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(CBS Miami)   This is amazing for two reasons. A man's severed fingertip is completely regenerated including the nail using a template made from pig bladder cells. The second is the insurance company is now making medical decisions. Care panels   (miami.cbslocal.com) divider line 78
    More: Cool, florida, pig bladder, Delray Beach, judicial panel  
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6189 clicks; posted to Main » on 17 Sep 2013 at 7:22 AM (1 year ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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2013-09-17 03:02:23 AM  
Pretty sure insurance companies only make financial decisions.
 
2013-09-17 06:29:42 AM  

colinspooky: Pretty sure insurance companies only make financial decisions.

The insurance company wanted the rest of the finger amputated.


And I'm pretty sure if every actuary in the country was arrested on RICO charges, the world would be a better place.

Or we could just strafe the buildings with Warthogs. They have a lot of options for payloads. I'm sure at least some of them don't go the WHOLE way through office buildings. Maybe we could design an "office buster" smart bomb that only goes in 3-6 meters and then explodes with a less-lethal payload than conventional military weapons. Tear gas instead of boomex or whatever they use these days.

www.airforce-technology.com
 
2013-09-17 07:17:24 AM  
The second is the insurance company is now making medical decisions. Care panels

Don't blame ObamaCare for that.  This has been going on for years.  On the other hand the insurance companies will say that they're not making decisions.   They're just telling you that they're not going to pay for something that you want, and you agreed to this when you purchased their policy.  If you want something that's not covered, you're welcome to pay for it yourself.
 
2013-09-17 07:20:36 AM  
ECM is amazing stuff. Not that you'd learn anything about it from TFA.
 
GBB
2013-09-17 07:28:25 AM  
"I can count on one hand how many fingers I have left"
 
2013-09-17 07:28:51 AM  
The real question is: Can the regenerated fingertip unlock his iPhone?
 
2013-09-17 07:30:05 AM  
"The insurance company wanted the rest of the finger amputated."

Fair's fair...I want insurance execs amputated.

They want anesthetics?

Oh, no...that's not covered.
 
2013-09-17 07:31:49 AM  
Whoa whoa whoa wait... You mean we can accomplish this WITHOUT human embryonic stem cells?  I'm so confused, i though that was the only way to keep Michael J Fox alive
 
2013-09-17 07:37:51 AM  
Health Insurance companies are so resistant to experimental procedures and treatments I'm surprised they pay for other things besides leeches, bleeding, and trepanning.
 
2013-09-17 07:38:08 AM  

Earguy: The second is the insurance company is now making medical decisions. Care panels

Don't blame ObamaCare for that.


To be fair, the submitter said Care panels.  ObamaCare has DEATH panels.
 
2013-09-17 07:38:09 AM  
It's unfortunate it grows back so blurry.
 
2013-09-17 07:38:53 AM  

doglover: colinspooky: Pretty sure insurance companies only make financial decisions.

The insurance company wanted the rest of the finger amputated.


And I'm pretty sure if every actuary in the country was arrested on RICO charges, the world would be a better place.

Or we could just strafe the buildings with Warthogs. They have a lot of options for payloads. I'm sure at least some of them don't go the WHOLE way through office buildings. Maybe we could design an "office buster" smart bomb that only goes in 3-6 meters and then explodes with a less-lethal payload than conventional military weapons. Tear gas instead of boomex or whatever they use these days.

[www.airforce-technology.com image 620x371]


I'm not seeing the problem here. Someone comes in with the tip of their finger bitten off, and there is a relatively standard procedure for that. Most doctors would have done the same thing, do you want to firebomb them as well? Do you really think that if/when we move to single-payer, there isn't going to be a similar set of restrictions and approved procedures? Everyone biatches that their insurance company is too greedy to cover an experimental treatment, we'll just end up trading that for biatching that the public health service won't cover it either.
 
2013-09-17 07:39:55 AM  
Jeebus, some of the comments on that site are just derptastic.
 
2013-09-17 07:41:51 AM  
It's all well and good, but it's left his finger looking a bit blurry
 
2013-09-17 07:43:20 AM  

GBB: "I can count on one hand how many fingers I have left"


Well, with one hand that has five fingers you can count to 31!

/Geek
 
2013-09-17 07:43:25 AM  

Earguy: The second is the insurance company is now making medical decisions. Care panels

Don't blame ObamaCare for that.


Except now we have a Care Commissar.

/don't turn around, he's in town, uh oh
 
2013-09-17 07:45:25 AM  

r1niceboy: Health Insurance companies are so resistant to experimental procedures and treatments I'm surprised they pay for other things besides leeches, bleeding, and trepanning.


Let's not be hasty...leeches don't grow on trees, you know.  The patients can darned well drain their OWN blood.

