• Mr_Blott@feddit.uk
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    5 days ago

    The fucking disgusting bit is that’s less than 8%. So it’s still only 3% lower than it was at the beginning of the year

    How many people died for that line?

    • ColonelPanic@lemm.ee
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      5 days ago

      Yes but have you considered that line goes down? Line must never go down so further cuts must be made to ensure line goes up next quarter.

  • rarbg@lemmy.zip
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    5 days ago

    Why are healthcare denials sent to and shouldered by patients? If you go to an in network facility, that place is vetted by insurer. So why isn’t a ‘denial’ a matter between the provider and the insurer and transparent to the patient?

    • LifeInMultipleChoice@lemmy.ml
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      5 days ago

      Why are there networks, health insurance companies, co-payments, payment disputes/ negotiations of prices, and people suffering from not receiving medical care?

      Oh yeah, because this way it costs us significantly more and we can think we are doing better than others in life by acquiring a job where we have linked medical coverage too.

      The fact that there are “classes” of healthcare is just repulsive.

  • meyotch@slrpnk.net
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    6 days ago

    So let’s watch the denial rate at major insurance companies to see if it goes down.

    Luigi’s trial will still be going on probably. I’m betting he’s going to drag it out as long as possible. His family is rich and influential so the trial is going to be a shit show, I hope.

    And once we see a sudden (temporary) drop in denial rates, we can shit all over insurance executives again next quarter.

    And the quarter after that when the denial rates sneak back up again.

    Let’s just say I am really excited about shitting on that crew a lot.

        • boonhet@lemm.ee
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          5 days ago

          She’s also free to get an appointment in another country. Here’s the pricing for uninsured patients in a hospital in my country. What she needs is:

          • Y60273 Mammograafia, kaks rinnanääret 2 sihis 28.00 €

          It can get pretty expensive here too without insurance (which you can get by having a job, or having a <3yo kid, or being retired, or being disabled, or being unemployed but registering so you’re officially looking for a job). Major surgeries will cost thousands of euros. But simple procedures that should be cheap, are cheap.

    • granolabar@kbin.melroy.org
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      6 days ago

      life expectancy and denial rates are now like KPI for me. these lines should be going up kinda like stock market, since this is all about “efficiency”

      • meyotch@slrpnk.net
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        6 days ago

        Yeah, it’s pure schadenfreude. But I am seriously coming around to the idea that shit-posting is a serious political tool. So I am planning my meme strategy around the release of these numbers.

        This subject has the right emotional content to keep this issue in the public consciousness. Ever hear of ‘social peace’? Not for these shit heads.

        • granolabar@kbin.melroy.org
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          6 days ago

          this is definitely a moment of unity. while issue is bigger than healthcare. healthcare can be the rallying topic and improving just health care would a big W.

          social peace is elites’ job to maintain but they are not interested in that.

        • JovialMicrobial@lemm.ee
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          5 days ago

          Let the memes flow. It’s a quick and memorable way to convey information and good one spread like wildfire so you are absolutely correct on that. Keep up the good work!

        • Notyou@sopuli.xyz
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          5 days ago

          shit-posting is a serious political tool.

          Always has been. Now we can do it easier with the Internet and making up your own proof. Wasn’t only a few people that produced most of the political memes for in 2016? I think I remember reading that.

    • Jamablaya@lemmy.world
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      5 days ago

      Hey look the Lemmy Ceo’s are looking to ban users informing other users about jury nullification because apparently that’s hate speech in Germany or some stupid bullshit.

        • Jamablaya@lemmy.world
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          3 days ago

          It’s when a jury decides the person charged did commit the crime, but they for what ever reason thinks under the circumstances, he should be acquitted anyways. When you do hear about it, it’s often in the context of some parent being acquitted for murdering a pedophile, that interfered with the killers kids.

      • meyotch@slrpnk.net
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        6 days ago

        Yeah apparently Baltimore country club types. People magazine has already done a thing on them.

        • kautau@lemmy.world
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          6 days ago

          And now’s their chance to prove that what’s most important to them is what’s right rather than how they look to others at the country club

          • nepenthes@lemmy.world
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            5 days ago

            Do you have a source or what to query, because when I plug in “Kathleen Mangione” all I get is they she reported her son missing.

  • Phoenixz@lemmy.ca
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    5 days ago

    Health care insurance should be handled by governments, or alternatively by law by non profit foundations

    • jagged_circle@feddit.nl
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      5 days ago

      Some would argue that should be the case for all companies.

      Imagine how much better for profit companies would function if they didn’t have investors skimming off their profits.

