medical director insurer admitted he never looked at patients’ records when deciding whether to approve or deny care.

Posted on February 11, 2018 by Pharmaciststeve

CNN Exclusive: California launches investigation following stunning admission by Aetna medical director http://www.cnn.com/2018/02/11/health/aetna-california-investigation/index.html (CNN)California’s insurance commissioner has launched an investigation into Aetna after learning a former medical director for the insurer admitted under oath he never looked at patients’ records when deciding whether to approve or deny care. California Insurance Commissioner Dave Jones expressed outrage […]

Filed under: General Problems | 2 Comments »

The “NO WIN GAME” … damn if you do… damn if you don’t

Posted on February 11, 2018 by Pharmaciststeve

From the prescriber Sued by widow of patient who committed suicide 12/19, He has been tapering for months. Successfully came off fentanyl.  No one else in the state would prescribe for him.  After Dr xxxxx was convicted , I notified my remaining 8-9 patients on opiates that I could no longer do this for them.  […]

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Are we going from a covert GENOCIDE to CARPETING BOMBING the chronic pain community ?

Posted on February 11, 2018 by Pharmaciststeve

The above 2 page letter was received by one of those unfortunate intractable chronic pain pt has CVS Health/Caremark as their PBM.  This pt has been on 70 mg of Methadone/day and 20 mg Oxycodone 3xd as needed for some time. According to CVS this pt needs to be at abt 25 mg/day of Methadone […]

Filed under: General Problems | 11 Comments »

High opiate doses may be clinically appropriate… the bureaucracy finds it politically unacceptable ?

Posted on February 11, 2018 by Pharmaciststeve

Filed under: General Problems | 2 Comments »

Are Pharmacy Benefit Managers Screwing Us All? | Incident Report 055

Posted on February 11, 2018 by Pharmaciststeve

Filed under: General Problems | 1 Comment »