Up next in 10
Doctor Elisabeth Potter is about to walk into surgery for a breast cancer patient. But before she can even begin UnitedHealthcare calls to put a stop to it.
But Dr. Potter has had enough and decided to record the scam that is the Peer to Peer review of cases with health insurers.
Ever since the murder of UnitedHealthcare CEO Brian Thompson it’s been a disastrous year for the company. Stocks have collapsed, lawsuits are coming, and a federal investigation into fraud.
Now doctors are speaking out exposing what’s really happening when it comes to your health insurance.
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0:00
But you're my you're my colleague in
0:01
But you're my you're my colleague in
0:01
But you're my you're my colleague in plastic surgery and you you won't give
0:03
plastic surgery and you you won't give
0:03
plastic surgery and you you won't give me your name.
0:04
me your name.
0:04
me your name. >> This is Dr. Elizabeth Potter and she's
0:06
>> This is Dr. Elizabeth Potter and she's
0:06
>> This is Dr. Elizabeth Potter and she's about to walk into a surgery for a
0:09
about to walk into a surgery for a
0:09
about to walk into a surgery for a breast cancer patient until United
0:11
breast cancer patient until United
0:11
breast cancer patient until United Healthcare calls to put a stop to it.
0:15
Healthcare calls to put a stop to it.
0:15
Healthcare calls to put a stop to it. >> You won't give me your name or number
0:16
>> You won't give me your name or number
0:16
>> You won't give me your name or number and neither will the doctor from Texas.
0:18
and neither will the doctor from Texas.
0:18
and neither will the doctor from Texas. Okay.
0:19
Okay.
0:19
Okay. >> You're listening to a peer-to-peer call
0:21
>> You're listening to a peer-to-peer call
0:22
>> You're listening to a peer-to-peer call between Dr. Potter and a doctor with
0:25
between Dr. Potter and a doctor with
0:25
between Dr. Potter and a doctor with United Healthcare. And that doctor is
0:27
United Healthcare. And that doctor is
0:27
United Healthcare. And that doctor is going to give all the reasons why this
0:30
going to give all the reasons why this
0:30
going to give all the reasons why this surgery should be cancelled despite Dr.
0:34
surgery should be cancelled despite Dr.
0:34
surgery should be cancelled despite Dr. Potter's request.
0:36
Potter's request.
0:36
Potter's request. >> I'm good. Are you a plastic surgeon?
0:39
>> I'm good. Are you a plastic surgeon?
0:39
>> I'm good. Are you a plastic surgeon? What is What do you mean subsp specialty
0:40
What is What do you mean subsp specialty
0:40
What is What do you mean subsp specialty plastics? I'm a plastic surgeon. I
0:42
plastics? I'm a plastic surgeon. I
0:42
plastics? I'm a plastic surgeon. I wouldn't say subsp specialty. So you're
0:44
wouldn't say subsp specialty. So you're
0:44
wouldn't say subsp specialty. So you're an ocular plastic surgeon. What was your
0:46
an ocular plastic surgeon. What was your
0:46
an ocular plastic surgeon. What was your initial training in? So okay, so we're
0:49
initial training in? So okay, so we're
0:49
initial training in? So okay, so we're speaking about lympadeema of the arm. So
0:51
speaking about lympadeema of the arm. So
0:51
speaking about lympadeema of the arm. So this is not an area that you're familiar
0:53
this is not an area that you're familiar
0:53
this is not an area that you're familiar with, correct?
0:56
Oh, okay. Still practicing. But you
0:59
Oh, okay. Still practicing. But you
0:59
Oh, okay. Still practicing. But you won't give me your name.
1:01
won't give me your name.
1:01
won't give me your name. But you're my you're my colleague in
1:02
But you're my you're my colleague in
1:02
But you're my you're my colleague in plastic surgery and you you won't give
1:04
plastic surgery and you you won't give
1:04
plastic surgery and you you won't give me your name.
