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NBC New’s Program — Cost of Denial

Tonight’s episode on the 6:30pm news, showcased a gentleman Mr. Middleton, whom has Bile Duct Cancer was denied a life extending dr-g Ziihera that hos Oncologist and team recommended.

Cigna denied and suggested another dr-g that most likely would not extend Mr. Middleton’s life long enough to obtain the liver transplant he needs. Unlike the recommended dr-g Ziihera most likely would

Just another example as to how profits are being placed before member’s health. Our healthcare system is truly broken.

Oftentimes I hear persons say that reason why healthcare is so expensive in the U.S. is because of all the state of the art technology and research. And although I do not doubt that is the case, I think persons would take maybe less state of the art technologies and research, if they could at least have their healthcare actually save their life in an affordable way, when needed.

To use a metaphor, what good would it be if all commercial planes got replaced with an equivalent to airforce one, if because of that now, it would cost a person $20k to fly from San Diego to San Francisco?

Also, I think there is a lot of greed going on where C-Suite executives are getting paid millions, Large Bank Investors are making major profits, and because of that, which has been recognized by hospitals and providers now figure they might as well not be left out of the profit gains and charging exponential costs for services that would have cost a fraction in the 50’s, 60’s, and 70’s. And I won’t even bother mentioning Pharmaceutical manufacturers. I really do not know what to think about it nor what can be done.

Anyway, here below is a little about that news program, if you want to check it out.

(Not sure yet if Humana has ever been mentioned yet on this program but would not be surprised. Unless of course they pay off NBC a big fat check for millions to keep them out of any episodes.)

"The Cost of Denial" is an NBC News series that investigates the financial and emotional impact of insurance companies denying claims for health, home, or auto coverage. The series features stories of people struggling to get coverage for medical treatments, repairs, and medications, highlighting how insurers use processes like prior authorization to deny claims. NBC News provides an email, CostofDenial@nbcuni.com, for individuals to share their experiences with insurance denials.


LDU HOW WE FEELING???

This "RPM" announcement sure if making me feel in Good Hands and like Allstate really cares for my well-being and work life balance!

I love being expected to babysit shops on top of investigating liability, handling claimant rental, and just all the other joys of my job!

/s


State of affairs

Sooooo, we missed Q3 numbers on both earnings and premiums... then Florida’s profit cap forced a roughly $1B policyholder credit (back in September) soooo this slammed profits, so the stock is now junk. On a lighter note, all competitors have same problems and are junk too.


Severance Packages

I’m hearing conflicting info about what the severance package will be for the upcoming layoff population. Will it be the same as those who decided to leave?? Feels wrong to give ppl who decided to leave the same as ppl who actually still want their jobs. And specifically the insurance/COBRA. Will it be subsidized thru to the end of the severance term?


Amazing email on benefits improvement

Having a hard time swallowing this. Honeywell actually is planning to pick up the tab for medical insurance premiums to the tune of 40%.

It reads as if the decision was taken to voluntarily give employees money. Someone please find the cash. It seems too good to be true!


Eye Infection

Signed up for COBRA today, after Oracle delayed for too long sending the details on that. They said technically I don't have insurance until the provider is notified that I have signed up, and that can take up to a week (retroactively I am covered). So don't delay on COBRA to avoid having to tell your story to your doc and the billing dept.
Also, seems there is lots of action in the COBRA company and they are very, very busy. Good thing the government is shut down so the unemployment data is on hold while the captains of industry rake in their hundreds of billions.


Layoffs in Q4 2025

Rumors are getting strong that there will be big layoffs in Q4 2025. HR is preparing the lists. Each VP got a target number for their department. It will be a sad Xmas season for a LOT of people.

Sounds like it is going to be a quarterly thing from now.

Glad they are finally addressing the problem with all the under performers.


benefits changes

I'm really frustrated to learn that Truist will be cutting its $500 deductible and co-pay medical insurance plans in 2026. From now on, they'll only offer high deductible plans with no co-pay option. It feels like they keep stripping away employee benefits with each passing year. What’s going on?


Attrition tactics are aplenty in this place

I’ve never worked for cheaper ba----ds. They’ll try anything to force us out so they don’t have to pay a dime. I’ve been through several companies, all packed with soulless management and cruel leadership using “creative” ways to get rid of people. But State Farm takes the cake - the harassment, abuse, and daily pressure here are on another level.


Economist's Culture Analysis

In the first plot select 'Insurance' and 'USAA':

https://www.economist.com/interactive/business/2025/06/16/corporate-culture?fsrc=core-app-economist&mc_cid=fa28ffc4ba

The second chart shows culture dimensions like Transparency, Candor, Strategy vs leadership, pre and post COVID.


Let's help make Progressive #1 - Get out the word! Go Progressive!!!!!!

Please, please, please move all your insurance over to Progressive to help them expand their #1 position. Tell all your friends and family. State Farm is too expensive, we all know the service su-ks with the trash we hire and hit useless agents and Execs in the pocket book. If we can help SF shrink more and make the Execs look bad, they will have no choice but to start cutting people and offering the severance to more people. Especially for those of us in claims who just want the he-l out of the total dumpster fire. Between the MT legacy and "2040 cancer" that is eating away everything once decent about SF, it needs to be known as the greatest disaster in the history of business. This place is a total sh-t show.


Inflation, Stagnant Wages, and Rising Insurance Costs

Over the past two years, soaring inflation has eroded household budgets while Bank of America held salary increases well below cost of living gains, leaving real wages stagnant as unemployment ticks up to its highest level in over two years; at the same time, health insurance costs are climbing, premiums are set to rise around 6 percent next year and average deductibles are increasing further squeezing workers’ finances.

What comprehensive measures can individuals take? Do you suggest any tactics to deal with this?


CEO shaking things up!

Good for the CEO — he made some bold choices about his directs.

Hopefully he will hire at least a few military veterans with banking and/or insurance industry experience as he reshapes the EVP cadre.

It’s surprising that in recent years, USAA didn’t have a single person who served in uniform on its top leadership team.

With so many EVP roles now open, this is an opportunity to find talent that truly knows what it means to serve.


State Farm Insurance Held Liable In Class Action Suit

  • An Arkansas jury sided with plaintiffs in a class action lawsuit against State Farm Insurance alleging it shortchanged customers on claims.*

https://www.wboc.com/news/state-farm-insurance-held-liable-in-class-action-suit/video_b78e33b3-4d3c-57f5-a8b6-54d4f47c008d.html
Sep 2, 2025 Updated 4 hrs ago
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Take a page out of this woman's book. She was sc--wed out of just under $600 on her Total Loss, and she started a 47k person class action lawsuit as the lead Plaintiff in a Arkansas. "It was more about principle, than money." She drove a Hyundai, lives in Arkansas, and is missing some teeth in the front of her mouth. Shoulda gave her the $600 SF...


Icky feeling

Social media has many stories of patients being denied medications or treatments. Doctors post about having to fight insurances for tests, procedures, or medications.

Most of the people working for these insurances want to do good jobs. We want to get claims processed correctly. We’re just cogs. We don’t make these policies that stress and frustrate members and providers.

There has to be a better way.