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

[FadeToBlack&Gold]

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.

 

[dxmnkd316]

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.

 

[dxmnkd316]

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.

 

[RaceBoarder]

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...

 

[dxmnkd316]

Comcast is the blurst of them all. Everything from the lens to screen. Plus the studio itself.

 

[Swansong]

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 bullshit.

 

[Deutsche Gopher Fan]

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

 

[Swansong]

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.

 

[Deutsche Gopher Fan]

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”

 

[Swansong]

Oh, I am not surprised. Just disgusted.

 

[bronconick]

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

They only declined to charge because there's no Ohio law requiring miscarriage remains to be buried or cremated. The Ohio GOP will probably fix that "loophole".

 

[Deutsche Gopher Fan]

They only declined to charge because there's no Ohio law requiring miscarriage remains to be buried or cremated. The Ohio GOP will probably fix that "loophole".

Drew still thinks she was negligent.

drew, a guy who supposedly doesn’t have a vsgina or uterus and has no idea what it physically entails to miscarriage, how it can feel like a bowel movement. Woman should have squatted in a box or placed her hands in toilet to dig out remains, no doubt.

 

[dxmnkd316]

They only declined to charge because there's no Ohio law requiring miscarriage remains to be buried or cremated. The Ohio GOP will probably fix that "loophole".

How far along was she again? For a very good while, you're basically being forced to cremate anything from what looks like a blood clot to a jellyfish. This is so fucked.