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Health Insurers Should Have Medical Liability for Denials

Daniel Paull MD complains about insurance companies not having have any liability when a patient suffers harm as a result of their denials.

September 24, 2022

Most people would agree that if someone makes a medical decision for a patient, then they should have some liability if that decision violated the standards of care, and caused harm.

Almost all physicians are very careful while creating medical treatments for their patients.

Careful that they are doing the right thing, are not missing anything, and are not causing any significant harm.

Insurance companies get to make medical decisions for their patients with impunity.

They can deny a necessary scan, which was declared necessary by a physician that physical log saw them.

 

Insurance companies get to make medical decisions for their patients with impunity. They can deny a necessary scan, which was declared necessary by a physician who physical saw them. Click To Tweet

 

If the patient suffers harm because this scan or treatment was denied, the insurers face absolutely no liability.

It looks like this,” We didn’t say they couldn’t get the scan, we just said we wouldn’t pay for it.”

In reality, this does mean that a lot of times the patient really can’t get the scan if insurance doesn’t pay for it.

It’s ridiculous that they don’t have any medical liability in these cases.

Insurance companies not only have no liability, they waste the time of many physicians who have to fight with them to get necessary care and treatments approved.

This is unpaid time spent away from seeing patients, on the phone, getting transferred and dropped calls.

All opinions published on SomeDocs-Mag are the author’s and do not reflect the official position of SoMeDocs, its staff, editors. SoMeDocs is a magazine built with the safety of free expression and diverse perspectives in mind. For more information, or to submit your own opinion, please see our submission guidelines or email opmed@doximity.com. Do you have a compelling personal story you’d like to see published on SoMeDocs? Find out what we’re looking for here and submit your writing, or send us a pitch.

All opinions published on SomeDocs-Mag are the author’s and do not reflect the official position of SoMeDocs, its staff, editors. SoMeDocs is a magazine built with the safety of free expression and diverse perspectives in mind. Do you have a compelling personal story you’d like to see published on SoMeDocs? Submit your own article now here.

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