A Blue Cross exec sent out a memo with talking points to help company employees handle the fallout resulting from filmmaker Michael Moore’s scathing take on the American healthcare system, “SiCKO”—and Moore got his hands on it. Oops! (H/t: Crooks and Liars)
Beginning of memo: [The following memo was written by Barclay Fitzpatrick, VP of corporate communications for Capital BlueCross]
I was able to see Sicko last night in Lancaster. There were about 30 other viewers in the theatre covering all age groups. I have attached the well-written memo from one of our partners, which describes cases used in the movie, to the end of my memo. Also attached are the latest talking points from BCBSA. I will focus on impact to our brands, issues, and suggested strategies in this memo.
The Movie
You would have to be dead to be unaffected by Moore’s movie, he is an effective storyteller. In Sicko Moore presents a collage of injustices by selecting stories, no matter how exceptional to the norm, that present the health insurance industry as a set of organizations and people dedicated to denying claims in the name of profit. Denial for treatments that are considered “experimental” is a common story, along with denial for previous conditions, and denial for application errors or omissions. Individual employees from Humana and other insurers are interviewed who claim to have actively pursued claim denial as an institutionalized goal in the name of profit.
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I wonder if there’s anything to Fitzgerald’s complaint that Moore lumped the for-profit HMOs together with non-profit HMOs like Blue Cross? If Blue Cross truly is non-profit in spirit as well as fact (i.e. not just complying with IRS regulations to remain a technical “non-profit,” but managing it operations and salaries and policies roughly the same way the government would if it were providing health care ... then many of Moore’s strongest criticisms of the “system” don’t apply to it.
I believe firmly in a single-payer, government-run healthcare system (“Medicare for everyone”)—but for as long as we have the system we currently have, I’d like to see Moore (or others) comment on this non-profit / for-profit distinction - specifically, whether non-profit HMOs are any more likely to be prone to the horrors shown in SICKO than a similar government-run single-payer health system (witness the government’s failures in the Katrina disaster and at providing health care to returning Iraq veterans at Walter Reed hospital).
By anonymous, July 10, 2007 at 9:06 am Link to this comment
(Unregistered commenter)
Never heard anybody mention that claims by business owners and key personnel are sometimes paid when they are clearly for services that aren’t covered. We called it “paid ex gratia”. If you read a claim right, it can even be paid for face-lifts for the CEO’s wife.
By Amyloo, July 10, 2007 at 6:34 am Link to this comment
(Unregistered commenter)
As a reformed flack, I marveled at the corporate speak talking points. Imagine point #1 actually being read by a customer service rep to a customer inquiring about the film: “The Blue Cross and Blue Shield Association (BCBSA) and the 39 Blue Cross and Blue Shield companies are committed to improving the U.S. healthcare system for our nearly 100 million members through continuous innovation ...”
Bound to evoke an “Oh, thanks, I feel so much better about Blue Cross now.” When will companies learn to talk like people? So glad I got out of the PR racket many years ago.
By Jonesy, July 10, 2007 at 3:45 am Link to this comment
(Unregistered commenter)
Their mantra is going to be “consumerism.” I was reading an article about Sicko and in the corner was a Humana ad. I clicked on it and there it was, consumerism and how it works. Blue Cross has something similar, along with b*s* about transparency.
I worked as a temp for bout 3 months for one of the big insurance companies about 15 years ago. The regular staff of claims employees were encouraged to come up with stalling tactics for reimbursement of insurance claims, to ask for one more test, etc. I learned that pretty much everything I had been told and suspected about big health/medical insurance corporations was true.
Moore should send a bouquet and chocolates to Fitzpatrick for the bang up job he’s done in summarizing the glaring deficiencies of the health “business” in the USA.
Fitzpatrick spent 75% of his memo essentially affirming Moore’s claims. He spent the last 25% using a whole mess of verbiage to state ‘we’re working on getting better’ (better at ‘what’ is a little vague - I suggest he means better at covering our asses when we deny services while ensuring we don’t impact the bottom line for our financial stakeholders.
Too bad our governments are in bed with these guys rather than doing what they ought to be doing - looking out for ALL CITIZENS of the USA not just the ones with means who can “contribute” and “consume.”
I know there are problems with all political and economic systems on this planet. But when things go wrong with our beloved capitalism they sure stink to high heaven. My vote goes to NATIONALIZING a UNIVERSAL, TAXPAYER SUPPORTED healthcare system for all people on US soil, citizen or not (and “all” means EVERY HUMAN BEING - no exceptions for any reason.) Those who are not US citizens and who are found AFTER TREATMENT financially capable of picking up part or all of the “tab” should then be required to reimburse the system.
