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I’ve been keeping something from you. The way I cope with hard things is by doing the work and putting the pain in a box. But the truth is—since I spoke out against insurance companies, things have been really hard. My practice is struggling. I built a surgery center...

271,288 просмотров • 1 год назад •via X (Twitter)

Комментарии: 10

Фото профиля Brent A. Williams, MD
Brent A. Williams, MD1 год назад

They are trying to kill us off.

Фото профиля Sean Wheeler, MD
Sean Wheeler, MD1 год назад

Consider this… there are terrible doctors with terrible outcomes. All still contracted with insurance companies. But you speak out against the the way insurance companies restrict your ability to care for patients… You would think that it is their money, and not the subscribers who expect them to use the money given to them, to pay for the care they need

Фото профиля Paul Mackiewicz
Paul Mackiewicz1 год назад

I'd happily have my company build you an AI powered website and online presence marketing machine for free. Your a real soldier in the good fight and we need people like you. Shoot me a DM

Фото профиля The Short Straw
The Short Straw1 год назад

You need to kick this up to legal action.

Фото профиля Mel
Mel1 год назад

Praying that many blessings come your way. Thank you for all that you do for your patients and for everyone else by speaking out.

Фото профиля Grace Kane
Grace Kane1 год назад

Carry on! It is soul-crushing to have a life dream like yours crushed. Do not give up. You have the attention of a lot of people who will likely offer to help you (not financially) to find a new way. Too bad that surgery is likely unable to adopt the headshrinkers' model. They will not touch insurance. They hand clients a diagnostic code and a bill and wish the clients well in submitting for insurance reimbursement.

Фото профиля MommaSue
MommaSue1 год назад

Can you name the insurance companies? We can try to avoid purchasing our health insurance through them.

Фото профиля donald ballai
donald ballai1 год назад

Always build a reserve fund before taking on big businesses like this. You have to be realistic, they are going to fight to protect their models unless change is forced upon them. Perhaps you need to join with a partner of bigger practice. Being right doesnt mean youll win.

Фото профиля mpmcgeefnp
mpmcgeefnp1 год назад

Honestly, best advice I can give is to move to Canada or another country where they respect medical professionals (and human rights)

Фото профиля Richard Walton
Richard Walton1 год назад

How can we help?!

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American Surgeon shows the actual letter from UnitedHealthcare DENYING a patient in emergency condition from receiving care “This is a woman who was in the emergency room with pulmonary embolisms” “I think we all knew this would happen. I had another patient come in and share with me that UnitedHealthcare denied her inpatient's day. So this is a patient who had shortness of breath and some chest pain, and she just knew that something wasn't right in her body. She had a family history of blood clots and she'd had a deep flap surgery a couple of weeks ago. She went to the hospital and they saw her and they found that she had a life threatening condition known as pulmonary embolisms. So she was admitted to the hospital and taken care of really well by the doctors there. And they ordered all the right things. After a couple of days, she was discharged. She got a letter from UnitedHealthcare explaining that they didn't agree with the level of her care and that they would not cover it. So I'm gonna share some of the language of that letter with you, and I want you to know that my patient that we talked about previously who had her surgery denied had almost exactly the same letter shared. So there's some troubling things in this letter. I think this term is really interesting. United is saying they reviewed the request for inpatient admission. So let's all just pause and consider that. This is a woman who was in the emergency room with pulmonary embolisms, and the doctor wasn't really requesting anything. They were saying this patient needs to be in the hospital. But an insurance company sees this as a request, and that's part of this prior auth environment that we're living in. So I think it's important as patients and as physicians to just acknowledge that this is our reality now. Someone can think that there's a good medical decision for you and can write orders and wanna do the right thing for you, but your insurance company is seeing that as a request and deciding whether or not they wanna do it. One of the criteria that this insurance company used to decide whether or not to accept or deny this request was whether it's medically necessary. And it's so interesting that we're letting insurance companies and the doctors who work for insurance companies determine what's medically necessary and not just the doctor in front of the patient in the emergency room. So this is a really bold statement from UnitedHealthcare for my patient. They say you did not have to be admitted as an inpatient to the hospital for this care. I think we all need to just reflect on that. An insurance company is telling a patient and her doctor that they disagree with the plan of care to keep that patient safe. I know that this is boiling down to whether it's an inpatient admission or an observation admission, and that's really about money. But what I wanna point out to you is they're making medical decisions. This insurance company is actually weighing in and disagreeing with a doctor who made a medical decision to admit this patient for her safety. So this specific sentence, when a doctor or facility treats a patient above the recommended level of care, we cannot cover it. What the heck? That's what we do. We go above and beyond as physicians. It's clear that insurance companies don't, and they're actually saying it here.”

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SonnyBoy🇺🇸

139,970 просмотров • 3 месяцев назад