Cigna tracks every minute that its staff doctors spend deciding whether to pay for health care. Dr. Debby Day said her bosses cared more about being fast than being right: “Deny, deny, deny. That’s how you hit your numbers,” Day said.
The doctors discussed in the article are reviewing cases that have already been denied by a nurse. They can deny a case instantly by copying and pasting the nurse’s justification for a denial. To approve a case, they have to write their rationale for overturning the original decision.
The doctors discussed in the article are reviewing cases that have already been denied by a nurse. They can deny a case instantly by copying and pasting the nurse’s justification for a denial. To approve a case, they have to write their rationale for overturning the original decision.
Rationale: “Gotta go fast!”