Jessica Mendoza
๐ค SpeakerAppearances Over Time
Podcast Appearances
But from the perspective of someone hoping to get a procedure approved and their loved ones, the situation can feel very personal. Ed Stratton's health problems started back in 2019 when he was diagnosed with colorectal cancer. To treat that, he underwent surgery and chemotherapy. Here's his daughter Erin again.
But from the perspective of someone hoping to get a procedure approved and their loved ones, the situation can feel very personal. Ed Stratton's health problems started back in 2019 when he was diagnosed with colorectal cancer. To treat that, he underwent surgery and chemotherapy. Here's his daughter Erin again.
But from the perspective of someone hoping to get a procedure approved and their loved ones, the situation can feel very personal. Ed Stratton's health problems started back in 2019 when he was diagnosed with colorectal cancer. To treat that, he underwent surgery and chemotherapy. Here's his daughter Erin again.
then, in the late summer of 2023, Ed started feeling sick again. It was his liver. Colorectal cancer often spreads to the liver, so his doctors started treatment. But that caused other problems.
then, in the late summer of 2023, Ed started feeling sick again. It was his liver. Colorectal cancer often spreads to the liver, so his doctors started treatment. But that caused other problems.
then, in the late summer of 2023, Ed started feeling sick again. It was his liver. Colorectal cancer often spreads to the liver, so his doctors started treatment. But that caused other problems.
Ed's doctors determined that he couldn't survive at the rate he was going. That's when they turned to emerging research that showed the best course of action for patients like Ed was a liver transplant. They did an extensive assessment that showed he was the right candidate for this kind of surgery. And then the doctors submitted the paperwork to the insurance company.
Ed's doctors determined that he couldn't survive at the rate he was going. That's when they turned to emerging research that showed the best course of action for patients like Ed was a liver transplant. They did an extensive assessment that showed he was the right candidate for this kind of surgery. And then the doctors submitted the paperwork to the insurance company.
Ed's doctors determined that he couldn't survive at the rate he was going. That's when they turned to emerging research that showed the best course of action for patients like Ed was a liver transplant. They did an extensive assessment that showed he was the right candidate for this kind of surgery. And then the doctors submitted the paperwork to the insurance company.
It was in May that Anthem rejected Ed's claim. It sent him a letter saying his plan didn't cover care that was, quote, investigational and not medically necessary.
It was in May that Anthem rejected Ed's claim. It sent him a letter saying his plan didn't cover care that was, quote, investigational and not medically necessary.
It was in May that Anthem rejected Ed's claim. It sent him a letter saying his plan didn't cover care that was, quote, investigational and not medically necessary.
So what kind of explanation do patients typically get when they get a denial? Very little explanation.
So what kind of explanation do patients typically get when they get a denial? Very little explanation.
So what kind of explanation do patients typically get when they get a denial? Very little explanation.
Meanwhile, Ed was declining further. A big problem was that his liver kept getting infected. And timing is critical when it comes to transplants. You can't be so sick you won't recover from the surgery. If you get that sick, then you could be taken off the recipients list. Here's his daughter Erin again.
Meanwhile, Ed was declining further. A big problem was that his liver kept getting infected. And timing is critical when it comes to transplants. You can't be so sick you won't recover from the surgery. If you get that sick, then you could be taken off the recipients list. Here's his daughter Erin again.
Meanwhile, Ed was declining further. A big problem was that his liver kept getting infected. And timing is critical when it comes to transplants. You can't be so sick you won't recover from the surgery. If you get that sick, then you could be taken off the recipients list. Here's his daughter Erin again.
Was there any concern that, you know, your dad was going to run out of time?
Was there any concern that, you know, your dad was going to run out of time?