We don’t have a problem with lots of “nationalized” taxpayer supported universal services - police & fire being just two. Why the problem with doing the same for our health care - a service I suggest that is at least as important as police and fire?
By DHB, July 10, 2007 at 7:24 pm Link to this comment
(Unregistered commenter)
I wonder if there’s anything to Fitzgerald’s complaint that Moore lumped the for-profit HMOs together with non-profit HMOs like Blue Cross? If Blue Cross truly is non-profit in spirit as well as fact (i.e. not just complying with IRS regulations to remain a technical “non-profit,” but managing it operations and salaries and policies roughly the same way the government would if it were providing health care ... then many of Moore’s strongest criticisms of the “system” don’t apply to it.
I believe firmly in a single-payer, government-run healthcare system (“Medicare for everyone”)—but for as long as we have the system we currently have, I’d like to see Moore (or others) comment on this non-profit / for-profit distinction - specifically, whether non-profit HMOs are any more likely to be prone to the horrors shown in SICKO than a similar government-run single-payer health system (witness the government’s failures in the Katrina disaster and at providing health care to returning Iraq veterans at Walter Reed hospital).
Report thisBy anonymous, July 10, 2007 at 9:06 am Link to this comment
(Unregistered commenter)
Never heard anybody mention that claims by business owners and key personnel are sometimes paid when they are clearly for services that aren’t covered. We called it “paid ex gratia”. If you read a claim right, it can even be paid for face-lifts for the CEO’s wife.
That’s how you keep a group policyholder!
Report thisBy Amyloo, July 10, 2007 at 6:34 am Link to this comment
(Unregistered commenter)
As a reformed flack, I marveled at the corporate speak talking points. Imagine point #1 actually being read by a customer service rep to a customer inquiring about the film: “The Blue Cross and Blue Shield Association (BCBSA) and the 39 Blue Cross and Blue Shield companies are committed to improving the U.S. healthcare system for our nearly 100 million members through continuous innovation ...”
Bound to evoke an “Oh, thanks, I feel so much better about Blue Cross now.” When will companies learn to talk like people? So glad I got out of the PR racket many years ago.
Report thisBy Jonesy, July 10, 2007 at 3:45 am Link to this comment
(Unregistered commenter)
Their mantra is going to be “consumerism.” I was reading an article about Sicko and in the corner was a Humana ad. I clicked on it and there it was, consumerism and how it works. Blue Cross has something similar, along with b*s* about transparency.
Report thisBy James, July 9, 2007 at 6:58 pm Link to this comment
(Unregistered commenter)
I worked as a temp for bout 3 months for one of the big insurance companies about 15 years ago. The regular staff of claims employees were encouraged to come up with stalling tactics for reimbursement of insurance claims, to ask for one more test, etc. I learned that pretty much everything I had been told and suspected about big health/medical insurance corporations was true.
Report thisBy RAE, July 9, 2007 at 5:34 pm Link to this comment
Moore should send a bouquet and chocolates to Fitzpatrick for the bang up job he’s done in summarizing the glaring deficiencies of the health “business” in the USA.
Fitzpatrick spent 75% of his memo essentially affirming Moore’s claims. He spent the last 25% using a whole mess of verbiage to state ‘we’re working on getting better’ (better at ‘what’ is a little vague - I suggest he means better at covering our asses when we deny services while ensuring we don’t impact the bottom line for our financial stakeholders.
Too bad our governments are in bed with these guys rather than doing what they ought to be doing - looking out for ALL CITIZENS of the USA not just the ones with means who can “contribute” and “consume.”
I know there are problems with all political and economic systems on this planet. But when things go wrong with our beloved capitalism they sure stink to high heaven. My vote goes to NATIONALIZING a UNIVERSAL, TAXPAYER SUPPORTED healthcare system for all people on US soil, citizen or not (and “all” means EVERY HUMAN BEING - no exceptions for any reason.) Those who are not US citizens and who are found AFTER TREATMENT financially capable of picking up part or all of the “tab” should then be required to reimburse the system.
We don’t have a problem with lots of “nationalized” taxpayer supported universal services - police & fire being just two. Why the problem with doing the same for our health care - a service I suggest that is at least as important as police and fire?
Report this