this post was submitted on 16 Aug 2025
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[–] BlueLineBae@midwest.social 12 points 4 days ago* (last edited 4 days ago) (2 children)

I work for a big healthcare provider and in spite this likely being true, I still hear all the time about trying to "reduce over utilization". It's disgusting.

[–] Tollana1234567@lemmy.today 2 points 4 days ago

and probably qoutas for DENIALS, over approvals for certain situations. i know one drug, dupixent is often denied by insurance, because its super expensive.

[–] Capricorn_Geriatric@lemmy.world 1 points 4 days ago (1 children)

Is "healthcare provider" an actual provider of healthcare (hospital, private practice, etc) or a middleman?

Hospitals clearly want to have as many procedures as they can. Insurers likewise want to pay for none. Hence "overutilization".

Any way it is, companies gonna chase profit with no eye for people. Remember, they don't exist for people. They do for money.

[–] BlueLineBae@midwest.social 1 points 3 days ago

Oh it's definitely a middleman regardless of what they call themselves.