American surgeon records herself doing a “peer to peer” call with UnitedHealthcare trying to get a patients surgery approved
- UnitedHealthcare refuses to give any of their doctors names who makes decisions
- The doctor doesn’t specialize in surgery that’s being requested
- She asks for the determination paperwork of how UnitedHealthcare determined the patient shouldn’t get the surgery, UnitedHealthcare won’t provide that information
- UnitedHealthcare tells the surgeon to do an “internal appeal” but won’t provide any details on their determination
So to recap: UnitedHealthcare denies patients, their surgeon calls and can’t get a name, a specialty, or any details whatsoever regarding the denial
This is the state of American Healthcare
Honestly Katie Ledecky swimming with a glass of chocolate milk perfectly balanced on her head might be more mind blowing than winning seven Olympic golds…
This is a big one 🚨 US Pharmacist found another “Massive way for DOGE and Elon Musk to cut” Medicare costs
- Medication is called Abiraterone, Medicare pays $3,400 for each prescription
- At a pharmacy that doesn’t take insurance it ONLY COST $96. (Medicare mark up 3441%)
- Medicare filled this prescription 442,000 times in 2022
- That means they paid $1.5 billion for that drug in one year alone
- If every single one of those 442,000 was filled at the no insurance price, it would cost $42 million
- Medicare is wasting $1.458 BILLION by overpaying on only one drug in just one year
Again, this is a $1.458 BILLION DOLLAR MARKUP TO TAXPAYERS ON ONE SINGLE DRUG EVERY YEAR
“How is that possible?
There's a middleman called the pharmacy benefits Manager, that's Express Scripts, Optum or CVS Caremark. They tell Medicare how much to pay, but guess what? They also own pharmacies.
Golly, I wonder why medications are so expensive.
Let's cancel those middleman contracts and bring prices back to reality.”
🚨 To Elon Musk and the DOGE team looking at Medicare:
Pharmacist says
- Cancer Medicine Imatinib costs them $7 to buy. They add $10, so you're out the door for $17
- When Medicare pays for this drug, IT COSTS THEM $2,400
- This drug was filled 250,000 times in 1 year costing Medicare $600 million
“If every one of those scripts was filled at our pharmacy instead of through Medicare, it would've cost $4 million. That means that we are $596 million cheaper than the insurance. That's crazy.”
“So why are they paying this much for that medication? Well, insurance companies pay a middleman, the pharmacy benefits manager, and that person decides how much that medication's gonna cost”
- 3 Pharmacy Benefits Managers control over 90% of all prescription pricing in America
- Pharmaceutical companies bought all 3 Pharmacy Benefits Managers
They set their own pricing, Medicare pays ASTRONOMICAL prices and taxpayers pick up the bill. This is a racket.
🚨SHOTS FIRED: #Chiefs coach Andy Reid rips the #Raiders playing with a Patrick Mahomes puppet & calling him a “BITCH”
"WE DO NOT SPEND A LOT OF TIME HERE WITH PUPPETS,” KC wins SUPER BOWLS..
Damn 😳😳😳
(Via CBC)
By Friday, the novel coronavirus outbreak in the United States had grown to more than 100,000 cases in all 50 states. Kansas now has over 200. https://t.co/DB0oyd51PZ #KAKEnews
KDHE Secretary Dr. Lee Norman says many people are looking ways around stay at home orders rather than actually observing them. He expects cases to increase, doubling every 3 to 4 days. #Covid_19#kfdinews