Reply to United Healthcare will no longer cover uncecessary ER visits

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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]Former ER nurse here. One more thing. When did it become acceptable for insurance providers to act as medical providers. Don't think they went to any type of medical school!!!   So when did it become okay for them to determine what is and is not medically necessary and what should and should not be covered. Oh I could go on and on about my beef with insurance companies!  [/quote]

PREACH!  My cousin is an ER nurse and she says exactly the same things you are saying.  It is appalling that the insurance companies have so much power and the ability to dictate care against what the doctors and nurses prescribe or determine is appropriate.[/quote]

Aren't there MDs who work exclusively for insurance companies doing exactly this kind of work (determining what should be covered vs not covered)?
I'm sure it's not just normal employees with very little background knowledge/ experience setting these kinds of policies in insurance companies.[/quote]

Yes, and they either spend zero or near zero time with patient records

https://www.cnn.com/2019/04/26/health/aetna-settlement-california-investigation/index.html[/quote]

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