But but everyone is equal and no billionaires?!

Hope there’s a backup

Italians are brown?

Oh swiping is downvoting. Hmm. That’s also “back”

Poor interface.

Fixed 😇

Hahahahaha

I don’t have voting enabled in my client. So, it wasn’t me.

She looks amazing for her age.

Nasty no GOOD woman!!!

Bathroom talk is a perm ban.

Nah, new account time! Woooo

Is it on a cob?

Sorry, here in Lemmy.world, we find it uncivil to talk about strawberries. That will be a 7 day ban.

I feel like there is enough for you to work it out. Which insurance company do you work for? ;)

Conservatives thing gestapo is a frozen treat.

If I live in a nursing home and I pay $1000 per month to the insurance company (via Medicare and out of pocket, etc), and they have to pay $1000 per month for my medical bills, they get no money.

So, if they make a deal with the nursing home to stop bringing me to the hospital, they won’t have to pay my medical bills and they keep the $1000.

As a reward, they will pay the nursing home $100.

$900 profit.

You seem very agreeable tonight… it’s suspicious.

Yes. So, they are dying of a heart attack and the nursing home says, “old man, you have heartburn, go back to bed” and then they keep their bonus check.

And this is on top of all the horrible things that nursing homes do even without insurance companies giving kickbacks and bonus checks

In arrangements like this, an insurer (often through Medicare Advantage) pays nursing homes a fixed monthly amount per resident, then layers on incentives tied to cost and utilization: (1) bonus payments if the facility meets targets such as lower hospital transfer rates or quality scores, (2) shared-savings payouts where the nursing home gets a portion of the medical cost savings if overall spending drops, (3) sometimes penalties or clawbacks if targets are missed, and (4) care-management support (e.g., insurer-employed clinicians embedded in the facility) that influences how care is delivered and measured — the controversy arises when these financial incentives may unintentionally discourage medically necessary hospital transfers.

The point of delaying and denying is so that they can collect the insurance money but never pay out. For someone in a retirement home who needs hospital services, their insurance would pay for this… But if the retirement home just simply doesn’t take them to the hospital… Then the insurance company will give the retirement home a small bonus that is significantly less than the overall hospital bill would have been.

I do not think any of us are surprised to hear which particular insurance company is being accused of doing this…

Hospitalizations cost money. Don’t send them to the hospital.