Tiff Aparentado

Mark Zuckerberg built a COLOSSAL data center in Georgia — literally hundreds of yards from families’ backyards. Water pressure has tanked. Faucets barely drip. Toilets won’t refill. Houses shake nonstop from the vibrations and blackouts are now routine. One billionaire gets his servers humming at full speed… while working families get crushed. This is straight-up unacceptable.

Day 10. I received an email from my new “care coordinator” at 17:02 yesterday, two minutes after close of business. Still no response to the messages sent to the CEO, CMO or President. Let see how long this drags out and how much further my condition will deteriorate. @Cigna

We have a new paper in @JAMA_current documenting the now-ubiquitous nature of formulary management for brand drugs By 2024, 40% (!) of initial attempts to fill a brand drug were rejected for prior auth or formulary exclusion (most of the growth over time is more prior auth)

So you want to become a hospital CEO? Just follow this simple 9 step process: reddit.com/r/Residency/co…

Sad but true. Slipped through the systemic cracks in my 30s into chronic disease upside-down world. We can do better. We must. Patients are done waiting.

@Cigna I just resent the email.

@tiff_aparentado Hello Tiff, we have not received your email I do apologize. Can you please resend it? Our email address is LetUsHelpU@CignaHealthcare.com. - Norman

So Cigna denied my medication and my appeal bc my MSLT “ didn’t include the diagnosis of Narcolepsy”. So I’ve already been one week without medication and I’m starting my second appeal. Great patient care! Umm…here are my MSLT results @Cigna Who else?

Cigna uses an automated system that allows “medical directors” (doctors employed by @Cigna) to deny a claim in 1.2 seconds without opening the patient’s file. Please read this, share it, and help us (metaphorically) burn these companies to the ground.

@Cigna are you done screwing over the people who need @BaptistHealthJx health???? This is such shit. Fix it!

@YrAvgRocketsFan @VPrasadMDMPH They don’t selectively deny individuals, they use AI algorithms to SYSTEMATICALLY deny claims propublica.org/article/cigna-…

Also, through the wonders of vertical integration, all of these are the same thing. United, Cigna, CVS/Aetna. Patients are surrounded with no autonomy over their own healthcare

@Cigna I have sent an email to the above address including my complete MSLT/polysomnogram results.

@tiff_aparentado Hello Tiff, I would like to look into the order for your medication and do everything I can to help. Please write to LetUsHelpU@CignaHealthcare.com. - Norman