      For profit companies should be illegal.

      • capital@lemmy.world
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        5 days ago

        Have you ever worked in government?

        Getting the simplest shit done takes forever.

        By contrast, getting things done in a private company is quick as hell by comparison.

        I wouldn’t say government bodies “function better” in my experience.

        All that said, healthcare is one thing I’d definitely like to see handled by the gov rather than privatized.

          • capital@lemmy.world
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            5 days ago

            Sorry. I misattributed the government piece to you instead of one further comment up.

            I can’t say I have any experience with NGOs to make a determination on that for myself.

            • jagged_circle@feddit.nl
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              5 days ago

              I do have experience with NGOs. The only issue with them is that capitalism doesn’t allow ethical business to thrive.

              If for profit companies were outlawed, they’d function much better

        • Snapz@lemmy.world
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          5 days ago

          You’re argument here is quantity over quality - “these people kill a lot of other people with those decisions, sure… but they make those heavy decisions lightly and quickly and often with an algorithm! That FEELS impressive to me because I’m a toddler that responds to kinetic stimulus for the sake of it and I can’t see any nuance!”

          Also, part of what you’re talking about is by design - Republicans shoot their constituents in the feet so those people can then have foot pain to complain about. Then, when complaining gets vocal, the gop politicians come in and say “we need to just get government away from your feet and they’ll be less painful” ---- They are the “government” that shot you and you are the constituent with a hole in your foot.

          So whine about government being slow some more.

          • capital@lemmy.world
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            5 days ago

            But the quality isn’t good either.

            When I worked in government I was surrounded by people who fucking sucked at their jobs. And why try any harder to get better? They were basically un-fireable. They could come in, do jack shit all day, and collect their paycheck.

            So, no, it’s not an argument for quantity over quality. In my experience, both are better in private industry.

            My experience is based heavily in IT, for context.

            However, I do not believe it is the case that private industry is always the answer, as I stated earlier.

            Have you ever worked in government?

            • Snapz@lemmy.world
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              5 days ago

              Yes, and speaking to quality in this case is not about individual performances, it’s about overall quality of outcome. Are you familiar with Pareto?

              Stop fixating on Janice in accounting scrolling facebook and how you feel slighted by her or Derek in operations who shows up 30 minutes late to meetings. The bigger machine on government side works most of the time, with transparent accountability, on that side, in the case of insurance, it emotionlessly kills people for profit on the other.

              • capital@lemmy.world
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                5 days ago

                I’m focused on outcomes. I just think individual performance contributes to those overall outcomes.

                I’ve seen millions in wasted IT equipment that never got used due to incompetence. Old ass equipment that sticks around far past its expiration which turns into an emergency to replace when it finally starts breaking hard.

                In my current position I work directly with the US government and I actively try to get them to run more efficiently, reliably and cheaply. They literally don’t give a fuck. It’s like talking to a wall.

                I’ve seen far less of that in the private sector.

                • Snapz@lemmy.world
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                  5 days ago

                  Also, your fixation here is on pennies and not dollars. Large systems account for waste and allow for less precise action. They do that because they know that enables less logistical slowdown on average and overall they will be more successful in big picture.

                  As you grow, you’ll learn to focus on broad strategy and not get lost in fixation on individual tactics. Set good policy and allow people room within to figure it out - without a bummer of a nag in middle management meandering around trying to save pennies at the cost of dollars to justify their existence.

      • Phoenixz@lemmy.ca
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        3 days ago

        For profit companies is capitalism and like it or not, it is by far the most successful way of doing things. It’s so successful bthst it isn’t even a contest.

        What you need it capitalism with a boat load of restrictions to keep it fair. Restrict companies in size and revenue. Get to 5000 employees? That’s it, you can’t hire anymore. Get to X amount of yearly revenue? Taxes on anything above that gonto 100%. Companies cannot buy other companies. Limit what can be invested and how. Limit the powers of special interest groups created by companies. This way there will not be one big player, companies will actually have to compete. You get the power of capitalism without the bad parts. Now use the proceedings of that power capital to fund a good socialist framework that gives free education, free healthcare for all, free minimums like housing, food, etc.

        • jagged_circle@feddit.nl
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          3 days ago

          What’s your fitness function for “success”? Killing all life on earth? Then, yes, I’d agree with you.

          But if your fitness function is “to deliver necessary goods and services to customers to satisfy their needs without causing mass extinction”, then–no–capitalism isn’t very successful

    • DreamlandLividity@lemmy.world
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      5 days ago

      Usually, things handled by governments suck in orthogonal ways to private companies. Private companies suck due to greed. State owned stuff sucks due to incompetence.

