On July 17, the Wall Street Journal published an op-ed tilted, “The Games Insurers Play With Your Diagnosis.” Neurosurgeons Luis M. Tumialán, MD, FAANS, and Mark A. Pacult, MD, comment on the rise of spurious insurer-driven diagnoses in Medicare Advantage. “The exploitation of patients and their diagnoses by insurers goes largely unchecked. Practices to undermine care to boost insurer profits at the expense of patients and physicians are widespread,” stated Drs. Tumialán and Pacult. “As independently practicing neurosurgeons, we have documented similar abuses by insurance companies.”
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