Ben Matthews retweetledi

Want to know how ridiculous and awful Ins company and their PBM denials are?
The insurance company that denies the claim, that is if it’s them and not a subcontractor like medica , also picked the network and doctors.
So they are saying the network, that they sold to plan holders as being great, isn’t good enough for them to trust enough to determine your care.
And on top of that, they charge to appeal denials. Which is a problem for many people. That should be illegal.
And on top of that 60 pct of plan holders have plans from self insured employers. It’s the company’s money.
But the ceo has no idea that the carrier they hired to authorize care , may have denied life or death care. They don’t know that for some amount of money they may be able to save the life or maintain the health of an employee or their family.
Require all TPAs to inform the CSuite of all critical denials , same day
They Are Too Big to Care.
Break Up Big Medicine.
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