33

Summary

Hospitals are reporting an increase in insurance denials, particularly for Medicare Advantage plans, which are allegedly being targeted by AI algorithms.

These denials have led to delays in patient care and increased administrative burden for hospitals.

The Senate has called out the use of AI in prior authorization, suggesting it may be used to deny care and drive down costs.

you are viewing a single comment's thread
view the rest of the comments
[-] nondescripthandle@lemmy.dbzer0.com 7 points 1 day ago* (last edited 1 day ago)

On of my clients has needed testosterone supplements since he was born because bacteria ate away at his pituitary glad before he was born and every month we have to play 5-10 hours of phone tag just to convince the insurance company to keep letting him. They often switch brands on him whenever they want, there have been months he wasn't able to get it at all too. Typically this results in grand mal seizures. The evil these companies do cannot be understood until you see a 30 year old disbaled man violently shaking and flailing on the ground because a company decided they know better than his doctor. More than once it's taken two of us to help him stay in a position where he didnt drown in his own saliva. All over a hormone as simple and old as testosterone. If this was your son, or your brother, how long could you stand by do you think?

this post was submitted on 14 Nov 2024
33 points (100.0% liked)

Health - Resources and discussion for everything health-related

2316 readers
445 users here now

Health: physical and mental, individual and public.

Discussions, issues, resources, news, everything.

See the pinned post for a long list of other communities dedicated to health or specific diagnoses. The list is continuously updated.

Nothing here shall be taken as medical or any other kind of professional advice.

Commercial advertising is considered spam and not allowed. If you're not sure, contact mods to ask beforehand.

Linked videos without original description context by OP to initiate healthy, constructive discussions will be removed.

Regular rules of lemmy.world apply. Be civil.

founded 1 year ago
MODERATORS