Insurance companies should not be allowed to dictate a doctors prescribed medical procedure. Nor should a physician need permission from some insurance company over what procedure to prescribe. Insurance companies are not licensed doctors wth the authority to practice medicine on anyone let alone wield authority over actual doctors that do practice medicine. Nobody would let a stranger on the street practice medicine on them. Is it not an illegal act for a stranger to attempt to do so without being a licensed physician? Why are insurance companies doing just that and getting away with it? Hypocrisy, greediocy, and the oceans of bureaucratic shit they have spawned are destroying this entire country. All of this corporate third party totalitarianism has gone too far already.
How do they measure the 80% go to direct healthcare? We are physical therapist. Authorization is a pain and most of the time patient pays the bulk of the bill because either they have high deductibles or copay or coinsurance
On Aggregate, total population basis. Most of what they pay out is in catastrophic claims >$75,000. Cancer, Heart Disease, Dialysis, Major Ortho Surgeries, etc. Thank you for watching.
@@ahealthcarez Dr. Bricker, I love your videos. I tell everyone to watch your channel. And thank you so much for replying to my comment. In replying to my comment regarding asking if denying care saves healthcare costs you wrote “[i]n the long term… depends.” I can’t stop thinking about your reply. Making a comparison between healthcare and car repair, I would think that if ever time I went to my mechanic and I told him I want the cheapest repair possible, several years down the road I would likely be facing a hefty car repair bill when someone goes wrong because of my attempted frugalness. Doesn’t healthcare insurance sort of cause the same issue? They encourage doctors to the absolute minimum by denying care and requiring prior authorization. At the end of the day, doesn’t doing the absolute minimum cause healthcare costs to skyrocket in the long term--as just like in the car example, costly surgeries or procedures could have been avoiding if the insurance companies didn’t try to sidestep paying for the earlier care? This then begs the question, if the US had single payer or Medicare for all, would this help to reduce healthcare costs in the long term? People could get the preventative care they need and avoid more advanced care in the future. In the short term, I can see single payer or Medicare for all, clogging the system. People that hadn’t had access to healthcare in the past would be lining up at every doctor's door seeking care. However, in the long term it might reduce healthcare costs as people could access the preventative care they needed. It seems like at some point, in a post single payer or Medicare for all world, the load on hospitals that has been caused by EMTALA, would lighten. I would further think that having a single payer or Medicare for all, would allow anyone needing drug treatment to get access to drug treatment programs. The drug addiction epidemic is plaguing every facet of our society. People that have been self-medicating with drugs and alcohol could get the care they need, such as treatment for sleep related health issues and chronic pain. Sorry for the novel. Please let me know if you have any thoughts and thanks again for the great videos! Please keep them coming! -Zach
Medicare advantage final notice came out - expecting lower reimbursements, maybe this is some thing you could cover and how it will impact competitive landscape and macro level?