1:10
Yeah. I don't understand how it's
1:11
Yeah. I don't understand how it's
1:11
Yeah. I don't understand how it's connected. I understand that the CEO was
1:12
connected. I understand that the CEO was
1:12
connected. I understand that the CEO was murdered, right? But I'm your peer and I
1:15
murdered, right? But I'm your peer and I
1:15
murdered, right? But I'm your peer and I want to have a conversation with a peer
1:17
want to have a conversation with a peer
1:17
want to have a conversation with a peer about a patient who has breast cancer
1:19
about a patient who has breast cancer
1:19
about a patient who has breast cancer and lympadeema and I would like to know
1:21
and lympadeema and I would like to know
1:21
and lympadeema and I would like to know your name. How do I know who you are?
1:23
your name. How do I know who you are?
1:23
your name. How do I know who you are? How do I know that you're board
1:24
How do I know that you're board
1:24
How do I know that you're board certified and that you're a micros
1:25
certified and that you're a micros
1:25
certified and that you're a micros surgeon? Like, how do I how do I verify
1:28
surgeon? Like, how do I how do I verify
1:28
surgeon? Like, how do I how do I verify that? I'm just trying to make sure that
1:30
that? I'm just trying to make sure that
1:30
that? I'm just trying to make sure that I'm talking to an expert in this
1:32
I'm talking to an expert in this
1:32
I'm talking to an expert in this procedure with with training that's
1:35
procedure with with training that's
1:35
procedure with with training that's commensurate with that. How do I verify
1:38
commensurate with that. How do I verify
1:38
commensurate with that. How do I verify that?
1:40
that?
1:40
that? So, I can get your name from United
1:43
So, I can get your name from United
1:43
So, I can get your name from United Healthcare through this reference
1:44
Healthcare through this reference
1:44
Healthcare through this reference number.
1:50
I I'm
1:55
I'm so sorry that this is to protect you
1:58
I'm so sorry that this is to protect you
1:58
I'm so sorry that this is to protect you as a doctor. I'm I'm really trying just
1:59
as a doctor. I'm I'm really trying just
1:59
as a doctor. I'm I'm really trying just to do the right thing as a patient and I
2:01
to do the right thing as a patient and I
2:01
to do the right thing as a patient and I I also personally have been subject to,
2:04
I also personally have been subject to,
2:04
I also personally have been subject to, you know, threatening communication as
2:05
you know, threatening communication as
2:05
you know, threatening communication as well. I I just I just want this to be
2:08
well. I I just I just want this to be
2:08
well. I I just I just want this to be the right thing. Okay. So, I'm just
2:10
the right thing. Okay. So, I'm just
2:10
the right thing. Okay. So, I'm just going to have to trust you. You were
2:12
going to have to trust you. You were
2:12
going to have to trust you. You were asking me as a representative of United
2:14
asking me as a representative of United
2:14
asking me as a representative of United to trust you that you're a plastic
2:16
to trust you that you're a plastic
2:16
to trust you that you're a plastic surgeon and fellowship trained in micro
2:17
surgeon and fellowship trained in micro
2:18
surgeon and fellowship trained in micro surgery. So, okay. I I'll trust you
2:20
surgery. So, okay. I I'll trust you
2:20
surgery. So, okay. I I'll trust you there. So do you perform lymphenous
2:22
there. So do you perform lymphenous
2:22
there. So do you perform lymphenous bypass?
2:25
Have you performed it yourself for
2:27
Have you performed it yourself for
2:27
Have you performed it yourself for patients with lympadeema? Have you
2:29
patients with lympadeema? Have you
2:29
patients with lympadeema? Have you performed it yourself? So have you been
2:32
performed it yourself? So have you been
2:32
performed it yourself? So have you been the primary surgeon in evaluating and
2:35
the primary surgeon in evaluating and
2:35
the primary surgeon in evaluating and performing lympenus bypass for a patient
2:38
performing lympenus bypass for a patient
2:38
performing lympenus bypass for a patient even one? You have not. Okay. Do you
2:42
even one? You have not. Okay. Do you
2:42
even one? You have not. Okay. Do you treat patients with breast cancer
2:44
treat patients with breast cancer
2:44
treat patients with breast cancer currently and do micro surgery like deep
2:46
currently and do micro surgery like deep
2:46
currently and do micro surgery like deep flaps or lymphoid transfers or
2:48
flaps or lymphoid transfers or
2:48
flaps or lymphoid transfers or lymphenous bypass?
