How Cigna Saves Millions by Having Its Doctors Reject Claims Without Reading Them
Patrick Ruckerpropublica.org
How Cigna Saves Millions by Having Its Doctors Reject Claims Without Reading Them
Prevent providers from ordering a lot of services because the government determines which services will be covered and at what rates.
Angel Maredia • Healthcare, explained by someone who knows nothing about it
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However, the organization’s electronic medical record (EMR) system, while being well suited to capturing transaction data, had limited capabilities to export data for analysis. Each attempt to do so involved large amounts of time, money, and frustration.
Thomas H. Davenport • Big Data at Work: Dispelling the Myths, Uncovering the Opportunities
- Trust — Human doctors means human judgment.
Nikhil Krishnan • Things I’m Thinking About In Healthcare Part 2
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It’s much harder for a doctor to get the information they need to diagnose conditions from them than it is for adult patients.
Marco DeMeireles • “A generation left behind?”
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“They were able to show that in 24-hour emergency centers and small clinics, a person would go in for one problem, and next thing you know, the billing would have multiple categories added. And suddenly, instead of Medicare paying $100, it was paying $700.”
Joel Gurin • Open Data Now: The Secret to Hot Startups, Smart Investing, Savvy Marketing, and Fast Innovation (Business Books)
A cynic might conclude that preventive medicine exists to transform people into raw material for a profit-hungry medical-industrial complex.
Barbara Ehrenreich • Natural Causes: An Epidemic of Wellness, the Certainty of Dying, and Killing Ourselves to Live Longer
As with any innovation pointed at the deadly disorders of American healthcare, the failures these companies say they are addressing are well-documented, if not the definitive cause of the overall disease.
Molly Osberg • It's Not a Clinic, It's a Caste System
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