this post was submitted on 05 Jun 2025
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They absolutely do this. A drug with a lack of efficacy data is a great way to get shortlisted to insurance denials
It’s one of the frustrating things bc people can then easily manipulate the issue. A drug that can be prescribed a doctor and filled by a pharmacy being denied by an insurance company is very easy to write about online. Then it’s a slam piece, “x insurance company denied me my meds”. Basically 0 people will have any interest in the nuance that the medication is bullshit or possibly even harmful. Too bad insurance companies made their bed by being absolutely horrible for decades, I guess.
From the article:
I’m guessing their citation only includes Medicare and Medicaid because those have publicly-available data for the study to review, but I have to assume that private insurers pay a ton as well. I can see your point that insurance denials result in angry sick people, but there’s not really a lot of nuance in “that medication has never been shown to be safe and effective for your (or any) condition.”
I dunno. Everyone sucks here.