HOME >> MEDICINE >> NEWS
Why do doctors lie to insurers?

ANN ARBOR, MI Imagine you go see your doctor because you've been suffering from severe chest pain. Your physician diagnoses you with coronary heart disease and puts you on the maximum amount of medication to help ease your pain. But your pain doesn't go away. Your next option is bypass surgery, but your insurance company won't pay for it unless your symptoms get worse. What to do next is the one of the biggest dilemmas facing doctors today.

In a paper published today in the Archives of Internal Medicine, University of Michigan Health System researchers found some physicians are willing to misrepresent clinical information to insurance companies in order for their patients to receive the medical treatment they feel is necessary.

Senior author of the paper, Peter A. Ubel, M.D., associate professor of internal medicine in the University of Michigan Medical School and research investigator at the Ann Arbor Veterans Administration Medical Center, says he's not surprised.

"In an effort to control health care costs, many insurance companies have developed mechanisms to limit physicians' ability to order expensive tests or treatments," says Ubel. "If the HMO says 'no', doctors can appeal, but often, it is a long and burdensome process. So in some cases, physicians lie about their patient's condition."

Using a random survey of 890 physicians with similar scenarios, the study found 11 percent of doctors said they would misrepresent the patient's condition to obtain HMO approval for surgery or additional procedures. Seventy-seven percent said they would appeal the decision, while 12 percent said they would accept it. But when hassle of the appeals process increased, so did the number of physicians willing to misrepresent patient information.

"The 'hassle factor' had a big influence over the doctors' actions," notes Ubel, director of the Program for Improving Health Care Decisions or PIHCD, a new program funded jointly by the U-
'"/>

Contact: Carrie Hagen
umhsmedia@umich.edu
734-764-2220
University of Michigan Health System
26-May-2002


Page: 1 2

Related medicine news :

1. HIV and ID doctors oppose ideologically driven STI prevention policies
2. Mountaineering doctors hike medicine to new heights with Xtreme Everest
3. Honorary doctors, 2005
4. Acting techniques may help doctors empathize with their patients
5. Older doctors less likely to follow current standards of care
6. Overseas junior doctors warned to expect unemployment in the UK
7. UT Southwestern doctors track Oklahoma Alzheimers patients via telemedicine
8. Womens heart risk underestimated by doctors, resulting in less preventive care than in men
9. RelayHealth selected by Columbia University to link doctors and patients online
10. Temp doctors choose career for flexibility, easier lifestyle
11. Health report-card fears make doctors forgo potential life-saving heart treatment

Post Your Comments:
*Name:
*Comment:
*Email:


(Date:9/3/2020)... ... September 03, 2020 , ... The ... the focus of Fall 2020 Virtual Conference, a two-day virtual event for radiology ... Imaging & Beyond" is the follow-up to AuntMinnie.com's successful virtual event in spring ...
(Date:9/2/2020)... (PRWEB) , ... September 02, 2020 , ... ... enterprise software for healthcare payers administering Medicare Advantage and Special Needs plans, is ... presented by America’s Health Insurance Plans (AHIP). RAM is supporting the event as ...
(Date:9/1/2020)... ... September 01, 2020 , ... As fall and winter ... Cohn Health Institute has taken this time to expand and grow into ... 30th Anniversary, the Cohn Health Institute will be relaunching its brand new website, expanding ...
(Date:8/31/2020)... CHESTER, N.J. (PRWEB) , ... August 31, 2020 , ... Just found out your dear ... cancer.” It’s heartbreaking when your friend or family member shares their diagnosis. Once the shock ... if I say the wrong thing? What are the best ways to help? Words are ...
(Date:8/31/2020)... (PRWEB) , ... August 31, 2020 , ... ... of innovative higher-learning opportunities through high-quality, career-relevant, and affordable online education – is ... Psychology . , Among the first of its kind in the nation, ...
Breaking Medicine News(10 mins):
(Date:9/1/2020)... ... September 01, 2020 , ... While coronavirus cases continue ... as businesses, schools and community organizations remain closed. Because about 80% of blood donations ... help of both blood donors and blood drive hosts to ensure blood products are ...
(Date:8/31/2020)... ... 31, 2020 , ... If you live in New York City you will always pay more ... it’s the law of supply and demand, but are plastic surgeons in New York worth ... of their patients that make the four-hour trip to have expert aesthetic treatments by some ...
(Date:8/28/2020)... ... ... Dr. Mark Surrey has been in practice for over 25 years. He ... the Department of OBGYN at UCLA’s David Geffen School of Medicine. , He ... is a Clinical Director of Fellowship Training for UCLA & Cedars Sinai Reproductive Endocrinology. ...
Breaking Medicine Technology:
Cached News: