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The "I Can't Believe There's No Abortion Thread" Part Deux: Electric Boogaloo

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  • Originally posted by Deutsche Gopher Fan View Post
    Idaho won’t even allow abortion for an ectopic pregnancy. Beyond bonkers
    Holy Christ
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    As of 9/21/10:         As of 9/13/10:
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    Originally posted by SanTropez
    May your paint thinner run dry and the fleas of a thousand camels infest your dead deer.
    Originally posted by bigblue_dl
    I don't even know how to classify magic vagina smoke babies..
    Originally posted by Kepler
    When the giraffes start building radio telescopes they can join too.
    He's probably going to be a superstar but that man has more baggage than North West

    Comment


    • Originally posted by Swansong View Post

      I hear that, but lay the blame where it belongs then, which is on the manufacturer. You said yourself that you had to do almost all the leg work anyway.


      Also - depending on the policy of your provider's company - they can print scripts anyway. If they use Epic, they just set to Order Mode to "Print" and it'll print. This is used in EDs very regularly, for patients that aren't sure where they will fill a script (or homeless patients, or whatever).
      If we printed script and it was presented we were penalized. Pretty sure this is still the rule. They want everything trackable and to force it to go thru the pharmacy they are in bed with.

      Comment


      • Originally posted by Deutsche Gopher Fan View Post
        Idaho won’t even allow abortion for an ectopic pregnancy. Beyond bonkers
        It's the natural result of having morons decide on policy.

        Not everything should be up to the voters.
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        • Originally posted by leswp1 View Post
          If we printed script and it was presented we were penalized. Pretty sure this is still the rule. They want everything trackable and to force it to go thru the pharmacy they are in bed with.
          Penalized how? Pharmacies give patients pushback and sometimes directly call the prescriber, but it's absolutely still legal and at times necessary.
          I gotta little bit of smoke and a whole lotta wine...

          Comment


          • Originally posted by Swansong View Post

            Penalized how? Pharmacies give patients pushback and sometimes directly call the prescriber, but it's absolutely still legal and at times necessary.
            If the patient reached the pharmacy with the script before they took it off the fax/list then they used the paper. If the patient went to one pharmacy, was told it would be a long wait and went to another one, the paper would be used. It was verboten. Insurance companies like to keep the script in the place they are in bed with. The deals they have with companies often cost patients more. The generic cost of amox might be a couple of bucks- way less than the copay.

            Its legal to use paper, sometimes necessary but that doesn't stop them from trying to avoid paying out to the Provider. Its been awhile but the threat I got was I would have a penalty of x% on all my reimbursement if I didn't start toeing the line re prescriptions. This was a lifetime penalty from one of the insurance co. ie- it would be detrimental to both me and anyone who employed me if I moved to another place. From what I am hearing I don't think this has stopped.

            Comment


            • The biggest issue that I see is that you've got a monolith pharma-retailer like CVS that owns a massive chunk of the prescription insurance market. It's something like 33%. Why is this obvious racket allowed?

              If your Rx insurance is through CVS, they want you filling maintenance drugs at their stores. They will do one-offs with other pharmacies, but anything you take regularly has to go through them. They will also routinely fight 90-day Rxs for stuff like anti-depressants, even if your provider puts it in as a 90-day.

              Comment


              • Originally posted by FadeToBlack&Gold View Post
                The biggest issue that I see is that you've got a monolith pharma-retailer like CVS that owns a massive chunk of the prescription insurance market. It's something like 33%. Why is this obvious racket allowed?

                If your Rx insurance is through CVS, they want you filling maintenance drugs at their stores. They will do one-offs with other pharmacies, but anything you take regularly has to go through them. They will also routinely fight 90-day Rxs for stuff like anti-depressants, even if your provider puts it in as a 90-day.
                What's funny is CVS is almost always the lowest cost for me.
                Code:
                As of 9/21/10:         As of 9/13/10:
                College Hockey 6       College Football 0
                BTHC 4                 WCHA FC:  1
                Originally posted by SanTropez
                May your paint thinner run dry and the fleas of a thousand camels infest your dead deer.
                Originally posted by bigblue_dl
                I don't even know how to classify magic vagina smoke babies..
                Originally posted by Kepler
                When the giraffes start building radio telescopes they can join too.
                He's probably going to be a superstar but that man has more baggage than North West

                Comment


                • But otherwise yeah, too vertically integrated. You can't have a company that is supposed to negotiate these prices be a counterparty in the negotiations.

                  Imagine if Lockheed ran the group in cha... never mind.
                  Code:
                  As of 9/21/10:         As of 9/13/10:
                  College Hockey 6       College Football 0
                  BTHC 4                 WCHA FC:  1
                  Originally posted by SanTropez
                  May your paint thinner run dry and the fleas of a thousand camels infest your dead deer.
                  Originally posted by bigblue_dl
                  I don't even know how to classify magic vagina smoke babies..
                  Originally posted by Kepler
                  When the giraffes start building radio telescopes they can join too.
                  He's probably going to be a superstar but that man has more baggage than North West

                  Comment


                  • You see the vertical integration with Luxotica and eyeglasses already. They own the lens makers, the optometry chain that prescribes said lenses, and the provider that pays for said lenses...
                    It's never too early to start the Pre-game festivities

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                    Cuck the Fubs... Let's Go WHITE SOX!!!

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                    • Comcast is the blurst of them all. Everything from the lens to screen. Plus the studio itself.
                      Code:
                      As of 9/21/10:         As of 9/13/10:
                      College Hockey 6       College Football 0
                      BTHC 4                 WCHA FC:  1
                      Originally posted by SanTropez
                      May your paint thinner run dry and the fleas of a thousand camels infest your dead deer.
                      Originally posted by bigblue_dl
                      I don't even know how to classify magic vagina smoke babies..
                      Originally posted by Kepler
                      When the giraffes start building radio telescopes they can join too.
                      He's probably going to be a superstar but that man has more baggage than North West

                      Comment


                      • Originally posted by leswp1 View Post

                        If the patient reached the pharmacy with the script before they took it off the fax/list then they used the paper. If the patient went to one pharmacy, was told it would be a long wait and went to another one, the paper would be used. It was verboten. Insurance companies like to keep the script in the place they are in bed with. The deals they have with companies often cost patients more. The generic cost of amox might be a couple of bucks- way less than the copay.

                        Its legal to use paper, sometimes necessary but that doesn't stop them from trying to avoid paying out to the Provider. Its been awhile but the threat I got was I would have a penalty of x% on all my reimbursement if I didn't start toeing the line re prescriptions. This was a lifetime penalty from one of the insurance co. ie- it would be detrimental to both me and anyone who employed me if I moved to another place. From what I am hearing I don't think this has stopped.
                        Oh I see what you're saying. Yeah, Medicare and most payers require some percentage of scripts to be e-prescribed. I'm not involved with MIPS anymore, but when I last was I had built out a bunch of reporting to show providers how they were doing. I don't pretend to be clinical, but I do get requiring x% of patients to be screened for this and that - one of the goals of the ACA was to help normalize outcomes and one of the ways you can do that is by making sure basic health maintenance topics are covered.

                        But I don't really get payers giving a crap about e-prescribed from a clinical perspective. Financial? Sure. But that's bull****.
                        I gotta little bit of smoke and a whole lotta wine...

                        Comment


                        • On the topic of abortion.

                          Ohio grand jury declined to indict the woman who miscarried. Shocking as she was black and I’m sure some good ole Americans are itching to punish her in Ohio

                          Comment


                          • Originally posted by Deutsche Gopher Fan View Post
                            On the topic of abortion.

                            Ohio grand jury declined to indict the woman who miscarried. Shocking as she was black and I’m sure some good ole Americans are itching to punish her in Ohio
                            I find it galling that states will investigate a woman after a miscarriage. I know there were some ... odd events in this case, but jesus tapdancing christ she intended to have the child. She's already in hell.
                            I gotta little bit of smoke and a whole lotta wine...

                            Comment


                            • Originally posted by Swansong View Post

                              I find it galling that states will investigate a woman after a miscarriage. I know there were some ... odd events in this case, but jesus tapdancing christ she intended to have the child. She's already in hell.
                              Why are you surprised? It’s about punishing women. Some Central American countries jail women for miscarriages. Idaho won’t even help a woman who is dying from ectopic. Soon enough, someone will be in jail for a miscarriage and I’m just so sad our resident centrist, who thought women who had sex had to deal with the consequences, isn’t here to shrug and say “well she had sex”

                              Comment


                              • Oh, I am not surprised. Just disgusted.
                                I gotta little bit of smoke and a whole lotta wine...

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