Show 1390: How Insurance Company Rejections Impact Medical Care

The People's Pharmacy

Joe and Terry Graedon

Health & Fitness, Medicine, Kids & Family, Alternative Health

4.5 • 934 Ratings

🗓️ 27 June 2024

⏱️ 60 minutes

🔗️ Recording | iTunes | RSS

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Summary

If you need surgery, medication or some other medical intervention, you count on your health insurance company to pay the bill. When the treatment is unusual or the expected cost is especially high, it seems reasonable to ask for prior approval. Increasingly, though, insurance companies are denying those requests and not paying the claims. How […]

Transcript

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0:00.0	I'm Joe Gradyton and I'm Terry Grady. Welcome to this podcast of the People's Pharmacy.
0:06.1	You can find previous podcasts and more information on a range of health topics at people's Pharmacy.com.
0:15.0	If you need surgery or a new medicine,
0:17.0	you'll have to check with the insurance company
0:20.0	to make sure it's covered.
0:22.0	This is the People's Pharmacy with Terry and Joe Grayden. insurance companies pay the bill so it's understandable that they would want to
0:38.6	make sure the treatments they cover are appropriate.
0:42.3	In some cases though, it seems that the default is to deny the claim.
0:48.0	Some companies even have a position termed the denial nurse.
0:52.0	Having to arm wrestle the insurance company termed the denial nurse.
0:52.8	Having to arm wrestle the insurance company about claim denials
0:56.2	can suck up a lot of doctor's time.
0:58.8	Coming up on the People's Pharmacy, how denials of health insurance claims can interfere with medical care. In the People's Pharmacy Health Headlines, the connection between your digestive tract and your brain is coming into sharper focus.
1:24.0	Scientists have long recognized that the brain can influence the digestive tract.
1:29.0	People who have to give an important talk often report butterflies in their stomach. This can even make them nauseated.
1:36.0	Now, researchers at UCLA report that the brain-gut microbiome system plays an influential role on mental health.
1:45.0	They analyzed the components of the gut microbiota and found certain patterns
1:50.5	associated with emotional resilience.
1:53.0	People with this balance of microbes in their stool
1:56.0	were less likely to report symptoms of depression or anxiety.
2:00.0	Their bacteria also appeared to have better energy metabolism, lower
2:04.5	inflammation, and more adaptability. According to the investigators, these
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