It particularly interesting that high cost treatments seem to have motivated United to hire a college campus administrator as a secret budget specialist since the cost of a lifetime of treatment seemed high for younger people.
My god. I have Crohn's disease and am on remicade. I've had it refused by aetna and must try two "biosimilars" before being allowed to take the medicine I've been on for over a decade. They asked me if I'd tried them before because "some people do not tolerate them". So now I'm faced with potentially up to a year of decline and ruining health just to take the drug I've been on for a decade, _that the manufacturer pays for anyways_.
I had a 95% deviation to my septum. I spent years basically mouth breathing, because it was so occluded.
Finally went to an amazing ENT (where I got that number, and saw how bad it was on imaging). "Great, so when can we schedule surgery?"
He sighs. "First, I need to prescribe you these two nasal sprays so you can take them three times a day for four weeks and come back to me and tell me that surprise, surprise, they haven't realigned the cartilage in your nose. That way insurance won't deny the authorization of surgery."
is that why the allergist prescribed that nasal spray... i had to wait 6 more months for the nasal surgery that turned my life around. son of a bitch....
"Almost certainly", I'd say from my experience as a patient, as someone who worked in healthcare, and someone who worked for a company that wrote claims benefit management software for the industry.
https://www.propublica.org/article/unitedhealth-healthcare-i...
It particularly interesting that high cost treatments seem to have motivated United to hire a college campus administrator as a secret budget specialist since the cost of a lifetime of treatment seemed high for younger people.