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In reply to the discussion: Outrageous reason UnitedHealthcare halted critical surgery... and LAUGHED while mocking suicidal patient [View all]vanessa_ca
(70 posts)47. So much criminality is exposed in McNaughton's case.
McNaughton said one motivation for his lawsuit was to expose how insurers like United make decisions about what care they will pay for and what they will not. The case remains pending, a court docket shows.
This part really warmed my heart:
"He has been accepted to Penn States law school. He hopes to become a health care lawyer working for patients who find themselves in situations similar to his."
I hope his first targets are the Healthcare-sharing ministries that were exempted from regulation in the Affordable Health Care Act thanks to the work of a lobbyist for the industry. This case was just as disgusting:
A Christian Health Nonprofit Saddled Thousands With Debt as It Built a Family Empire Including a Pot Farm, a Bank and an Airline
Despite a history of fraud, one family has thrived in the regulatory no mans land of health care sharing ministries, where insurance commissioners cant investigate, federal agencies turn a blind eye and prosecutors reach paltry settlements.
-snip-
Luckily, or so Martin thought, she had placed her trust and her money in Liberty HealthShare. Liberty is whats known as a health care sharing ministry, a nonprofit alternative to medical insurance rooted in Christian principles. Hundreds of thousands of people rely on such organizations for basic health coverage. They promise no red tape, lower costs and compassion for the sick. Although Martin wasnt religious, she found comfort in Libertys pledge to carry one anothers burdens.
-snip-
For generations, members of the Beers family of Canton, Ohio, have used Christian faith to sell health coverage to more than a hundred thousand people like Martin. Instead they delivered pain, debt and financial ruin, according to an investigation by ProPublica based on leaked internal documents, land records, court files and interviews. They have done this not once but twice and have faced few consequences.
-snip-
Four years after its launch in 2014, the ministry enrolled members in almost every state and collected $300 million in annual revenue. Liberty used the money to pay at least $140 million to businesses owned and operated by Beers family members and friends over a seven-year period, the investigation found. The family then funneled the money through a network of shell companies to buy a private airline in Ohio, more than $20 million in real estate holdings and scores of other businesses, including a winery in Oregon that they turned into a marijuana farm. The family calls this collection of enterprises the conglomerate.
-snip-
Despite abundant evidence of fraud, much of it detailed in court records and law enforcement files obtained by ProPublica, members of the Beers family have flourished in the health care industry and have never been prevented from running a nonprofit. Instead, the familys long and lucrative history illustrates how health care sharing ministries thrive in a regulatory no mans land where state insurance commissioners are barred from investigating, federal agencies turn a blind eye and law enforcement settles for paltry civil settlements.
-snip-
Despite a history of fraud, one family has thrived in the regulatory no mans land of health care sharing ministries, where insurance commissioners cant investigate, federal agencies turn a blind eye and prosecutors reach paltry settlements.
-snip-
Luckily, or so Martin thought, she had placed her trust and her money in Liberty HealthShare. Liberty is whats known as a health care sharing ministry, a nonprofit alternative to medical insurance rooted in Christian principles. Hundreds of thousands of people rely on such organizations for basic health coverage. They promise no red tape, lower costs and compassion for the sick. Although Martin wasnt religious, she found comfort in Libertys pledge to carry one anothers burdens.
-snip-
For generations, members of the Beers family of Canton, Ohio, have used Christian faith to sell health coverage to more than a hundred thousand people like Martin. Instead they delivered pain, debt and financial ruin, according to an investigation by ProPublica based on leaked internal documents, land records, court files and interviews. They have done this not once but twice and have faced few consequences.
-snip-
Four years after its launch in 2014, the ministry enrolled members in almost every state and collected $300 million in annual revenue. Liberty used the money to pay at least $140 million to businesses owned and operated by Beers family members and friends over a seven-year period, the investigation found. The family then funneled the money through a network of shell companies to buy a private airline in Ohio, more than $20 million in real estate holdings and scores of other businesses, including a winery in Oregon that they turned into a marijuana farm. The family calls this collection of enterprises the conglomerate.
-snip-
Despite abundant evidence of fraud, much of it detailed in court records and law enforcement files obtained by ProPublica, members of the Beers family have flourished in the health care industry and have never been prevented from running a nonprofit. Instead, the familys long and lucrative history illustrates how health care sharing ministries thrive in a regulatory no mans land where state insurance commissioners are barred from investigating, federal agencies turn a blind eye and law enforcement settles for paltry civil settlements.
-snip-
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Outrageous reason UnitedHealthcare halted critical surgery... and LAUGHED while mocking suicidal patient [View all]
vanessa_ca
Dec 14
OP
Medicare would have denied $40k balloon dilation procedure too. It's a 15 minutes procedure
Silent Type
Dec 14
#1
She tried that and it was painful. So let's spend $35k more because it's uncomfortable for a few minutes.
Silent Type
Dec 14
#4
Nope, not one of those because they aren't of questionable clinical value and government plans
Silent Type
Dec 14
#24
Well, then, you won't like MFA because any government plan is likely going to do
Silent Type
Dec 15
#30
Empathy yes. Spending considerably more without looking to see if Medicare/caid guidelines
Silent Type
Dec 15
#32
You mean the ones who order millions of quack treatments and tests a year to pad their bank account.
Silent Type
Dec 14
#5
And I told you I'm not. I do work with doctors, and yes many cheat. Shouldn't be surprising
Silent Type
Dec 14
#11
Got citations of people dying because of denials? There are plenty of cases where docs
Silent Type
Dec 14
#14
Do you have a connection to the for-profit private health insurance industry? (no, not being a customer)
Celerity
Dec 15
#45
First - this has nothing to do with my perception of need. It was her doctor who made that assessment - the doctor
Ms. Toad
Dec 15
#56
As long as healthcare is a profit motivated "industry", the answer is to your question is yes.
paleotn
Dec 14
#10
Every component of our so-called health system takes a big cut. Heck, UHG donated significantly more to Dems
Silent Type
Dec 14
#13
Once again government failed us. While a big friggin deal, ACA is based totally upon private insurers. Why?
Silent Type
Dec 14
#22