Trepanning can be outsourced to a local body shop, to keep costs down.  We've got executive bonuses to pay.
 
2013-09-17 07:47:06 AM  

edmo: It's unfortunate it grows back so blurry.


hahahaha. thanks. i mean it.
 
2013-09-17 07:47:10 AM  
So, you tie a pig bladder to things and fingers grow inside it? Am I retarded since that article left me more confused than I usually am?
 
2013-09-17 07:51:50 AM  

Harvey Manfrenjensenjen: I'm not seeing the problem here. Someone comes in with the tip of their finger bitten off, and there is a relatively standard procedure for that


Yeah, bloodletting and ye olde bead mould. It if moft beneficial for diverf maladies.
 
2013-09-17 08:00:01 AM  
I, for one,hail and bow down to our new lizardmen overlords.
 
2013-09-17 08:03:30 AM  

doglover: Harvey Manfrenjensenjen: I'm not seeing the problem here. Someone comes in with the tip of their finger bitten off, and there is a relatively standard procedure for that


Yeah, bloodletting and ye olde bead mould. It if moft beneficial for diverf maladies. I've got nothing, so here's some bullshiat false equivalency strawman.

FTFY.
 
2013-09-17 08:14:54 AM  

Crunchy Frog: Jeebus, some of the comments on that site are just derptastic.


some?
 
2013-09-17 08:20:03 AM  
Was this article written by a remedial high school English dropout or is this what passes for acceptable writing in the USA now?
 
2013-09-17 08:21:09 AM  

Harvey Manfrenjensenjen: I'm not seeing the problem here. Someone comes in with the tip of their finger bitten off, and there is a relatively standard procedure for that


The problem is that reflexive adherence to standardized procedure, especially when that is driven by a desire to reduce costs rather than improve outcomes, impedes innovation and progress. Example:

Patient: My soon to be exwife just chopped my dick off over an article she saw in Cosmo!

Doctor: Okay we can totally fix that using this new technology which it grow it back and probably leave you with feeling in it too!

Insurance Company: Whoa, whoa, whoa. Hold on there, Tex. The standard procedure is to just tie off the stump and teach him to sit when he pees.
 
2013-09-17 08:22:48 AM  
FTFA:  It's a difficult horse and is had history using our training methods," Halpern recalled.

Are they teaching the horse history?

/and is had
 
2013-09-17 08:23:02 AM  

SAN66: Was this article written by a remedial high school English dropout or is this what passes for acceptable writing in the USA now?


Yes
 
2013-09-17 08:23:53 AM  

poe_zlaw: So, you tie a pig bladder to things and fingers grow inside it? Am I retarded since that article left me more confused than I usually am?


Nah, the article was definitely lacking in details.  I'm confused as well.
 
2013-09-17 08:25:24 AM  
Some of you guys think you know what you're talking about... I'm getting a kick...

With that out of the way - my company deals with insurance company moronity every day. We concluded long ago (15+ years) that the insurance company's sole "job" is to find ways to deny claims or state they never received them.

Many of these payers have long had medical staff that review the procedure to determine if it was, in their sole opinion, medically necessary. We have a certain speciality or two that we bill for that we take to the point of having a particular insurance company's staff sign off on the treatment plan to ensure it will be paid for and even then we occasionally have to appeal - reminding them they signed off on it. This is beyond authorization to the point where the patient's chart and treatment plan is reviewed with the payer's medical staff, just to get them to pay for something they would have in the first place.

CSB -

Many years ago, before electronic claim submission was even regularly used, we would send a stack of 50 claims or so to a payer in alphabetical order. After a few weeks we would call in to check on these claims and would find that maybe 25 of them would have made it into the payer's system - but that 25 would be made up of various letters throughout the alphabet so it was clear to us they received all the claims - half of them just never made it into the system. Most physician's offices are too busy to follow up and try to find them so the payer wins.

Another kicker is authorizations - God help you if you don't call and get authorization first. Even though the payer would have paid for *everything* you did, if you didn't ask permission first they're not paying you a penny and they're laughing at you for working for free. At least our Medicaid is decent about retroactive authorization - they pay crap but they're generally pretty easy to work with in my state.

With today's electronic systems and claim acknowledgements the reason for not processing claims has changed to missing information. It's funny that all the other claims submitted in that batch were ok tho.
 
2013-09-17 08:30:54 AM  

slykens1: With that out of the way - my company deals with insurance company moronity every day. We concluded long ago (15+ years) that the insurance company's sole "job" is to find ways to deny claims or state they never received them.


Hence RICO.

We send them to the pen forever like the mob they are.
 
