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Insurance companies putting profits ahead of patients

World of DTC Marketing

Five of America’s largest health insurers reported more than $11bn in profits in the second quarter – a decline from the same period last year when the Covid-19 pandemic helped drive sky-high profits yet they are having more of a say on patients’ treatments even when HCPs disagree. Then there is prior authorization.

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Should doctors refuse to treat obese patients?

World of DTC Marketing

IN BRIEF: Doctors are not required to treat obese patients who won’t do anything to lose weight but the problem is more than reminding patients they need to get exercise and drop pounds. Susan knew she needed to lose weight, especially when her doctor told her that her A1C indicated that she was prediabetic.

Doctors 250
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Co-Payment for Insurance: What Does It Mean for You?

Contrarian Sales Techniques

I’ve been hearing a lot about Bank Negara Malaysia (BNM) talking about a co-payment policy for insurance. When you go to the doctor, you usually pay a certain amount, right? It’s different from a deductible, which is a bigger amount you pay before your insurance starts covering costs. What’s a Co-Payment Anyway?

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Pharma and insurers raking in the cash

World of DTC Marketing

HEY NOW : Most companies struggled in the second quarter as the coronavirus pandemic froze the economy, but health insurers like UnitedHealth heavily benefited as people held off on going to the doctor or hospital, resulting in fewer medical claims that needed to be paid. In addition, pharma profit margins remain very high.

Insurance 119
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Our abysmal health care system

World of DTC Marketing

First, the health insurance companies are making a lot of money while burying doctors in paperwork and limiting treatment options. The insurance companies get to dictate medical care and go out of their way to deny medications, surgery, or treatments with no repercussions. Prior authorization is out of control. The result:?

Insurance 263
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Prior Authorization: Why It’s Essential in Healthcare

Referral MD

Prior authorization is a crucial healthcare topic related to the relationship between a patient, their healthcare provider, and the insurance company. Even then, they cannot proceed with the treatment until the patient’s health insurance company approves it. What is prior authorization? ’ Why does prior authorization exist?

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Study finds inconsistent data in insurers’ online provider directories

MedCity News

Conducted by researchers at the University of Colorado medical school, the new report is the latest to gauge the extent of a costly problem that federal regulators are working to solve: Information about doctors varies from provider directory to provider directory.

Insurance 111