Health - Resources and discussion for everything health-related

2354 readers

366 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 2 years ago

MODERATORS

Awa

WhoRoger

RoyalEngineering

How UnitedHealth’s playbook for limiting mental health coverage puts countless Americans’ treatment at risk (www.propublica.org)

submitted 1 week ago* (last edited 1 week ago) by MicroWave to c/health

6 comments fedilink hide all child comments

Summary

UnitedHealth Group’s Optum subsidiary uses algorithms to identify patients and providers deemed to be receiving excessive mental health care, leading to reduced coverage and potential harm to patients.

Despite regulatory actions in some states, the company’s practices continue due to the lack of a unified regulatory oversight.

Mental health advocates argue that this fragmentation benefits insurance companies by allowing them to shift scrutinized practices to other jurisdictions.

all 7 comments

sorted by: hot top controversial new old

[–] [email protected] 16 points 1 week ago* (last edited 1 week ago) (1 children)

Also executive dysfunction (fancy word for the motivation and planning it takes to do complex tasks like navigating bureaucracy) is a symptom of pretty much every mental illness ever making them the easiest population to collect a premium from then bury in paperwork and by doing so never actually have to pay out for services. When you add in having the government cut a check perr poor person to insurance companies to provide state benefits it basically becomes an infinite money glitch that churns faster the more people you force into poverty.

[–] NycterVyvver 6 points 1 week ago (2 children)

Wow. I never considered executive functioning and neurodivergent related behaviors as predictable patterns for insurance companies to exploit, but you're absolutely right.

[–] randomdeadguy 2 points 1 week ago

Works very well for social security

[–] [email protected] 1 points 1 week ago

There's been articles written about it actually. Google "health insurance ghost networks" for more info but the short version is that you know how the only utility of a middleman is to provide convenience? They get to keep more money every time you can't figure out which doctors they actually cover. They actually get MORE money for being WORSE middlemen.

[–] [email protected] 5 points 1 week ago

Insurance companies suck, and UHC sucks the worst.

[–] [email protected] 4 points 1 week ago

UnitedHealth is pure evil.

If anyone ever burns down UnitedHealth facilities or murders anyone in their executive leadership, just know that if I am on your jury you are going to be acquitted.