Darla Markley, 53, said her insurer had sent her a letter preapproving her to have a battery of tests at the Mayo Clinic in neighboring Minnesota after she came down with transverse myelitis, a rare, paralyzing illness that had kept her hospitalized for over a month. But after the tests found she also had beriberi, a vitamin deficiency, Anthem Blue Cross and Blue Shield judged that the tests weren’t needed after all and refused to pay — although Markley said she and Mayo had gotten approval.
While Darla learned to walk again, the Markleys tried to pay off the bills. Even after Mayo wrote off some of what they owed, her disability and Social Security checks barely covered her insurance premiums. By 2014, five years after her initial hospitalization, they had no choice but to declare bankruptcy.
Anthem Blue Cross and Blue Shield spokesperson Leslie Porras said company “records do not indicate that Ms. Markley had tests authorized that were later denied.”
Markley said she never would have had the tests done if she had known insurance was not going to pay for them. “I feel for anyone that finds themselves in that predicament,” said Markley, a nurse who was pursuing her Ph.D. in education. “You can go from an upstanding middle-class American citizen to completely under the eight ball.”
The billing quagmire into which the Markleys fell is often called “retrospective denial” and is generating attention and anger from patients and providers, as insurers require preapproval — sometimes called “prior authorization” — for a widening array of procedures, drugs and tests. While prior authorization was traditionally required only for expensive, elective or new procedures, such as a hip replacement or bypass surgery, some insurers now require it for even the renewal of some prescription drugs. Those preapprovals are frequently time-limited.
While doctors and hospitals chafe at the administrative burden, insurers contend the review is necessary to ferret out waste in a system whose costs are exploding and to ensure physicians are prescribing useful treatments.
But patients face an even bigger problem: When insurers revoke their decision to pay after the service is completed, patients are legally on the hook for the bill.
Prior authorizations may now include a line or two saying something like: “This is not a guarantee of payment.” This loophole allows insurers to change their minds after the fact — citing treatments as medically unnecessary upon further review, blaming how billing departments charged for the work or claiming the procedure was performed too long after approval was granted.
Bree Newsome is the black rights activist who climbed the flagpole to remove the rebel flag, if anyone’s wondering why her name sounds familiar but can’t place it!
Now that the mask is off, Warren proceeds with her lies about Bernie. Bernie is not a billionaire and takes no money from SuperPAC’s.
However, Warren took 10 million dollars from SuperPAC’s before her campaign officially started, and then transferred that money to her campaign account.
This piece was found in 1820 by an Italian traveler Giovanni Battista Caviglia. The Colossus of Ramesses II is an enormous statue carved in limestone. It is about 10m (33.8 ft) long, even though it has no feet, and is located near the village of Mit Rahina (Memphis).
A small museum has been built to house this magnificent piece. The fallen colossus was found near the south gate of the temple of Ptah, located about 30m from the huge limestone statue of Ramesses II. Some of the original colors are still partly preserved.
Photograph by Major Wilfred Herbert James Sale. National Army Museum, London.
Idk why y’all act like because someone black (especially a black men) is successful that they no longer can be held accountable for the horrible things they’ve done. I don’t care about legacy and representation for black people if said persons legacy involves abuse or assault.
“Tarnishing the legacies of beautiful black men”…
I don’t understand why people are attacking Gayle. All she did was ask a question. She just asked if Lisa thought that that case was relevant in the discussion of his legacy and Lisa said no and they moved on. It’s really just not that deep. They even talked about how the case was settled. So all in all her questions were more than fair and it wasn’t even the point of the interview.
I think it’s 100% valid for people to point out how Oprah is willing to make whole documentaries about black abusers but take pictures with and defend Harvey Weinstein. That’s a valid point, but gayle on the other hand does not deserve the treatment she’s getting for asking a balancing question.
AN UNSIGNED AGREEMENT between a Wet’suwet’en First Nation and Coastal GasLink along with financial documents obtained by Yellowhead Institute provide reinforcement to Yellowhead’s assessment of the ways these private contracts can dramatically undermine First Nation rights and jurisdiction.
I just learned this but Sanders’ website has an “anti-endorsements” page which I consider absolutely excellent. This is the thing that makes him tolerable for me tbh, I would love to shift the American metapolitical landscape to the point where we start recognizing that realpolitik rather than bipartisanship is the guiding principle
lmao this rules
Haters not on the Left, aka only good for their Wrongness
GIVE ME YOUR BIOMETRIC DATA SO I CAN ANALYSE YOUR BONE STRUCTURE CHILDREN🤪
That’s genuinely terrifying
Giggle me timbers, it’s a nightmare frankensocialmedia.
So, what do they actually collect and what do they do with it? Well:
Collecting my data? My biometrics and location?
You betcha.
And you will sell all that information?
Gotta make a profit ❤️
And how about information on my ethnicity, political standing, religion, criminal record, location, my biometrics, sexuality and gender?
Well. We will sell that too, but only to the good girls and guys 😊 We will sell your biometrics to facial recognition software and everything else to your government or others, that give us enough money 🙏
So if I am in a country that wants to target me for my ethnicity, religious beliefs, sexuality, gender identity or political standing, you will sell them this information?
In a heartbeat 🏳️🌈
…..
Do not use this Plattform. Please.
called giggle because the developers are laughing at anyone who signs up for this villianous platform
Jesus fuck, I thought they were kidding
Bloody hell
What a fun way to practice phrenology AND the comodification of every aspect of your life at the same time!
Every single review is 1 star, most of which mention phrenology or trans rights. There is only a single five-star review. This is it:
This blog is mostly so I can vent my feelings and share my interests. Other than that, I am nothing special.
If you don't like Left Wing political thought and philosophy, all things related to horror, the supernatural, the grotesque, guns or the strange, then get the fuck out. I just warned you.