2013-09-17 08:36:54 AM  

Monkeyhouse Zendo: Harvey Manfrenjensenjen: I'm not seeing the problem here. Someone comes in with the tip of their finger bitten off, and there is a relatively standard procedure for that

The problem is that reflexive adherence to standardized procedure, especially when that is driven by a desire to reduce costs rather than improve outcomes, impedes innovation and progress. Example:

Patient: My soon to be exwife just chopped my dick off over an article she saw in Cosmo!

Doctor: Okay we can totally fix that using this new technology which it grow it back and probably leave you with feeling in it too!

Insurance Company: Whoa, whoa, whoa. Hold on there, Tex. The standard procedure is to just tie off the stump and teach him to sit when he pees.


Again, I see everyone biatching about it, but I see no alternatives offered. Are you suggesting that insurance companies and/or the government pay out for whatever some random doctor decides to do?

And I never said you can only do the standard procedure - innovate as much as you want and one day it may just become the new standard procedure - just recognize that until then alternatives may not be covered in the same manner and don't whine about it.
 
2013-09-17 08:38:12 AM  

Kentucky Fried Children: poe_zlaw: So, you tie a pig bladder to things and fingers grow inside it? Am I retarded since that article left me more confused than I usually am?

Nah, the article was definitely lacking in details.  I'm confused as well.


The treatment is a powder or membrane containing the components of extracellular matrix, the raw material used to manufacture it is pig bladders.

The ECM promotes ingrowth of cells, some of which are pluripotent and differentiate into the various types of cells that normally populate that area of the body.  What exactly signals them to turn into an epithelial cell, or reconstitute the subcutaneous tissue layer, or form new vascular networks is unknown.  Probably Jesus.
 
2013-09-17 08:43:09 AM  

Vertdang: Crunchy Frog: Jeebus, some of the comments on that site are just derptastic.

some?


Now that I think about it, it seems like just about all of the major news sources websites comment sections have become the new "opinions" page. Filled with the least educated, derpiest, most completely off-the-wall insane statments that I've ever had the misfortune of reading. Don't these mental midgets have something better to do with their time than expose others to their idiocy?

My current "facepalm so hard I punched my brain through the back of my skull"
scontent-a-lax.xx.fbcdn.net
 
2013-09-17 08:47:24 AM  

Harvey Manfrenjensenjen: Again, I see everyone biatching about it, but I see no alternatives offered. Are you suggesting that insurance companies and/or the government pay out for whatever some random doctor decides to do?


Nice straw man, you get those in bulk? I'm suggesting that care be driven by outcomes rather than minimizing cost. If a doctor comes up with a treatment that is outside the range of standard treatments, that is between the doctor and his patient, but should be submitted to an independent board for review to determine whether it is medically justified.

And I never said you can only do the standard procedure - innovate as much as you want and one day it may just become the new standard procedure - just recognize that until then alternatives may not be covered in the same manner and don't whine about it.

Why shouldn't procedures which can be demonstrated to improve outcome be covered? We make far too many medical decisions based on short term cost rather than long term outcome.
 
2013-09-17 08:52:05 AM  

Vertdang: Don't these mental midgets have something better to do with their time than expose others to their idiocy?


What do little people have to do with this?
 
2013-09-17 08:52:52 AM  

Vertdang: Vertdang: Crunchy Frog: Jeebus, some of the comments on that site are just derptastic.

some?

Now that I think about it, it seems like just about all of the major news sources websites comment sections have become the new "opinions" page. Filled with the least educated, derpiest, most completely off-the-wall insane statments that I've ever had the misfortune of reading. Don't these mental midgets have something better to do with their time than expose others to their idiocy?

My current "facepalm so hard I punched my brain through the back of my skull"


See, but it's kind of good in a way. At least his acquaintances and neighbors can know how stupid he really is and stay the fark away from him. Local papers are doing a public service by outing these morons.
 
2013-09-17 09:00:54 AM  

doglover: slykens1: With that out of the way - my company deals with insurance company moronity every day. We concluded long ago (15+ years) that the insurance company's sole "job" is to find ways to deny claims or state they never received them.

Hence RICO.

We send them to the pen forever like the mob they are.


This is why I just want ins. companies to adhere to 'truth in advertising.'  They are not in business to pay claims, they are in business to make money, keep stockholders happy, and the only way to do those 2 things is to take in more dollars from premiums than they pay out in benefits.  Stop telling us, 'we care,' when you don't, pay the benefits we purchased, and then it's on us to read our contacts before we purchase, to determine the best value for our needs.
 
2013-09-17 09:02:00 AM  

Gothnet: GBB: "I can count on one hand how many fingers I have left"

Well, with one hand that has five fingers you can count to 31!

/Geek


22's the shocker.
 
2013-09-17 09:08:14 AM  

colinspooky: Pretty sure insurance companies only make financial decisions.


You've got a bit of learning to do, back to work.
 
