The Problem With Insurance
- Caitlin Sembach
- Sep 10, 2024
- 3 min read
For as long as I can remember, health insurance is something my parents always had, used, and benefitted from. When I turned 26, and was effectively taken off of their insurance, I started looking into obtaining my own coverage.
Little did I know that the premiums for a healthy individual, i.e. someone having no re-occurring prescriptions, no outstanding injuries needing care, and someone who was exercising and paying attention to nutrition, were upwards of $375 per month with a high deductible. I debated why I would pay that much every month, just to not regularly use it, and likely still need to pay out of pocket when I go to annual check ups?
This situation cracked open the vault that I would then learn more about from the inside of different medical practices.
I started to see fairly healthy individuals as patients, people whom needed chiropractic care, but could not get the approval or visit number they needed if they were not rating their pain scale extraordinarily high. I would learn about the loop holes to jump through in the integrated offices to get the best insurance payouts. I would see how the minds of doctors had to operate more like business owners in order to scale the practice with acceptance of insurance.
Through my experiences in school and in clinical practice I continued to make these observations and come to the conclusion that the insurance and health care model that exists today does not help active adults or even our veterans.
It does not help our young athletes unless they need a surgery. It does not help health enthusiasts receive top tier performance-based care. Our veterans have to fight hard and jump through hoops to get the health care they deserve too.
The system we have breeds patient mills, where numbers become more important than patient outcomes. It shifts the care plans to using up time on treatment modalities that are not significantly effective for tissue healing, so the doctor can bounce from patient to patient in a hurry, while raking in more from your insurance company. It allows more people to enter the world of chronic pain than necessary.
Scare plans instead of care plans, dependence on the system instead of independence. Pain patterns that cycle back around after a few days of having treatment.
Most of us have experienced this before. I have from the inside as a provider and tried changing the model to reflect better despite many challenges to do so. I've also experienced it as the active patient on the outside, with high school soccer injuries.
It's a multilevel problem, but I believe that it gets addressed with providers choosing to treat on cash models. Providers choosing to spend more time with their patients. Providers choosing to keep up to date with the recent research on treatment effectiveness and outcomes.
Our patients deserve more than quick fix adjustments and cookie cutter exercise plans.
Tired of paying a lot for very little time with your provider or being another number in the patient mill?
We promise to deliver top notch care and give you the time you deserve. If you're not convinced we're the right choice for you, book a Discovery Call with us, where we will figure out what your next steps should be - whether you become a member of our family or not! Simply click https://sembachchiropracticpllc.janeapp.com to schedule
OR send us an email at drcait@catchthesechirohands.com to book your call with a provider directly!
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