Connect with others who understand.

Sign up Log in
Resources
About MyHeartDiseaseTeam
Powered By
Real members of MyHeartDiseaseTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

Insurers Made Patients Appear Sicker — Pocketing $50 Billion From Medicare

A MyHeartDiseaseTeam Member asked a question 💭
Westminster, MD

https://www.aol.com/finance/rampant-abuse-syste...

'Rampant abuse of the system': Insurers made patients appear sicker — pocketing $50 billion from Medicare for diseases doctors didn't treat, WSJ analysis finds
'Rampant abuse of the system': Insurers made patients appear sicker — pocketing $50 billion from Medicare for diseases doctors didn't treat, WSJ analysis finds
July 11
View reactions
A MyHeartDiseaseTeam Member

Early in my working life a big 8 CPA told me “consistency and conformity is more important than accuracy.” Do no harm is a tagline.

I’ve had some good doctors I trust. Finding them is our job. I initially consider med pros consultants that give me some opinions and test results. It’s up to me to decide what to believe, how to proceed, when to seek more or make a switch.

Speak up, question then choose wisely. You can say no. If we die, they still get paid. I think health insurance providers should be required to also include life insurance so they have incentive to do some good … or pay a price. 😉

July 12
A MyHeartDiseaseTeam Member

We should pay doctors for keeping us well and withhold payment if we are sick.

July 11
A MyHeartDiseaseTeam Member

"Medicare pays insurers more for sicker patients — up to around $2,700 more a year for those with diabetic cataracts at the time. " The "medical/industrial" complex doesn't make money from healthy persons! A provider billed me 5 months after service for a fully covered preventive maintenance procedure. I contested with my insurance, the Dr. office AND their billing service! Next month, 6 months after, they billed me for lab work which is included in the procedure. Then, 7 months after, they billed for a procedure not performed! The exact same amount each time down to the Penny! Many people don't care if someone else is paying the bill. I am not "Many people"! There is no incentive to heal people! Healed people don't create revenue?

July 11
A MyHeartDiseaseTeam Member

Cliff3, If we die, they still get paid." Medical providers walk a tightrope for sure. Healthy, cured, in remission is an income lost. I sold life & health insurance for a time on layoff. I like disability policies and my manager made a statement that struck me as odd. After a large sale he told me "there's more money to be made there". Like coal to be mined or crude to be pumped. I know for a fact that providers check your insurance and credit before they do any more than stabilize you! # TWO, do no harm? Nope! Cover Your Ass!

July 13
A MyHeartDiseaseTeam Member

What a fantastic concept cliff3 but that is not the way things work. Doctors, the medical/industrial complex is founded, survives, profits from sickness! Coders are the heart and soul of the complex and a certain code brings the big dollars be it legitimate and accurate or not! "First do no harm" is replaced with First get a legal, accounting and billing team together. Not patients but customers. Not what they need but what they can be billed and reasonably expect to pay?

July 11

Related content

View All

HOSPITALS DROP MEDICARE ADVANTAGE PLANSOver A Dozen Healthcare Providers Are Terminating Agreements

A MyHeartDiseaseTeam Member asked a question 💭
Westminster, MD

Big Insurers UnitedHealth, Elevance Ride Out Medicare Advantage Storm

A MyHeartDiseaseTeam Member asked a question 💭
Westminster, MD

Second-Largest Medicare Advantage Insurer Prepares To Lose Over 200K People - Humana

A MyHeartDiseaseTeam Member asked a question 💭
Westminster, MD
Continue with Facebook
Continue with Google
By joining, you accept our Terms of Use, and acknowledge our collection, sharing, and use of your data in accordance with our Health Data Policy and Privacy policies.Your privacy is our priority Lock Icon
Already a Member? Log in