2:51
lymphenous bypass?
2:51
lymphenous bypass? You have a cosmetic practice currently.
2:54
You have a cosmetic practice currently.
2:54
You have a cosmetic practice currently. Okay. Okay. Do you do microsurgical
2:57
Okay. Okay. Do you do microsurgical
2:57
Okay. Okay. Do you do microsurgical Okay. Do you do microsurgical breast
2:59
Okay. Do you do microsurgical breast
2:59
Okay. Do you do microsurgical breast reconstruction currently?
3:03
So you're not doing microsurgical breast
3:05
So you're not doing microsurgical breast
3:05
So you're not doing microsurgical breast reconstruction currently or treating
3:06
reconstruction currently or treating
3:06
reconstruction currently or treating patients with lympadeema currently.
3:08
patients with lympadeema currently.
3:08
patients with lympadeema currently. Okay. So the patient that we're talking
3:10
Okay. So the patient that we're talking
3:10
Okay. So the patient that we're talking about is a physician and she is going to
3:13
about is a physician and she is going to
3:13
about is a physician and she is going to have an axillary dissection and
3:15
have an axillary dissection and
3:15
have an axillary dissection and radiation
3:17
radiation
3:17
radiation and her risk of lympadeema is
3:19
and her risk of lympadeema is
3:19
and her risk of lympadeema is I'm assuming you know.
3:21
I'm assuming you know.
3:21
I'm assuming you know. >> Do you know?
3:25
>> Do you know what the
3:27
>> Do you know what the
3:27
>> Do you know what the >> No, no, it's important. The specifics
3:29
>> No, no, it's important. The specifics
3:29
>> No, no, it's important. The specifics are important. Do you know the specific
3:30
are important. Do you know the specific
3:30
are important. Do you know the specific risk like the documented risk for her?
3:35
risk like the documented risk for her?
3:35
risk like the documented risk for her? >> Like the percentage risk of lympadeema?
3:38
>> Like the percentage risk of lympadeema?
3:38
>> Like the percentage risk of lympadeema? >> No. No. No. No. She absolutely will need
3:41
>> No. No. No. No. She absolutely will need
3:41
>> No. No. No. No. She absolutely will need radiation.
3:42
radiation.
3:42
radiation. >> If she's having an axillary dissection,
3:44
>> If she's having an axillary dissection,
3:44
>> If she's having an axillary dissection, she's going to have radiation.
3:47
she's going to have radiation.
3:47
she's going to have radiation. >> No. So, she's been to see us in clinic.
3:49
>> No. So, she's been to see us in clinic.
3:49
>> No. So, she's been to see us in clinic. She's had further evaluation.
3:51
She's had further evaluation.
3:51
She's had further evaluation. She uh is going to be having an axillary
3:54
She uh is going to be having an axillary
3:54
She uh is going to be having an axillary dissection and will need radiation.
3:57
dissection and will need radiation.
3:57
dissection and will need radiation. >> So, do you know what her risk of
3:59
>> So, do you know what her risk of
3:59
>> So, do you know what her risk of lympadeema is?
4:01
lympadeema is?
4:01
lympadeema is? >> Well, I mean, I think if you're my this
4:02
>> Well, I mean, I think if you're my this
4:02
>> Well, I mean, I think if you're my this is part of the issue. If you're my peer,
4:04
is part of the issue. If you're my peer,
4:04
is part of the issue. If you're my peer, then I think you should be able to
4:05
then I think you should be able to
4:05
then I think you should be able to answer that question because that's a
4:07
answer that question because that's a
4:07
answer that question because that's a that's an important statistic certainly
4:08
that's an important statistic certainly
4:08
that's an important statistic certainly for my patients who have lympadeema.
4:11
for my patients who have lympadeema.
4:11
for my patients who have lympadeema. Uh-huh.
