National Health Care Scheme Defrauds 17,000 Victims

October 29th, 2014

The defendants collectively operated as an unlicensed, unregulated and fraudulent insurance company collecting more than $28 million in premiums for health care coverage then denied or unjustly turned down legitimate claims submitted pursuant to the health care plans.

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Exchange Dumping

October 29th, 2014

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American Risk

Over 214,000 Doctors Refuse ObamaCare

October 29th, 2014

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Reimbursements under Obamacare are at bottom-dollar – they are even lower than Medicare reimbursements

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Providers Devise New Fees To Levy Against Patients

October 29th, 2014

Challenged by insurers ratcheting down their payments, hospitals and medical groups are creating more fees and charges for patients to pay as part of the care they receive, The New York Times reported.

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Study Finds Average Health Premiums “Skyrocketing” After ACA

October 29th, 2014

seriously

The Washington Times Share to FacebookShare to Twitter (10/28, Richardson) reports that a new study of insurance policies before and after the implementation of the Affordable Care Act “shows that average premiums have skyrocketed, for some groups by as much as 78 percent.”

Average premiums for the 23-year-old demographic rose “dramatically,” with men in that age group seeing a 78.2 percent price increase before government subsidies (welfare) , and women seeing premiums rise 44.9 percent, according to a report by HealthPocket to be released Wednesday. (War on Women or is it War on Men?)

The study, shared Tuesday with the Times, also found that premium increases for 30-year-olds increased 73.4 percent for men and 35.1 percent for women. Kev Coleman, head of research and data at HealthPocket, stated, “It’s very eye-opening in terms of the transformation occurring within the individual health insurance market.” (Eye-opening? Where have you been Kev?)

The article says that reasons for the premium increases include the ACA’s “prohibition on rejecting applicants with pre-existing conditions” and the heightened benefit mandate under the law. (Duh!)

Humana May Exit Markets

October 28th, 2014

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Humana Inc. (HUM), the fifth-biggest U.S. health insurer, said government cuts in Medicare may lead the company to change benefits and exit markets.

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Physician Kickback Scheme Costs Firm $350,000,000 Penalty

October 28th, 2014

kickback“Companies seeking to boost profits by paying physician kickbacks for patient referrals — as the government contended in this case — undermine impartial medical judgment at the expense of patients and taxpayers,” said Daniel R. Levinson, Inspector General for the U.S. Department of Health and Human Services, in the statement.

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Should You Be Able To See Any Doctor You Want?

October 26th, 2014

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People don’t like being told “no,” especially when it comes to something as personal as their health care. They also don’t like rising health-care costs. And therein lies the health-care system’s existential debate about narrow networks.

Editor’s Note: Forget networks. Employer plans should pay Medicare rates only to any provider of choice. It’s up to the insured to deal with balance billing issues. The employer is not your Mama anymore…..

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The Affordable Care Act: A Game Changer For Health Care Financing

October 26th, 2014

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RiskManager.us White Paper

Hospitals Attack Skinny Plans

October 26th, 2014

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Hospital groups have slammed the so-called “skinny plans,” saying they almost certainly will be blocked by regulators.

“These plans are like buying homeowners insurance that covers broken windows from the first dollar but excludes coverage for your house burning down.”

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