Insurance won’t pay for anesthesia care if procedure goes beyond time limit

[DolphinVA]

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[glyco4all]

Entertaining and factual response, but it is lacking a major point. This is a propaganda puff piece written at the behest the insurance industry!

 

[kidthor]

When I’m sitting in the OR at 2am, I really do question my decision at times.

Being on call and working overnight is totally one of the worst parts of our job.

At least we don’t have the burden of endless charting at home and having to follow massive panels of patients.

All that said, it does sound like primary care can potentially be a nice setup/life and it’s nice to have continuity with patients. It’s good to hear that there are AI scribes of sorts too - hopefully that’s improving the EMR/charting burnout prevalent in office based specialities.

 

[VA Hopeful Dr]

Being on call and working overnight is totally one of the worst parts of our job.

At least we don’t have the burden of endless charting at home and having to follow massive panels of patients.

All that said, it does sound like primary care can potentially be a nice setup/life and it’s nice to have continuity with patients. It’s good to hear that there are AI scribes of sorts too - hopefully that’s improving the EMR/charting burnout prevalent in office based specialities.

I very rarely chart at home. If a PCP is doing that then they either need to see fewer patients to have time to get that done at the office or be more concise in their notes.

 

[aneftp]

I can imagine some outside legal counsel (who’s billing united healthcare by the minute likely upwards to $1000/hr ) is advising United healthcare the max the anesthesia docs (and crnas) should be billing per case

Image divorce lawyers with “typical divorce” cases saying they max they will get is up to 10k a case. The minute they know this. That’s when their bs “we are always gonna to defend your own best interest” becomes “we will always defend your best interest until we stop making money off you”

 

[nimbus]

I very rarely chart at home. If a PCP is doing that then they either need to see fewer patients to have time to get that done at the office or be more concise in their notes.

It’s funny because my cousin who is a urologist charts at home every night. He doesn’t have a busy surgical practice but does have a busy office practice.

 

[VA Hopeful Dr]

It’s funny because my cousin who is a urologist charts at home every night. He doesn’t have a busy surgical practice but does have a busy office practice.

Some of their charts will be way more complicated than mine - cancer patients especially.

Also could be a not great EMR or not using the EMR as efficiently as it could be.

Or could be seeing so many patients that he has little down time at the office. I used to be that way but decided I didn't like having to chart at home so I cut back on my appointment spots per day. I make less but it was absolutely a fair trade.

 

[nimbus]

Some of their charts will be way more complicated than mine - cancer patients especially.

Also could be a not great EMR or not using the EMR as efficiently as it could be.

Or could be seeing so many patients that he has little down time at the office. I used to be that way but decided I didn't like having to chart at home so I cut back on my appointment spots per day. I make less but it was absolutely a fair trade.

He’s kind of a Luddite and he sees a lot of patients.

 

[Gern Blansten]

He’s kind of a Luddite and he sees a lot of patients.

Excellent use of the word Luddite. Strong vocabulary skills.

 

[GassYous]

Excellent use of the word Luddite. Strong vocabulary skills.

He's had a long time to develop them

 

[TeslaCoil]

Extremely very few people were ever “uninsurable”.

It’s very simple math as I have explained it over the years

There are roughly 2- million people who would be “uninsurable “ or prohibitively unable to afford healthcare
When the Dems tried to tell the public up to 100 million people have pre existing conditions. It’s a huge number that’s get the public attention. Except 35-40% of the USA is already on some type of Medicare/medicaid/chip. The other 60% on private insurance. That’s really only lives roughly 5% of the population who need access to healthcare on their own.

Of those 5%. (15 million ) maybe 1-2 million are not rated as insureable.

The govt could have easily created a very small Medicare for all for this limited subset of the population to get insured. There was so much hands in the cookie jar from every side whether to support the public option or not. If the govt expanded the public option. The private insurers would be out of business.

But it was a money grab from the private health insurers to get in on the ACA game. They pretty much got what they wanted from their lobbying efforts. Jack up the premiums on the younger population. To pay for the older sicker population. Except they knew very few super sick people would need the private market place insurance.

So the insurers colluded with the lawmakers to make even more mandatory insurance demands like men pay the same as women even though women consume more healthcare than men. That’s just one example. Like when I was self employed. I paid a separate maternity ob rider for my wife. I paid $200/extra per month plus a separate $2500 maternity ob deductible. So individually my wife had she had her own separate plan would have only been $150-175/month or so (without the ob rider). So $350-400 a month with the ob rider.

So the ingenious thing United healthcare and other insurers did was demand men pay the same as women. What this meant was men had to pay the same $350/400 a month premium as women. These insurers were not reducing the premiums on anyone. They simple made the child bearing women pay the same. But jack up the rates on the men and non child bearing women.

Ingenious I say. And increase profit margins for them.

If you wrote a book exposing all this, you’d make the NYT best sellers list. Guarunteed. You ttbetter strike now while the iron is hot.

 

[aneftp]

If you wrote a book exposing all this, you’d make the NYT best sellers list. Guarunteed. You ttbetter strike now while the iron is hot.

The American general public are not knowledgeable to understand (I’m not calling them dumb). But they don’t understand how the system works.

All they care is what’s best for THEM. Which is understandable.

 

[TeslaCoil]

The American general public are not knowledgeable to understand (I’m not calling them dumb). But they don’t understand how the system works.

All they care is what’s best for THEM. Which is understandable.

Dumb it down for them and expose the filth that is the US health insurance racket.