to protect themselves is a fortune. It's no secret that insurance companies hire the best lawyers possible for that protection, and those people are likely doing better than six figures a year.
I'm an older person so I can remember the days where you only went to one doctor most of the time. Today, doctors are merely referral agents of sorts. They want to pass off their liability to somebody else. So now, to get a problem solved, you don't see one doctor, you see two or three, and of course, this gets very expensive for government systems as well as private insurance.
Since you're in the industry, you know that years ago, you could never just go to a specialist. The insurance company would only allow that if your primary doctor refereed you to one. Today, they welcome going to a specialist first because they know that's all your family doctor is going to do anyway, and it saves them from paying that initial visit.
A lot of times you can't even get. Blood pressure or other medication without submitting to more tests for a prescription to be re filled. Both via government or private insurance. I think that's dumb.
Before Commie Care plagued this country, I had insurance my entire adult life, and in the last 20 years or so, I don't recall needing anybody's permission to see a specialist. That used to be different years ago. But I had Atena, Blue Cross, they were all the same.
Well, why didn't he. Once he saw it was something more serious than a cough
Again,not seeing the problem here... I think you want the doctor eliminating all possibilities...
Frankly, I've never been referred to a specialist without a darned good reason, but I had to fight my insurance company every step of the way to see them.
People like myself who work for a living can't take off three or four days for something that the doctor could have helped us with. You go to your Doctor on Monday, and he refers you to a specialist to see on Wednesday. At the specialist, he sets you up for all kinds of goofy tests you don't even need on Friday. After the tests are done, you go back to the specialist on the next Tuesday, and on, and on, and on it goes.
Yeah. I don't know either. 10 years ago I was working directly with the contracts between supply distributors,buying groups and the Hospitals.Unless they have a stipulation in place that they will only pay with a prior auth or referral in place. Very common with the VA,Medicare,Medicaid,IHS...anything government related.I agree about protecting themselves from lawsuits. Which is why they harp on you to sign paperwork about DNR from the second you show up until you leave.That's not my experience but then again, I'm not on Medicare.
My experience is they run you through any and everything in effort to protect themselves from any accusation of incompetency. It's part of the problem of healthcare being unaffordable today. While most lawsuit fail, the cost for administrations to protect themselves is a fortune. It's no secret that insurance companies hire the best lawyers possible for that protection, and those people are likely doing better than six figures a year.
I'm an older person so I can remember the days where you only went to one doctor most of the time. Today, doctors are merely referral agents of sorts. They want to pass off their liability to somebody else. So now, to get a problem solved, you don't see one doctor, you see two or three, and of course, this gets very expensive for government systems as well as private insurance.
Since you're in the industry, you know that years ago, you could never just go to a specialist. The insurance company would only allow that if your primary doctor refereed you to one. Today, they welcome going to a specialist first because they know that's all your family doctor is going to do anyway, and it saves them from paying that initial visit.
A lot of times you can't even get. Blood pressure or other medication without submitting to more tests for a prescription to be re filled. Both via government or private insurance. I think that's dumb.
Before Commie Care plagued this country, I had insurance my entire adult life, and in the last 20 years or so, I don't recall needing anybody's permission to see a specialist. That used to be different years ago. But I had Atena, Blue Cross, they were all the same.
I do know that in the private sector I personally went from insurance plans with no deductibles to plans with 5000.00 deductibles and that cost about 200.00/300.00 more a month in premiums when Obamacare passed.
What I want is to free up doctors so they have the ability to do what they were trained to do without fear. That would take massive regulation removal and a national Tort Reform. What I would like to see happen is a loser pays all law. Sue anybody you like, but if you lose, you have to pay all expenses of the person you tried to sue. That would eliminate about 70% of the lawsuits in this country medical and otherwise.
People like myself who work for a living can't take off three or four days for something that the doctor could have helped us with. You go to your Doctor on Monday, and he refers you to a specialist to see on Wednesday. At the specialist, he sets you up for all kinds of goofy tests you don't even need on Friday. After the tests are done, you go back to the specialist on the next Tuesday, and on, and on, and on it goes.
Guy, you drive a truck in a straight line.. If you can't take a few days off to fix a problem, that's on you.
