• morgan423@lemmy.world
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    2 days ago

    Yes. YES. This is what we’re talking about.

    Make the punishments hurt enough so that it doesn’t make financial sense to improperly decline claims. It’s the only way to get health insurance companies to behave, since we’re dead set on keeping it a private industry apparently.

    • bean@lemmy.world
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      2 days ago

      This literally raised my eyebrow as I was reading. Very smart way to add regulation and public accountability to this.

    • Boomer Humor Doomergod@lemmy.world
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      2 days ago

      Can’t do something reasonable like not make a profit moving money around a private bureaucracy, increasing medical expenses so those rent-seekers can get their cut.

  • Makeitstop@lemmy.world
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    2 days ago

    To all those in Wisconsin, reminder there’s an election coming up that will determine which side controls the state supreme court. If you like policies like this one and also having fair elections, don’t let the Republicans win.

    • usernamesAreTricky@lemmy.mlOP
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      2 days ago

      Specifically in a few months on April 1, 2025. This will determine if Wisconsin keeps their 4-3 liberal-conservative split. The races are technically non-partisan but one candidate is an insane republican-endorsed figure. The other, Susan Crawford is already on the court and she has previously ruled to do things like stop gerrymandering in Wisconsin and helped give them fair maps

      Make sure you are registered to vote - especially if you want a mail ballot! The deadline to register online is March 12th. Wisconsin also has same in-person registration available through election day via same day voter registration (not all state have this)

    • shikitohno@lemm.ee
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      1 day ago

      You could probably make a big enough threat to the companies just by saying, “If our audit finds you are, in fact, sending meritless denials to try and pad your bottom line, you need to reach out to all those impacted and inform them that the denied services will be covered 100%, along with any follow-up care needed as a result from the treatment you denied. And the fine is 150% of the cost of all claims you denied.”

      Shareholders ultimately don’t care about the CEO, they can get another one. Hit their bottom line hard enough, and they’ll take note, though.

      • bdonvr@thelemmy.club
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        1 day ago

        Or you could start luigi-ing shareholders. That might work too. (theoretically, of course. I couldn’t publicly recommend anyone take illegal actions)

  • halcyoncmdr@lemmy.world
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    1 day ago

    I don’t feel like the insurance companies should have any say in denying claims at all beyond obvious coverage/non-coverage. And choosing the incorrect code is not grounds for a flat denial. They are not doctors. They should have no say in how long surgeries take whether patients need to stay extra days in-patient, etc.

      • UnderpantsWeevil@lemmy.world
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        2 days ago

        Christ, remember when Leftists like AOC suggested COVID be an opportunity to advocate for universal healthcare and got screamed out of the room for being too divisive?

        • PlantJam@lemmy.world
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          2 days ago

          Funny how it’s never the right time, isn’t it? We’re too busy with covid! Some guy got shot! There’s an election soon! Always with the excuses.

  • raynethackery@lemmy.world
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    2 days ago

    After today’s EO and the attack on NYC congestion pricing, Trump will just tell insurance companies to ignore any laws that limit their power.

    • usernamesAreTricky@lemmy.mlOP
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      1 day ago

      NY is taking them to court over it - just as a note. States do have the ability to enforce things themselves, so a court ruling in their favor can be enforced by the state itself

  • Lukas Murch@thelemmy.club
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    2 days ago

    Gov DeSantis, “I want insurance companies to keep donating to my administration, so I can keep ignoring the insurance crisis in the state of Florida.”