Maximum Medical Billing LLC的动态

There's so much paranoia around universal healthcare in the USA. People think it's crazy socialism, and often complain "why should I supplement someone else's healthcare when I am already paying for my own and/or keeping fit & healthy". The problem is, even if you're paying your own healthcare, chances are you are paying MORE than citizens in other countries with universal healthcare. For example, I'm in Australia and our universal healthcare costs everyone 2% of their TAXABLE income per YEAR (not month!). That means if you earn $100K a year, your avg tax rate is 22.77% and your taxable income is $100K - $22767 = $77,233. 2% of that = $1544.66 per YEAR for universal healthcare. How many of you pay more than that a year in the USA? Now, that does not cover EVERY medical condition, but it covers a LOT. Hospital stays for essential surgeries are typically almost free. A lot of medications are highly subsidised. I am currently on a very expensive medical treatment for crohns that costs approx $15K every 2 months. I only pay $30 for it at the pharmacy due to our tax payer subsidised healthcare system. If I lived in the USA, I'd probably be dead or getting there due to that medical bill alone!

Single payer healthcare has been sold as too expensive because taxes would go up to pay for it. My health insurance policy pays for very little for our family until we have spent a minimum of $6,000, and up to $14,300 out of pocket. This *is* a tax, leaving aside the absolute time sink and productivity drain of having to become an expert in insurance billing codes and appealing bad faith, AI-driven denials (this seems to be routine now). At least I now have coverage, since I gave up entrepreneurship and took a full time job. This is also a drain on the American economy because it holds back innovation - we have seen the whole country stagnate with competition largely removed from the economy. I need health insurance, and there is just no practical way for most founders in the US to get it. If I decide to start a startup in the future, it will be outside of the US, in a country that provides universal health coverage and wants to attract entrepreneurs (the UK, The Netherlands and Canada all have competitive programs). Healthcare, like government dysfunction, is an American competitiveness issue. The US is still competitive, but much less so than in the past and nearly everything is moving in the wrong direction.

Keep in mind that coverage isn’t always a United decision. Employer-sponsored plans can be the reason for a denial or lack of coverage. Think about that — your employer could be the reason for the denial, not United. Have a bone to pick? Call HR. My view is that the system is a patchwork of gabledegook put together due to decades of government interference. The system can and must work better for everyone. United’s mission is to do just that. Each day, our doctors, nurses, specialists, technicians, technologists, and member representatives work toward that mission and we do it with compassion and integrity. All I hear from my colleagues is… “how do we create value” for our members, providers, and payers. That’s who United is. And to be clear, murder is never acceptable under any circumstances.

It's not just cancer treatments, but diabetics too, have issues getting meds that their Doctors prescribe! I've been trying to get Blue Cross Blue Shield of Texas to approve a drug prescribed by my physician in October. They want me to try something different... and have denied the drugs they informed me to be approvable. You can not make this crap up. I'm so frustrated with BCBS-TX that if I had a different alternative, I would have changed in a NY minute. People who you've never spoken to, or have examined you, are dictating what medicine you should receive in direct conflict with your doctor's opinion on what side effects are most tolerable to your condition. While I do not advocate violence and certainly not this kind of violence, i can understand why people are frustrated with their Health insurance carriers. Maybe a single payer solution is better...??

There actually is no legitimate reason for insurance to deny care. They do not examine the patient, they do not provide treatment, they only hold the purse. If they feel medical malpractice is occuring they should submit complaints and evidence to the local medical licencing body to deal with suspect clinical care accordingly. Pre-authorization needs to go, post-hoc analysis leading credential suspensions needs to increase.

Strong take Kevin O’Leary. I normally don’t like your attitude on Shark Tank. Always looking to nickel and dime the other sharks for more equity than you deserve. Mr not so Wonderful and so on. But I saw you on CNN talking truth to power and upping the ante on China with the tariffs. Now this on Healtcare and the false optics. You are so right. Companies can’t be scared of their customers. Insurers can’t be scared of their insured. Bravo for your sharp words. #healthcare #goodmedicine

as a burn survivor, I require procedures to release contracted scars on a regular basis. It never fails Aetna, a CVS Health Company denies my claims, I appeal it, they deny it, I appeal it they deny it. I never had this issue with BCBS. All insurance companies need to do better for their patients!

Today’s reality of triple/quadruple aim Cost: Insurance premiums are going up, and covered Benefits are shrinking; total cost of care is still going north Experience: Patient experience is in shambles, and Physicians are morally injured and exhausted Quality: Appropriate care that is denied or delayed is contributing to poor health care outcomes Payors deliver historic profits and monopolize care by vertically integrating PBMs, physician practices, surgical centers, RCM platforms, and more. How difficult it is to understand this failed system???? Let us not rub salt on open wounds; it is time to listen to patients and physicians/clinicians and take concrete steps to reform healthcare?? #tripleaim #healthcare #insurance #physicians #patientcentric #quality

The bottom line is that we need to move to a model that focuses on and prioritizes prevention. But the "sickcare industry" doesn't want that because it will null and void their current business model, which relies almost entirely on treating the illnesses that have already taken root in the patient. Until that model is flipped over, they are likely to hold onto the the old model to feed the monster that they have created. I am thinking a solution is to create a movement where working out and eating healthy is "cool" and a way for U.S. citizens to reject the U.S. healthcare industry's stance and "starving" the industry. Let's pull out of the healthcare industry by not needing it or using it only to the minimum extent. Like I do, do all you can to avoid needing to use the system. That will force them to reform. https://www.dhirubhai.net/pulse/paradigm-shift-us-healthcare-putting-prevention-ahead-thornton-ramos/