United Health “guided” Yale’s NEJM study on surprise medical billing

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“The emails do not invalidate the Yale study’s conclusions. Since its publication, other research has replicated its findings using different datasets,”

But it does put some shade on the whole message.
 
We really need a good name for “Surprise Billing”... maybe “Mystery Coverage”
 
Why doesn’t Yale do a study of deadbeat healthcare plans? Why do anesthesia groups and other physician groups have to resort to lawsuits to get paid for the work we did?

Exactly. The problem is these insurance companies refuse to negotiate fair rates while pocketing massive profits. So we end up with these "surprise" billing. Which should not be a surprise when insurance companies operate in bad faith.
 
Exactly. The problem is these insurance companies refuse to negotiate fair rates while pocketing massive profits. So we end up with these "surprise" billing. Which should not be a surprise when insurance companies operate in bad faith.

Because Yale also has an insurance plan….. they’re all in bed with each other. Just like all these health care systems CEOs.
 
The research was based on data from more than 2 million claims provided by UnitedHealthcare, the largest private health insurance company in the United States, under a data sharing agreement with Yale. As stipulated in contracts between the two entities, United was not named in the study.

🤔 wonder why?
 
The research was based on data from more than 2 million claims provided by UnitedHealthcare, the largest private health insurance company in the United States, under a data sharing agreement with Yale. As stipulated in contracts between the two entities, United was not named in the study.

🤔 wonder why?

Because they want people to think hmthis publication is free of external influences and bias. This paper should be retracted for impropriety
 

It give them the balls to pull **** like this. UHC with their academic lemmings at Yale were paving the groundwork for legislation that essentially prevents you from getting fairly compensated for the work that you do and culminated in the passage of a destructive surprise billing law that essentially will put any private groups out of business for good. PE in medicine isn't going away they will make their staff suffer more as a result of the legislation.

The strategy for UHC is to essentially dump groups by proposing ridiculously low fee schedule. When the group finds out they cant bill the patient more than Medicare if they are OON and will be spending inordinate amounts of time in arbitration. The group eventually is forced back in network due to threats from the hospital or new legislation that mandates it and you are forced to take less...much less.

Rinse and repeat. As the pool of money dries up expect more hosp and PE take overs of the group. More supervision until finally you'll be working for the same money as the CRNA grunt whose practicing independently.
 
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