4:14
So her risk her risk of getting
4:16
So her risk her risk of getting
4:16
So her risk her risk of getting lympadeema is 40%. And we have the
4:19
lympadeema is 40%. And we have the
4:19
lympadeema is 40%. And we have the ability to reduce that to 10% using
4:21
ability to reduce that to 10% using
4:22
ability to reduce that to 10% using lymphabus bypass and that's the
4:24
lymphabus bypass and that's the
4:24
lymphabus bypass and that's the information that I want you to carry
4:25
information that I want you to carry
4:25
information that I want you to carry back to United and I will do the appeals
4:27
back to United and I will do the appeals
4:28
back to United and I will do the appeals and all of that but that's the piece of
4:30
and all of that but that's the piece of
4:30
and all of that but that's the piece of information that I want you to have
4:32
information that I want you to have
4:32
information that I want you to have going forward. So you don't have the
4:34
going forward. So you don't have the
4:34
going forward. So you don't have the ability to approve it in your role.
4:38
ability to approve it in your role.
4:38
ability to approve it in your role. Okay. This patient I'll appeal again. I
4:40
Okay. This patient I'll appeal again. I
4:40
Okay. This patient I'll appeal again. I I appreciate your time. I I don't think
4:42
I appreciate your time. I I don't think
4:42
I appreciate your time. I I don't think you're my peer in this area. I don't
4:44
you're my peer in this area. I don't
4:44
you're my peer in this area. I don't think that you had the specific details
4:45
think that you had the specific details
4:46
think that you had the specific details around this procedure. You haven't
4:47
around this procedure. You haven't
4:47
around this procedure. You haven't performed it yourself as a primary
4:48
performed it yourself as a primary
4:48
performed it yourself as a primary surgeon and you're not actively treating
4:49
surgeon and you're not actively treating
4:50
surgeon and you're not actively treating these patients with micro surgery. But I
4:52
these patients with micro surgery. But I
4:52
these patients with micro surgery. But I appreciate your time and calling and
4:54
appreciate your time and calling and
4:54
appreciate your time and calling and I'll continue to reach back out to
4:55
I'll continue to reach back out to
4:55
I'll continue to reach back out to United.
4:59
You too. Thanks.
5:05
>> United Healthcare was not too happy with
5:06
>> United Healthcare was not too happy with
5:06
>> United Healthcare was not too happy with Dr. Potter. A matter of fact, they sent
5:08
Dr. Potter. A matter of fact, they sent
5:08
Dr. Potter. A matter of fact, they sent her a letter demanding that she take the
5:10
her a letter demanding that she take the
5:10
her a letter demanding that she take the video down and demanding that she
5:12
video down and demanding that she
5:12
video down and demanding that she apologize publicly for the video. Of
5:15
apologize publicly for the video. Of
5:15
apologize publicly for the video. Of course, Dr. Potter refused to do so. It
5:19
course, Dr. Potter refused to do so. It
5:19
course, Dr. Potter refused to do so. It has been a disastrous year for United
5:22
has been a disastrous year for United
5:22
has been a disastrous year for United Health ever since their CEO was murdered
5:25
Health ever since their CEO was murdered
5:25
Health ever since their CEO was murdered last year in the streets of New York.
5:29
last year in the streets of New York.
5:29
last year in the streets of New York. Usually such a heinous crime draws a ton
5:31
Usually such a heinous crime draws a ton
5:32
Usually such a heinous crime draws a ton of sympathy, but it seemingly is
5:35
of sympathy, but it seemingly is
5:35
of sympathy, but it seemingly is different this time where a lot of
5:37
different this time where a lot of
5:37
different this time where a lot of people support the alleged murderer in
5:41
people support the alleged murderer in
5:41
people support the alleged murderer in that story.
5:41
that story.
5:41
that story. >> Fiji has freed our minds in a way and we
5:44
>> Fiji has freed our minds in a way and we
5:44
>> Fiji has freed our minds in a way and we need to free Luigi.
5:45
need to free Luigi.
5:45
need to free Luigi. >> And ever since then, United Health has
5:47
>> And ever since then, United Health has
5:47
>> And ever since then, United Health has lost about 50% just over 50% of their
5:51
lost about 50% just over 50% of their
5:51
lost about 50% just over 50% of their profit. They're also facing
5:53
profit. They're also facing
5:53
profit. They're also facing investigation from the Department of
5:55
investigation from the Department of
5:55
investigation from the Department of Justice involving fraud in their
5:57
Justice involving fraud in their
5:57
Justice involving fraud in their Medicare program.
6:00
Medicare program.
