I recently put out the above image. You can read about it in this article. Cigna denied claims at a rate of 1.2 seconds each, without ever opening the patients’ files. Cigna made a record $6.7B profit last year. I just want to point, out on this site, this one piece:
When a stubborn pain in Nick van Terheyden’s bones would not subside, his doctor had a hunch what was wrong.
Without enough vitamin D in the blood, the body will pull that vital nutrient from the bones. Left untreated, a vitamin D deficiency can lead to osteoporosis.
A blood test in the fall of 2021 confirmed the doctor’s diagnosis, and van Terheyden expected his company’s insurance plan, managed by Cigna, to cover the cost of the bloodwork. Instead, Cigna sent van Terheyden a letter explaining that it would not pay for the $350 test because it was not “medically necessary.”
DPC fixes this. We don’t go through your insurance for approval on labs. That Vitamin D test above costs $20. We let the patients pay our cost. End of story.
Let’s bring back insurance to what it is supposed to be. It should cover catastrophic events. We should have a safety net deductible that can be based on income and then let the free market work.
Or we can stick with Cigna and let them deny everything.
(Feel free to share the image).