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Insurance industry pressured DOJ to charge Luigi Mangione federally to deter copycats


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Posted

how are the Criminal streams doing, I wanna see something :dies:

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Posted

 

not him trying to eat the (alleged) killer's nachos

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Posted

not a ******* merch

 

17HSMdI.gif17HSMdI.gif17HSMdI.gif

 

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Posted
19 minutes ago, Revolution said:

we must continue his movement.

wait umm

Posted
2 minutes ago, Smarticle said:

 

not him trying to eat the (alleged) killer's nachos

Not my Luigi. Someone report this Temu version's account! It's slanderous 

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Posted (edited)
58 minutes ago, Nova_23 said:

Doctors do not set prices. Doctors bill insurance companies based on medicare guidelines. And what they bill is based on diagnosis codes. That's when insurance companies come and nitpick every single diagnosis and note a doctor has written for a patient just so they can deny coverage. Some of you don't realize how much time and effort behind the scenes doctors (and their staff) spend talking to these insurance companies trying to get things covered for a patient because they need it. 

 

Having said that, doctors can be fraudulent by billing for things they didn't do or over billing for services. 

People genuinely just... don't understand the convoluted process private insurance creates that makes it worse for *every single other* actor in healthcare.

 

Physician offices, hospitals, laboratories, etc. all have to navigate the overwrought billing structures of each insurance network. There are some insurance networks who simply won't cover any services by specific providers because they write exclusivity contracts with other providers like larger hospitals or labs. The rot truly starts with them.

 

These things... should be easy and streamlined. Medicare already does this to a much more relatively simpler degree.

 

Medicare's coverage determinations say which diagnoses deem which services medically necessary and qualify for reimbursement, and those reimbursements follow a simple fee schedule. That all goes out with the window with private insurers who get to find as much wiggle room over what constitutes medical necessity to justify denials, before getting into the money these insurers spend on finding technicalities to further deny coverage (missing paperwork, incorrect paperwork, preauthorization errors, etc.).

 

Medical office staff end up wasting their time arguing over the phone with *spins wheels* an Aetna rep about how an ICD-10 code for hypertension is usually accepted by Medicare for lab tests and how Aetna's internal policies that deem the tests as not medically necessary - because such a diagnoses requires also filing 5 other forms and the doctor's office only sent over 4 of them ":)" - are insane.

 

 

Edited by Communion
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Posted (edited)

I haven't scrolled a few pages before to see if this was mentioned already but they are really getting into his lore (digital footprint, actually) and alongside doctors weighing in on X and TikTok, I fear we cannot just describe his injury as some sort of generic "back pain".

He was really suffering! Real life agony. And while reading about his condition I just watched a video from a well-known disability activist outlining how the US healthcare system quite literally mistreats its disabled citizens... it's extremely heartbreaking tbh and with his manifesto I know the girls and gays are saying "free him" in jest because of his attractiveness etc. etc. but he has really WOKEN UP healthcare access inequity. They need to free him off of that alone! The people's eyes are really opened because of this!

 

I have linked the TikTok below and it is worth a watch.

 

 

Edited by chaneloberlin
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Posted

The ATRLers with the Luigi avi's.

 

:skull: :skull: :skull:

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Posted

If he was given bail, he either could have made enough money to get out or someone would have bailed him out.

 

:rip:

Posted
6 minutes ago, Chris said:

The ATRLers with the Luigi avi's.

 

:skull: :skull: :skull:

a true icon

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Posted

this king

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Posted

Obsessed with this diva

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Posted

OOOOH communion ate yall up with his/her/they's essays...sorry!

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Posted


I'm crying ajshshsgsh

 

us girls and gays want to free our man :jonny:

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Posted

This country really is on the brink of a revolution as seen by the clear support and idolization of the assassination of someone who represents medical injustice. People are fed up and hopeless.

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Posted

The nut tribute :deadbanana4: :deadbanana4:

Posted
1 hour ago, Communion said:

People genuinely just... don't understand the convoluted process private insurance creates that makes it worse for *every single other* actor in healthcare.

 

Physician offices, hospitals, laboratories, etc. all have to navigate the overwrought billing structures of each insurance network. There are some insurance networks who simply won't cover any services by specific providers because they write exclusivity contracts with other providers like larger hospitals or labs. The rot truly starts with them.

 

These things... should be easy and streamlined. Medicare already does this to a much more relatively simpler degree.

 

Medicare's coverage determinations say which diagnoses deem which services medically necessary and qualify for reimbursement, and those reimbursements follow a simple fee schedule. That all goes out with the window with private insurers who get to find as much wiggle room over what constitutes medical necessity to justify denials, before getting into the money these insurers spend on finding technicalities to further deny coverage (missing paperwork, incorrect paperwork, preauthorization errors, etc.).

 

Medical office staff end up wasting their time arguing over the phone with *spins wheels* an Aetna rep about how an ICD-10 code for hypertension is usually accepted by Medicare for lab tests and how Aetna's internal policies that deem the tests as not medically necessary - because such a diagnoses requires also filing 5 other forms and the doctor's office only sent over 4 of them ":)" - are insane.

 

 

Thank you for saying this because it's so true. I work in healthcare and it's literally a nightmare dealing with insurance companies. It makes me want to quit because it feels like one big business and these companies are profiting off of people's health. It's so sick. 

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Posted
4 hours ago, BeenTheShit said:

Dear John (TV) and my tears ricochet.  The taste jumped out! :clap3:

 

Taylor? Lock him up!

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Posted
2 hours ago, Gov Hooka said:

His back pain destroyed his life… he made something of his life by targeting someone responsible for wronging him and his family and thus is a symbol of retribution against greedy bloodsuckers. He has not thrown away his life at all. 

We will have single payer healthcare in the country eventually and future generations will look back on our current model in disgust. He very well may be viewed as one of the catalysts for it happening. That's kind of iconic if you ask me. :santa:

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Posted

Anyone get the feeling this won't ever make it to trial? Something tells me he's gonna get silenced/Epstein'd. He's gaining too much popularity. The rich don't want reform.

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Posted
16 minutes ago, Buffy said:

Anyone get the feeling this won't ever make it to trial? Something tells me he's gonna get silenced/Epstein'd. He's gaining too much popularity. The rich don't want reform.

Then he'll become a martyr. :gaycat1:

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Posted
26 minutes ago, Rush said:

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What a dumbass, I bet he feels like a real big CLOWN :bibliahh:

Posted
1 hour ago, Buffy said:

Anyone get the feeling this won't ever make it to trial? Something tells me he's gonna get silenced/Epstein'd. He's gaining too much popularity. The rich don't want reform.

The difference is that Epstein was a monster and Luigi is considered a beloved hero. I cant imagine the public outrage if he gets silenced.  For these cases i think public opinions matter, as long as we keep the conversation going in the right direction, this can still make wave months from now

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