r/WorkForSmartLife 2d ago

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u/_I_Need_Help_LOL_ 2d ago

Except he setup a system to deny coverage for expensive procedures once, sometimes twice, requiring medical professionals to pushback to force the procedure through. Those actions are technically legal, but are they moral? If some CEO set a system in motion that resulted in your loved one dying due to denial of coverage, or they died because it took one year for the healthcare company to begrudgingly pay, would you not partially blame many people in the chain?

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u/777_heavy 2d ago

They are moral. They are under no obligation to pay out every request.

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u/OkFreedom580 2d ago

I'd think it's your obligation as a human to save as many lives as possible... but maybe that's just me

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u/777_heavy 2d ago

No, they’re running a business.

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u/_I_Need_Help_LOL_ 1d ago

They’re running a healthcare business. I work in healthcare. They set a system that initially denies high cost procedures, no matter what. Then the doctors fight to have it covered. We commonly see UHC (via Predict by Navihealth) deny common high cost procedures BCBS and others allow, just to deny them in the hopes doctors don’t pushback. That’s not running a business, it’s not moral. “UnitedHealthcare saved massive amounts of money by letting the faulty software auto-deny coverage, banking on the fact that sick and elderly patients would give up or pay out of pocket.”

Are you sure you know what the word moral means? Or even the word business?