      Where I live, we have a state owned insurance company, but others are allowed to compete with it. Optimistically, they competing with each other making all of them better. Pessimistically, you choose the one that sucks least from your point of view. Either way, better than any proposed alternative.

      • Phoenixz@lemmy.ca
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        3 days ago

        I agree with you, but I see it as governments should make the rules, based off what science tells them is best, companies themln implement those rules.

        The US government needs to add a shit tonne of rules for companies to stop the unchecked growth and abuse and if it would do that, life would get better for everyone.

        Unfortunately we now have trump so if you live in the US then you have my sympathies. Or actually, you don’t. You failed and got trump tonshit over the entire world, so you don’t have my sympathies. You should have stopped him

        • DreamlandLividity@lemmy.world
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          3 days ago

          Again, I explicitly stated I live in a country where we have a government run insurance company in addition to private ones. People can register with whichever they like and send to paperwork to their employer, who pays their insurance (or government if unemployed).

          Of course, what they have to cover at minimum is also heavily regulated.

          As for other types of companies and rules, that is a long and nuanced discussion that is off-topic here.

      • CeeBee_Eh@lemmy.world
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        5 days ago

        Right. Because healthcare in other countries like Canada, the UK, and European countries are so terribly run compared to US healthcare.

  • 2pt_perversion@lemmy.world
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    6 days ago

    It should be lower. This incident really put a spotlight on their claims denial rate being the highest in the industry, twice as high as industry average. A lot of customers will probably be leaving but that hit won’t happen until later when the next billing cycle comes.

    • SuperCub@sh.itjust.works
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      5 days ago

      Or the idiotic “open enrollment” period. Can’t believe they only let us change health insurance once a year.

      • werefreeatlast@lemmy.world
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        5 days ago

        Unless you got a baby. Like you need to be in an accident that will take 9 months to conclude…say you’re the only female astronaut going to the space station for a weekend on a Boeing starliner spacecraft but it starts leaking helium. What would you do if you suddenly needed to pay for inter spacial health care but open enrollment was a month ago? I don’t known what, but I’d start gathering tungsten parts from around the craft and I’d take some spacewalks at strategic times to loose said parts straight on to -toss has censored this part- and the car would roll down the hill in American movie style and we’d be laughing! Wait what about a baby! You could get pregnant in space and then you could sign up!..the baby, not you.

    • Revan343@lemmy.ca
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      A lot of customers will probably be leaving

      How many of their customers actually chose them? Most people get insurance through their job

      • GreyBeard@lemmy.one
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        5 days ago

        The business do also have to choose. Companies will often act like whatever insurance they have is the only option to them, but really they choose the insurance provider. Which means, especially in small businesses, if everyone is pissed about their shitty insurance, it can be changed. Unfortunately that means there is a gap between cause and effect, but there can be an effect.

        Hopefully that name becomes mud to the point where people hear United and recoil. It is, after all, a benefit that is suppose to attract talent, if it isn’t doing that, something will change.

  • x00z@lemmy.world
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    5 days ago

    Too bad they will make damn sure this doesn’t hurt the shareholders but the people themselves.

  • Snapz@lemmy.world
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    5 days ago

    Luigi, I can forgive a lot, but shareholder value… How could you, man?

    How am I supposed to tell my kids about his when they are back from the character building camp I sent them to where they were hunting lesser human beings for sport in an eastern European country I won’t name? This is really going to crush their big, delicate hearts…

    • Tangent5280@lemmy.world
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      5 days ago

      Pff, peasant, sending your children off to some far ofd shithole. Shell out some real money and I’m pretty sure you can find some human hunting grounds within the U S of A. Turn it into family bonding time like a good father.

      • Snapz@lemmy.world
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        Hey!!! DON’T YOU DARE call it a far off shithole!!! That is the place were I get the underaged nannies that I get pregnant from! These are the undocumented mothers of some of the children I don’t care about as much as my “on the books” kids, but they have my DNA - so have some fucking respect!

        Actually, I sense a little jealously as you’ve probably realized that I can/will be able to farm all of these tier 2 children’s organs eventually to extend the life of my pure A-tier family. Green does not look good on you, buddy!

  • Chemical Wonka@discuss.tchncs.de
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    5 days ago

    Unfortunately, this is only a temporary oscillation and they will soon recover and everyone will forget what happened. The damage must be done to the political structure that allows these companies to exist as they are