Rohit Koppula

Vascular and Interventional Radiologist

[Rohit Koppula @RohitKoppula]

@ChengaziMD @linemonkeymd @lakeodom Exactly this. Furthermore, how do we quantify hospital resources saved from - LOS / anesthesia / OR / endoscopy services not used for a given DRG (think VTE, abscess drains, GI bleeds, etc). Or hidden costs of going on trauma divert because no IRs are available, etc.

[Rohit Koppula @RohitKoppula]

@DrDiGiorgio What are the biggest roadblocks to building this, in order of difficulty / incumbency. Legislation? Regulatory? CoN?

[Leah Houston MD @LeahHoustonMD]

When I talk to doctors who want to leave clinical medicine, it’s never that they hate taking care of patients. They LOVE, taking care of patients. It’s the uncompensated administrative burden, and the Orwellian oversight that deters them away from clinical practice. That’s what we need to get rid of.

[Rohit Koppula @RohitKoppula]

@DrBruggeman Consolidate and (regulatory) capture.

Opposite of divide and conquer

[Rohit Koppula @RohitKoppula]

🎯

[Real Doc Speaks @realdocspeaks]

The denial should have a physician attached to it. That way if the patient is harmed they go hold the physician liable and report the injury to the State Medical Board.

Insurance companies are practicing medicine without the liability we all have.

[Rohit Koppula @RohitKoppula]

Has this been tried?
@mass_marion @DutchRojas @realdocspeaks @Hayrook

[Rohit Koppula @RohitKoppula]

This feels right. Beyond medications, large employers should band together to create self-funded networks for routine care and planned procedures. Cut-out administrative waste and predatory pricing practices of insurance companies, all types of “benefit”managers.

[Mark Cuban @mcuban]

In the pages that were removed (not a bad thing ), were a lot re: PBMs and the cost of care. Probably saving taxpayers hundreds of billions of $ over the next 10 yrs.

1. Will you push for a standalone bill ?
2. Will you commit to stop using the big PBMs and the Big Insurance companies at Tesla, SpaceX etc ?

The tipping point to change healthcar will be driven more by CEO decisions than legislation.

Happy to help in any way

[Sandeep Bagla MD @SandeepBaglaMD]

The Unreasonable Appeal Process by Blue Cross Blue Shield of Alabama (BCBSAL) 🧵

1/ Physicians advocate tirelessly for their patients. But BCBSAL denies medically necessary procedures & charges physicians to appeal these denials. Yes, you read that right—physicians must pay to fight for patient care. Here’s why this needs to change: 👇

2/ If BCBSAL denies a procedure (e.g., deemed “not medically necessary”), physicians must complete the internal appeal process. If denied again, they must escalate to IMEDICS (external review).

3/ Here’s the kicker: Physicians pay $50 for disputes <$1,000 or $250 for disputes >$1,000—just to appeal! This shifts costs to physicians, not the insurance company managing benefits. Completely unacceptable. 😡

4/ This policy discourages appeals, even for procedures based on sound medical evidence from experts in Urology & Interventional Radiology. It prioritizes insurer profits over patient access to care.

5/ Want to take action? Here’s how:
Contact the Alabama Department of Insurance to complain:
📧 Email: [email protected]
📞 Phone: [phone]
📝 Online Form: Complaint Form

6/ Demand change from BCBSAL:
📞 Customer Service: 1-800-292-8868
📬 Address: 450 Riverchase Parkway E, Birmingham, AL 35244

7/ Physicians shouldn’t pay to advocate for their patients. Let’s stand together to hold BCBSAL accountable. Patients & their physicians deserve better.

RT to spread awareness. 📢

#Advocacy #MedicalNecessity #HealthcarePolicy #BCBSAL #InsuranceReform @BlueCrossPA @BCBSAssociation @BCBSAlabama @CMSGov @aldemocrats @AlabamaFTBL @Bama_247

[Rohit Koppula @RohitKoppula]

@thedebralea I’m so

[Rohit Koppula @RohitKoppula]

@DutchRojas what effects (if any) will cost transparency requirements have when they go into effect in 2-3y?

[Rohit Koppula @RohitKoppula]

@saherssabri

[Sandeep Bagla MD @SandeepBaglaMD]

😡😡Every day #Patients &amp; #Physicians are fighting a losing battle while $$$ piles up for @UHC @AnthemBCBS @CareFirst @Aetna @Cigna Time for Reform @SenateGOP @SenateDems @JoeBiden

[Rohit Koppula @RohitKoppula]

@WillManidis Chat-GPT vs Jonathan. Who would win?@DGlaucomflecken

[Rohit Koppula @RohitKoppula]

@SucSEED_IN @remedoapp @GoogleStartups @WhatsApp @SumitKKejriwal @sarvasu @mnb103 @speaks_vikrant @1SDhiraj Exciting growth, looking forward to learning more!

[Rohit Koppula @RohitKoppula]

@CoolAsANeuroRad @dr_kaydo

[Rohit Koppula @RohitKoppula]

@GoDaddy

[Saher Sabri @saherssabri]

#WhiteCoatsForBlackLives @MedStarWHC

[Rohit Koppula @RohitKoppula]

@JVIRmedia @LukeWilkins_UVA I see you @bahetimd! Placed / retrieved one last week on a pregnant patient prior to CS.

[Wendell Potter @wendellpotter]

As a former health insurance exec, I’m worried for folks this week. If history is any guide, a lot of you visited the ER between Christmas and New Year's - which means soon you just might get a big “surprise” bill from your insurer, and it won’t be pretty. Let me explain (1/11)

[Rohit Koppula @RohitKoppula]

@SDhandMD @SIRspecialists @rkryu @kmadass @LessneVIR @DanHan @MountSinaiIR @paragpatel_IR @saherssabri @PascalJabbourMD @VV_VIRNIR @Watts_IR @jmills1955 @SOBE_Vascular @SriniTummala @drsavealimb @p_oconnor1 @roblookstein @keithppereira @danbrownIO @vogelzang252 @thefibroidlady @LukeWilkins_UVA @PenVascular @AgnesSolberg Nice preservation of the dorsal pancreatic! What’d you choose for the framing stent?