Lurker > Antifar

What are they saying that isn't believed by millions? We should be directly confrontational to all of it.

I would bet a large number of people used to go on Saturdays. Saturday closure is fucked up

This is pretty stupid. All its doing is what the user is specifically telling it to calculate.

When a stubborn pain in Nick van Terheydens bones would not subside, his doctor had a hunch what was wrong.
Without enough vitamin D in the blood, the body will pull that vital nutrient from the bones. Left untreated, a vitamin D deficiency can lead to osteoporosis.

A blood test in the fall of 2021 confirmed the doctors diagnosis, and van Terheyden expected his companys insurance plan, managed by Cigna, to cover the cost of the bloodwork. Instead, Cigna sent van Terheyden a letter explaining that it would not pay for the $350 test because it was not medically necessary.

The letter was signed by one of Cignas medical directors, a doctor employed by the company to review insurance claims.

Something about the denial letter did not sit well with van Terheyden, a 58-year-old Maryland resident. This was a clinical decision being second-guessed by someone with no knowledge of me, said van Terheyden, a physician himself and a specialist who had worked in emergency care in the United Kingdom.

The vague wording made van Terheyden suspect that Dr. Cheryl Dopke, the medical director who signed it, had not taken much care with his case.

Van Terheyden was right to be suspicious. His claim was just one of roughly 60,000 that Dopke denied in a single month last year, according to internal Cigna records reviewed by ProPublica and The Capitol Forum.

The rejection of van Terheydens claim was typical for Cigna, one of the countrys largest insurers. The company has built a system that allows its doctors to instantly reject a claim on medical grounds without opening the patient file, leaving people with unexpected bills, according to corporate documents and interviews with former Cigna officials. Over a period of two months last year, Cigna doctors denied over 300,000 requests for payments using this method, spending an average of 1.2 seconds on each case, the documents show. The company has reported it covers or administers health care plans for 18 million people.

Before health insurers reject claims for medical reasons, company doctors must review them, according to insurance laws and regulations in many states. Medical directors are expected to examine patient records, review coverage policies and use their expertise to decide whether to approve or deny claims, regulators said. This process helps avoid unfair denials.

But the Cigna review system that blocked van Terheydens claim bypasses those steps. Medical directors do not see any patient records or put their medical judgment to use, said former company employees familiar with the system. Instead, a computer does the work. A Cigna algorithm flags mismatches between diagnoses and what the company considers acceptable tests and procedures for those ailments. Company doctors then sign off on the denials in batches, according to interviews with former employees who spoke on condition of anonymity.

We literally click and submit, one former Cigna doctor said. It takes all of 10 seconds to do 50 at a time.
Not all claims are processed through this review system. For those that are, it is unclear how many are approved and how many are funneled to doctors for automatic denial.
Insurance experts questioned Cignas review system.

Patients expect insurers to treat them fairly and meaningfully review each claim, said Dave Jones, Californias former insurance commissioner. Under California regulations, insurers must consider patient claims using a thorough, fair and objective investigation.

Its hard to imagine that spending only seconds to review medical records complies with the California law, said Jones. At a minimum, I believe it warrants an investigation.

Within Cigna, some executives questioned whether rendering such speedy denials satisfied the law, according to one former executive who spoke on condition of anonymity because he still works with insurers.

We thought it might fall into a legal gray zone, said the former Cigna official, who helped conceive the program. We sent the idea to legal, and they sent it back saying it was OK.

Cigna adopted its review system more than a decade ago, but insurance executives say similar systems have existed in various forms throughout the industry.

In a written response, Cigna said the reporting by ProPublica and The Capitol Forum was biased and incomplete.
Cigna said its review system was created to accelerate payment of claims for certain routine screenings, Cigna wrote. This allows us to automatically approve claims when they are submitted with correct diagnosis codes.

When asked if its review process, known as PXDX, lets Cigna doctors reject claims without examining them, the company said that description was incorrect. It repeatedly declined to answer further questions or provide additional details. (ProPublica employees health insurance is provided by Cigna.)

