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[mclaren777]

One of my favorite subreddits had a great discussion about this tragic mess. I hope this is helpful to some of you...

 

[DaciaJC]

Has anyone applauded UNH for the claims that they do approve? I’m sure there are cancer patients that have gotten hundreds of thousands of dollars covered thanks to this insurance company.

Instead, we’re hearing the outrage over the unapproved claims for whacky, unconventional treatment like bee venom therapy for auto-immune disorders or fecal transplants.

Insurance companies are a business. They need to make money otherwise the system falls apart. They’re not going to do that by approving every claim.

I'm not familiar with bee venom therapy, but the efficacy of FMT for severe and/or recurrent CDI is well-supported in the literature.

 

[pachura]

What were all the things that supposedly related to 286? Wasn't one of them the manifesto, and it's not actually 286 words long (it's 261 words long.)

I bet he had Intel 80286 in his gaming rig

 

[Von Hugh]

That’s not true I haven’t got laid for over 30 years and I haven’t hurt anyone.

 

[crazepharmacist]

I'm not familiar with bee venom therapy, but the efficacy of FMT for severe and/or recurrent CDI is well-supported in the literature.

You’re right actually. It’s FDA approved to treat recurrent CDIFF. I’m sure UNH covered it for those with recurrent CDIFF who failed antibiotic therapy but this likely would require supporting documentation and prior authorization. How many people got pissed that it wasn’t automatically covered and then bitched about it online saying the CEO deserved to be killed over it?

I’ve seen no evidence so far that they refused to cover an FDA approved treatment that was medically necessary

 

[EviLore]

He should probably tell his client not to yell out revolutionary statements in front of the press if that’s the defense they’re going with.

 

[Mr Reasonable]

Has anyone applauded UNH for the claims that they do approve?

Instead, we’re hearing the outrage over the unapproved claims for whacky, unconventional treatment like bee venom therapy

Isn't one of the big controversies to come out about this company that they denied twice the average number of claims versus other insurance providers, possibly related to them using an AI that they knew to be faulty to triage people's attempts to get the treatment they'd been paying insurance fees for?

I'm not sure that it's particularly likely that insurers are only denying claims of those who'd like experimental treatments as you imply, or that somehow the company gets double the number of people asking for those treatments versus other insurers, but it seems at least distasteful to take that line - to be on the side of a company to the point of smearing it's customers when some people are fighting for their lives.

For the record, I've heard nothing about alternative therapies being denied in discussions since this news broke, which you seem think is the bigger picture here, I've heard plenty about the denials of claims being well above industry average though and the use of faulty AI as well as people struggling to access care their insurer is eventually forced to pay for, with delays obviously having potential impacts on the patient's life both in the long and short term.

This article talks about people being denied cancer care, people fighting for doctor ordered surgery, having appeals against company decisions overturned in high numbers, but relatively low numbers of people actually knowing how to make an appeal as well as denying the claims of older people less likely to go through the appeals process.

https://www.cnn.com/2024/12/06/business/insurance-claim-denials-unitedhealthcare-ceo/index.html

It doesn't mention bee sting therapy once. Perhaps you ought to get in touch.

 

[violence]

My original statement wasn't hard to understand.