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A new low huh.

Point is, no insurer has ANY incentive to lower health care costs. The more we all spend on health care, the more high premiums are justified, and the bigger their 20% slice of the pie can be. Come back in a few years, and I promise @AjKavanaugh’s numbers will be even higher.

Doctors at a major US insurance company deny tens of thousands of claims a month without even looking at patients’ files. “We literally click & submit,” a former Cigna doctor told @ProPublica & The Capitol Forum. “It takes all of 10 seconds to do 50 at a time.” The inside story 🧵

14/ In one corporate document, Cigna estimated that only 5% of people would appeal a denial resulting from a PXDX review.

This is pretty much the only reason for denial and pre-authorization--it's more likely people will just go without insurance or forego care, leading to more profits for insurers.

My name is Muhil, and I first came to the United States when I was 2 years old. Despite living here lawfully for two decades, I did not receive my green card with my family because I aged out.

Higher hospital surge preparedness is associated with over one third reduction in excess mortality. #SAEM23 by @AlexJankeMD Arjun Cc Jeremy Faust MD MS (ER physician)

180% in utilization of ED observation stays over from 2006/7 - 2018/9. #Neurology complaints were an important driver. Great work by Andrew Luo. HAEMR Andrew Chou

AMCs transfer admitted patients to community hosp for capacity management. NHB and Hispanic pts were more likely to be deemed eligible for transfer by MDs and more likely to consent to transfer. Raising Q on systemic bias & need for levers to mediate. #SAEM23 HAEMR

Officially offline from Brigham and Women's Emergency Medicine. Special mention to Scott Weiner, @jschuurmd.bsky.social 🟧, Peter Chai, the numerous Andrews' and many more who have been a friend to me. See you all around :)

One of those things you'd think we don't need a trial to show... But sadly we do.

Guns kill people.

The latest in health insurers trying to practice medicine: journals.lww.com/em-news/fullte…