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Ep. 45 - How one Cigna medical director denied 60,000 claims in a month

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Manage episode 374179606 series 3502474
Content provided by Fulcrum Strategies, LLC, Fulcrum Strategies, and LLC. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Fulcrum Strategies, LLC, Fulcrum Strategies, and LLC or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.
Last week the investigative publication ProPublica released an article detailing Cigna’s ($CI ) use of a computer system that automatically denies claims that meet certain parameters. Our own president and CEO Ron Howirgon was interviewed for the article and participated in a ProPublica/The Capitol Forum webinar on the matter. He and Matthew discussed the contents of the article and what can be done to solve this problem in this week’s episode of the FLATLINING Podcast. Subscribe to the FLATLINING Podcast on Apple Podcasts, Spotify, the iHeartRadio app, Amazon Music, Google Podcasts, Stitcher, Pandora, TuneIn, and Audible. Articles mentioned in this program: How Cigna Saves Millions by Having Its Doctors Reject Claims Without Reading Them - ProPublicaMedically Necessary - ProPublica via YouTube This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.flatlining.net
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107 episodes

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Manage episode 374179606 series 3502474
Content provided by Fulcrum Strategies, LLC, Fulcrum Strategies, and LLC. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Fulcrum Strategies, LLC, Fulcrum Strategies, and LLC or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.
Last week the investigative publication ProPublica released an article detailing Cigna’s ($CI ) use of a computer system that automatically denies claims that meet certain parameters. Our own president and CEO Ron Howirgon was interviewed for the article and participated in a ProPublica/The Capitol Forum webinar on the matter. He and Matthew discussed the contents of the article and what can be done to solve this problem in this week’s episode of the FLATLINING Podcast. Subscribe to the FLATLINING Podcast on Apple Podcasts, Spotify, the iHeartRadio app, Amazon Music, Google Podcasts, Stitcher, Pandora, TuneIn, and Audible. Articles mentioned in this program: How Cigna Saves Millions by Having Its Doctors Reject Claims Without Reading Them - ProPublicaMedically Necessary - ProPublica via YouTube This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.flatlining.net
  continue reading

107 episodes

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