What I want is to free up doctors so they have the ability to do what they were trained to do without fear. That would take massive regulation removal and a national Tort Reform. What I would like to see happen is a loser pays all law. Sue anybody you like, but if you lose, you have to pay all expenses of the person you tried to sue. That would eliminate about 70% of the lawsuits in this country medical and otherwise.
Again, guy, 96,000 Americans die every year because of Medical incompetence.
What you want, being a BATTERED HOUSEWIFE REPUBLICAN is for the rich to have more power over the rest of us than they already have.
If your doctor fucks you up,he needs to pay. Period.
If you have a private sector insurance as primary. Medicaid secondary. Hospitals generally have an agreement with the other insurance providers to adjust off the difference. ( but not always)Those healthy & under 65 seem to be the most vocal against SS & gov medical care, the reality in life is that as the body ages it starts to break down. slower for those who have taken good care of them self's. My personal experience not my political leanings have lead me to be very grateful for SS, Medicare, & programs like Blue Cross. Having slipped past age 65 with out needing to test our VERY Limited paid for health insurance.
In a few more years the medical ax fell on the other half of my marriage. If not for SS medical benefits we would not have been able to pay for the overwhelming cost of the medical care needed. while I am still healthy by most standards I am ever grateful to pay for both SS insurance & private support insurance. not perfect I agree, but better than bankrupt, or dead earlier than need be.
What I want is to free up doctors so they have the ability to do what they were trained to do without fear. That would take massive regulation removal and a national Tort Reform. What I would like to see happen is a loser pays all law. Sue anybody you like, but if you lose, you have to pay all expenses of the person you tried to sue. That would eliminate about 70% of the lawsuits in this country medical and otherwise.
Again, guy, 96,000 Americans die every year because of Medical incompetence.
What you want, being a BATTERED HOUSEWIFE REPUBLICAN is for the rich to have more power over the rest of us than they already have.
If your doctor fucks you up,he needs to pay. Period.
Yes, I can take the time off, but it comes out of my vacation which I wish to preserve for more enjoyable times. Sick days are a thing of the past in most companies.
You know damn well trial lawyers (a big Dem party donor) prey on doctors and Dem's have opposed any bill to put a stop to this. Probably also why you people bitch about student loans, while doing nothing about the high cost of a college degree, because those people are big Dem donors.
You know damn well trial lawyers (a big Dem party donor) prey on doctors and Dem's have opposed any bill to put a stop to this. Probably also why you people bitch about student loans, while doing nothing about the high cost of a college degree, because those people are big Dem donors.
Actually, tort reform wouldn't reduce health care costs at all, and will lower the quality of care we get
Texas already did the kind of Tort reform you guys want. Health care costs didn't go down,
Yes, I can take the time off, but it comes out of my vacation which I wish to preserve for more enjoyable times. Sick days are a thing of the past in most companies.
And oddly, you keep supporting the people who've MADE them a thing of the past.
In Europe, you have paid family leave and six weeks of vacation..... and universal health care.
(This is the part where you sputter something about scary Muslims... we'll wait. )
What I want is to free up doctors so they have the ability to do what they were trained to do without fear. That would take massive regulation removal and a national Tort Reform. What I would like to see happen is a loser pays all law. Sue anybody you like, but if you lose, you have to pay all expenses of the person you tried to sue. That would eliminate about 70% of the lawsuits in this country medical and otherwise.
Again, guy, 96,000 Americans die every year because of Medical incompetence.
What you want, being a BATTERED HOUSEWIFE REPUBLICAN is for the rich to have more power over the rest of us than they already have.
If your doctor fucks you up,he needs to pay. Period.
You know damn well trial lawyers (a big Dem party donor) prey on doctors and Dem's have opposed any bill to put a stop to this. Probably also why you people bitch about student loans, while doing nothing about the high cost of a college degree, because those people are big Dem donors.
They also have waiting lists that are 6 months long for care.Yes, I can take the time off, but it comes out of my vacation which I wish to preserve for more enjoyable times. Sick days are a thing of the past in most companies.
And oddly, you keep supporting the people who've MADE them a thing of the past.
In Europe, you have paid family leave and six weeks of vacation..... and universal health care.
(This is the part where you sputter something about scary Muslims... we'll wait. )
And yet very few Americans leave here and head for Europe because of this utopia you speak of.
So who pays for all this vacation time and healthcare in Europe?