2013-09-17 09:15:21 AM  

colinspooky: Pretty sure insurance companies only make financial decisions.


financial decisions ARE care decisions when your business is health insurance. Are you dense?
 
2013-09-17 09:17:33 AM  
Free Market Bureaucrats are best bureaucrats.
 
2013-09-17 09:20:19 AM  

cherryl taggart: doglover: slykens1: With that out of the way - my company deals with insurance company moronity every day. We concluded long ago (15+ years) that the insurance company's sole "job" is to find ways to deny claims or state they never received them.

Hence RICO.

We send them to the pen forever like the mob they are.

This is why I just want ins. companies to adhere to 'truth in advertising.'  They are not in business to pay claims, they are in business to make money, keep stockholders happy, and the only way to do those 2 things is to take in more dollars from premiums than they pay out in benefits.  Stop telling us, 'we care,' when you don't, pay the benefits we purchased, and then it's on us to read our contacts before we purchase, to determine the best value for our needs.


I want insurance to be illegal or the mob to be legal. I don't really care which way that cookie crumbles, as expirentially it will be win-win for us little folken. Either the insurance is made illegal and healthcare has to adapt (read: get cheaper) or the mob becomes legal and we can all make more money leaning on the neighbors and running "legitimate business" tax free so we can afford better policies.
 
2013-09-17 09:22:03 AM  
Monkeyhouse Zendo:The problem is that reflexive adherence to standardized procedure, especially when that is driven by a desire to reduce costs rather than improve outcomes, impedes innovation and progress. Example:

Patient: My soon to be exwife just chopped my dick off over an article she saw in Cosmo!

Doctor: Okay we can totally fix that using this new technology which it grow it back and probably leave you with feeling in it too!

Insurance Company: Whoa, whoa, whoa. Hold on there, Tex. The standard procedure is to just tie off the stump and teach him to sit when he pees.


You bastard. You made me have to shut off my internet before someone could see why I was laughing! +1
 
2013-09-17 09:28:09 AM  
You know you're on Fark when there's an article about a doctor regrowing a guy's amputated finger, and the thread contains nothing but arguing about what health insurance should cover.

This is actually kind of amazing, guys. I'm just sayin'.
 
2013-09-17 09:28:42 AM  

Earguy: The second is the insurance company is now making medical decisions. Care panels

Don't blame ObamaCare for that.  This has been going on for years.  On the other hand the insurance companies will say that they're not making decisions.   They're just telling you that they're not going to pay for something that you want, and you agreed to this when you purchased their policy.  If you want something that's not covered, you're welcome to pay for it yourself.


Yep.
 
2013-09-17 09:31:54 AM  

doglover: healthcare has to adapt (read: get cheaper)


What happens if it can't (or won't) get cheaper?
 
2013-09-17 09:31:59 AM  

gglibertine: You know you're on Fark when there's an article about a doctor regrowing a guy's amputated finger, and the thread contains nothing but arguing about what health insurance should cover.

This is actually kind of amazing, guys. I'm just sayin'.


To be fair, there are some comments about how poorly written the article is.
 
2013-09-17 09:36:01 AM  

Madbassist1: colinspooky: Pretty sure insurance companies only make financial decisions.

financial decisions ARE care decisions when your business is health insurance. Are you dense?


Nope, not dense. You really think insurance companies will worry unduly about the patient exclusively over and above any financial implication?  Ho ho. Are you dense?
 
2013-09-17 09:39:51 AM  

neversubmit: FTFA:  It's a difficult horse and is had history using our training methods," Halpern recalled.

Are they teaching the horse history?

/and is had


Yes, I think the author had a stroke mid-sentence. The whole quote is mind-boggling:  "After the treat it made a mistake. It's a difficult horse and is had history using our training methods"
 
2013-09-17 09:42:59 AM  

Earguy: Don't blame ObamaCare for that.  This has been going on for years.  On the other hand the insurance companies will say that they're not making decisions.   They're just telling you that they're not going to pay for something that you want, and you agreed to this when you purchased their policy.  If you want something that's not covered, you're welcome to pay for it yourself.


What insurance company do you have, because I didn't receive a list of what procedures are covered before or after making my insurance choice. That's information that I learn on a piecemeal basis whenever I go to the doctor. I suppose you could say that I agreed to allow them to make arbitrary decisions regarding what health care procedures they'll cover but it's not like there's an alternate provider that doesn't demand that concession.

What I agreed to is number of covered checkups, copay, percentage of care covered, and limits on total cost per unit time. When I agreed to that 80/20 split on what they pay vs what I pay I didn't see an itemized list of procedures that applies to and I suspect that if such a list exists, it is locked away in a vault at the provider's HQ with a sign on the door stating "Beware of the jaguar".
 
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