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Politics : Formerly About Advanced Micro Devices -- Ignore unavailable to you. Want to Upgrade?


To: Alighieri who wrote (506206)8/19/2009 3:19:48 PM
From: i-node  Read Replies (1) | Respond to of 1578270
 
>> i can tell you that from recent first hand experience.

You're FOS.

Case in point. I spoke with BCBS on an issue last week in which I spent 1.5 hours on the phone with the same person until it was resolved.

A provider cannot do that with Medicare. If you can get to a human at all, you are allowed to discuss THREE claims in a call. At that point the call is terminated. What if there are four claims involved? You're told to hang up and call back.

Please. You have no idea WTF you're talking about.



To: Alighieri who wrote (506206)8/19/2009 3:25:17 PM
From: Tenchusatsu  Read Replies (5) | Respond to of 1578270
 
Al, > In a complex system one tries to achieve a balance between simple and too simple, where fraud is then a byproduct...something you have complained about as well.

A large part of the problems that the insurance companies have to deal with are the patchwork of regulations across all 50 states. For example, CA has its own pharmacy board, separate from the national board. TX has is own set of drug regulations that gives any insurance agent nightmares.

This can be solved without having to nationalize health care, but I don't see much in Obama's plan that will do that. In fact, I don't think any Democrat really wants to make things easier for private health insurance, especially with the way they're positioning themselves.

Tenchusatsu