6:00
Medicare program. Not only that, tons of lawsuits are
6:03
Not only that, tons of lawsuits are
6:04
Not only that, tons of lawsuits are coming from shareholders who claim that
6:06
coming from shareholders who claim that
6:06
coming from shareholders who claim that United Health has been lying to them.
6:08
United Health has been lying to them.
6:08
United Health has been lying to them. And now doctors like Dr. Potter stepping
6:11
And now doctors like Dr. Potter stepping
6:11
And now doctors like Dr. Potter stepping up to expose the scam that is the
6:14
up to expose the scam that is the
6:14
up to expose the scam that is the peer-to-peer review where United Health
6:17
peer-to-peer review where United Health
6:18
peer-to-peer review where United Health sends doctors who aren't qualified to
6:20
sends doctors who aren't qualified to
6:20
sends doctors who aren't qualified to determine your future.
6:24
determine your future.
6:24
determine your future. >> I'm good. Are you a plastic surgeon?
6:26
>> I'm good. Are you a plastic surgeon?
6:26
>> I'm good. Are you a plastic surgeon? What is What do you mean subsp specialty
6:27
What is What do you mean subsp specialty
6:28
What is What do you mean subsp specialty plastics? I'm a plastic surgeon. I
6:29
plastics? I'm a plastic surgeon. I
6:29
plastics? I'm a plastic surgeon. I wouldn't say subsp specialty. So, you're
6:32
wouldn't say subsp specialty. So, you're
6:32
wouldn't say subsp specialty. So, you're an ocular plastic surgeon. What was your
6:34
an ocular plastic surgeon. What was your
6:34
an ocular plastic surgeon. What was your initial training in? So, okay. So, we're
6:36
initial training in? So, okay. So, we're
6:36
initial training in? So, okay. So, we're speaking about lympadeema of the arm.
6:38
speaking about lympadeema of the arm.
6:38
speaking about lympadeema of the arm. So, this is not an area that you're
6:40
So, this is not an area that you're
6:40
So, this is not an area that you're familiar with, correct?
6:44
>> Oh, okay. Still practicing. But you
6:46
>> Oh, okay. Still practicing. But you
6:46
>> Oh, okay. Still practicing. But you won't give me your name.
6:48
won't give me your name.
6:48
won't give me your name. But you're my you're my colleague in
6:50
But you're my you're my colleague in
6:50
But you're my you're my colleague in plastic surgery and you you won't give
6:51
plastic surgery and you you won't give
6:52
plastic surgery and you you won't give me your name.
6:53
me your name.
6:53
me your name. And as a husband
7:01
who has a wife
7:04
who has a wife
7:04
who has a wife who went through breast cancer and all
7:06
who went through breast cancer and all
7:06
who went through breast cancer and all the surgeries and all the treatments and
7:08
the surgeries and all the treatments and
7:08
the surgeries and all the treatments and had to fight with healthcare,
7:12
had to fight with healthcare,
7:12
had to fight with healthcare, I thank Dr. Potter because you see
7:17
I thank Dr. Potter because you see
7:17
I thank Dr. Potter because you see us people, citizens, we cry out all the
7:21
us people, citizens, we cry out all the
7:21
us people, citizens, we cry out all the time
7:23
time
7:23
time and there seems to be this gap between
7:25
and there seems to be this gap between
7:25
and there seems to be this gap between the health care providers and us.
7:29
the health care providers and us.
7:29
the health care providers and us. And now if we can get more doctors like
7:31
And now if we can get more doctors like
7:31
And now if we can get more doctors like Dr. Potter, doctors who are willing to
7:35
Dr. Potter, doctors who are willing to
7:35
Dr. Potter, doctors who are willing to possibly lose everything.
7:38
possibly lose everything.
7:38
possibly lose everything. Yes, that's what this takes.
7:43
Then maybe we can hold people
7:44
Then maybe we can hold people
7:44
Then maybe we can hold people accountable.
7:48
And maybe people like this
7:52
who deny health care,
7:57
who deny health care,
7:57
who deny health care, who are unqualified,
7:59
who are unqualified,
8:00
who are unqualified, maybe all of them
8:02
maybe all of them
8:02
maybe all of them will go to jail.