Re:Dog insurer: 'jumping, running, slipping, tripping, playi...
by lotsofpulp on Friday December 27, 2019 @11:44AM
(#21892323)
> the denier is a person with no or very little medical knowledge compared to their doctor.
This is not true. There are teams of MDs and PharmDs that evaluate what treatment options are effective and are backed up with data, and they create the criteria with which to determine what is appropriate or not based on the persons medical history and chart notes. Also, employers and governments often provide insurance (or better named managed care organizations - MCO) companies with the criteria of what they want to pay for, so many times it’s not even up to the MCOs themselves.
This is not true. There are teams of MDs and PharmDs that evaluate what treatment options are effective and are backed up with data, and they create the criteria with which to determine what is appropriate or not based on the persons medical history and chart notes. Also, employers and governments often provide insurance (or better named managed care organizations - MCO) companies with the criteria of what they want to pay for, so many times it’s not even up to the MCOs themselves.