He had a D next to his name. That all it takes in NYC general elections.

Saturday closures, restricted weekday hours, cuts to educational programs and a freeze on new branch openings.

Those are some of the drastic steps New York Citys public library systems may be forced to take if Mayor Adams moves ahead with his push to cut their budgets by more than $36 million this year, according to damning City Council testimony Monday.

Seven members of the Adams County Sheriffs Office who raided Joseph Foremans home last year are now suing him claiming, among other things, that he invaded their privacy.

Four deputies, two sergeants and a detective are claiming Foreman (a.k.a. Afroman) took footage of their faces obtained during the raid and used it in music videos and social media posts without their consent, a misdemeanor violation under Ohio Revised Code.

Theyre also suing on civil grounds, saying Foremans use of their faces (i.e. personas) in the videos and social media posts resulted in their emotional distress, embarrassment, ridicule, loss of reputation and humiliation.

The plaintiffs say theyre entitled to all of Foremans profits from his use of their personas. That includes, according to the complaint, proceeds from the songs, music videos and live event tickets as well as the promotion of Foremans Afroman brand, under which he sells beer, marijuana, t-shirts and other merchandise.

Theyre also asking for an injunction to take down all videos and posts containing their personas.

Cincinnati attorney Robert Klingler filed the suit in Adams County Common Pleas Court on March 13 against Foreman, his recording firm and a Texas-based media distribution company. Not every law enforcement officer involved in the raid is named as a plaintiff.

Foreman on Wednesday posted to Instagram promising to countersue for the undeniable damage this had on my clients, family, career and property.

The sheriffs office conducted the armed raid of Foremans Adams County home last August. See the bodycam video below:

Sheriffs deputies acted on a warrant claiming probable cause existed that drugs and drug paraphernalia would be found on Foremans property and that trafficking and kidnapping had taken place there.

They come up here with AR-15, traumatize my kids, destroyed my property, kick in my door, rip up and destroy my camera system, he said in August.

The suspicions turned out to be unfounded. The Adams County Prosecutors Office said the raid failed to turn up probative criminal evidence, according to attorney Anna Castellini. No charges were ever filed.

In a bizarre turn of events unrelated to the civil suit, the sheriffs office appeared to come up hundreds of dollars short returning cash seized from Foremans property. An independent investigation by Ohio BCI resolved the matter last month, concluding deputies had miscounted the money during the raid itself.

Months after the raid, Foreman published two songs referencing the raid: Lemon Pound Cake and Will You Help Me Repair My Door. He also published accompanying music videos that include footage of the raid from his home surveillance cameras as well as his wifes cell phone.

They found out about the soup

Dude is an evil bore.

So there's no American team?

welp, thisll be the last time we see professional players in the wbc

MAGA protesters got away with that shit in DC. Try the same mess they did in NYC, fuck around, they gonna find out. NYPD don't play that.

Wrong.

https://gamefaqs.gamespot.com/boards/400-current-events/80385612
https://gamefaqs.gamespot.com/boards/400-current-events/80385588

1. Pride and Prejudice, by Jane Austen
2. Jane Eyre, by Charlotte Bronte
3. Moby Dick, by Herman Melville
4. A Tale of Two Cities, by Charles Dickens
5. The Adventures of Huckleberry Finn, by Mark Twain
6. Crime and Punishment, by Fyodor Dostoevsky
7. Middlemarch, by George Eliot
8. Anna Karenina, by Leo Tolstoy
9. The Jungle, by Upton Sinclair
10. The Great Gatsby, by F. Scott Fitzgerald
11. Brave New World, by Aldous Huxley
12. The Grapes of Wrath, by John Steinbeck
13. For Whom the Bell Tolls, by Ernest Hemingway
14. Nineteen Eighty-Four, by George Orwell
15. The Catcher in the Rye, by JD Salinger
16. Invisible Man, by Ralph Ellison
17. Lord of the Flies, by William Golding
18. On the Road, by Jack Kerouac
19. To Kill a Mockingbird, by Harper Lee
20. The Bluest Eye, by Toni Morrison