Cigna Making Your Life Easier

This was emailed to me:

I don’t know if you saw the email Cigna distributed this week.

They started strong:

“We’re committed to making it easier for you to do business with us.”

And then immediately disappointed:

“Our new Precertification web page is one of the many ways…”

It’s almost like a giant insurance company has no idea what a physician’s office does all day.

Thought you might be interested in this bit of hypocrisy.

Editor’s Note: Just another day in the life of a doctor.  

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Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  3 comments for “Cigna Making Your Life Easier

  1. Soccerdoc11
    June 11, 2018 at 7:52 pm

    Even worse is often after the nurse is grilled, the doctor has to follow for the peer-to-peer inquisition with a doctor who probably hasn’t ordered such a test in ten years, if ever.

  2. Steve
    June 11, 2018 at 10:10 am

    When I was an Air Force doctor, a new General came through and promised to eliminate a lot of the military medicine paperwork.
    His solution: A new form!
    No… none of the old forms were going away…..
    This is totally true.

  3. Martha Clark, RN
    June 11, 2018 at 6:39 am

    I feel your pain.

    Blue Cross Blue Shield has a lengthy process to get ‘prior authorization’ for MRI/CT scans. I completed one this past Friday with the usual back and forth.

    ‘So why does patient need this CT scan of abdomen?’

    ‘Ummm…you can see it on your screen, I’m sure. He had a scan a few weeks ago. LIVER ABCESS. The man has a huge LIVER ABCESS!’

    ‘Is it to see if he’s responding to treatment, see if problem has worsened, or…’ and she proceeds to give me 10 different scenarios on why a CT of abdomen might be ordered.

    We get through after 20 minutes and she’s about to give the damned approval code, but goes back to beginning of questions again and I have to re-direct her, ‘Ummm…we already did the questions…it was approved. Just give me the number and let me go!’.

    I’m a nurse and feel bad my doc just paid me however much to complete a pointless ‘prior auth’…again! I could be counseling my patient on all kinds of things related to his abcess, but instead get to do this… THANKS BCBS!

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