The Reality of Managed "Care"

[xoxoxoBruce]

Originally Posted by wolf

Speaking as someone who spends an unfortunate amount of my work day arguing with insurance companies, it's not care that's managed, it's cost.

Not entirely.
Man has a couple stents put in around his heart.
Ins Co calls the Doc and asks why the man was not put on X medication, which is to treat high blood pressure?
Doc says the man never had high blood pressure.
Ins Co says their records show people on X, do better after getting stents, therefore the man takes X or they won't pay for the stent operation.
That's managed care.