“A doctor has shared a shocking story of how UnitedHealthcare stopped a cancer surgery to ask if it was medically necessary in a new Instagram video,” Suzanne Blake writes over at Newsweek. “Elisabeth Potter, a doctor based in Austin, Texas, created a video on Instagram detailing her experience treating a cancer patient and the roadblocks UnitedHealthcare put up during a surgery procedure. UnitedHealthcare’s CEO Brian Thompson was shot and killed in Manhattan in early December, sparking a wave of debate and criticism over how insurance companies like UnitedHealthcare block care for patients under prior authorization rules. … Potter said she was performing a bilateral DIEP flap surgery, which is a reconstruction surgery that takes place after a mastectomy, when she was interrupted by a call from United Healthcare. The patient was already asleep on the operating table. ‘They demanded information about her diagnosis and inpatient stay justification,’ Potter said in a post on Instagram. ‘I had to scrub out mid-surgery to call United, only to find that the person on the line didn’t even have access to the patient’s full medical information, despite the procedure already being pre-approved. It’s beyond frustrating and, frankly, unacceptable. Patients and providers deserve better than this. We should be focused on care, not bureaucracy.’ ” Suzanne Blake, “Doctor says UnitedHealthcare stopped cancer surgery to ask if necessary,” Newsweek.
Jeanne Pinder is the founder and CEO of ClearHealthCosts. She worked at The New York Times for almost 25 years as a reporter, editor and human resources executive, then volunteered for a buyout and founded... More by Jeanne Pinder
