This is somewhat unique as everyone else in business is lowering costs, but when there is a lack of competition, well you know what happens when you can’t really go shop elsewhere.  I also wonder if the businesses they insure received the same or similar letters with an increase notice too.  Employers when they receive such notice go to work figuring out how to absorb the increase right away, that is unless they stop providing group insurance for employees.  image

So if you are covered by your employer and they are not too happy to talk about group health insurance, this could be part of the reason why. 

Most of those satisfied with their insurance coverage are those who have not had to really use it surveys say.   With the new anti-fraud software, claims are now being scored, so no claims, no scores. Big dollar claims, you will more than likely stand a big chance of having a big score too.  More can be read at the link below.   Most of the time, each opportunity a score is created, there’s a nice transactional fee that goes to somebody doing the scoring too, so maybe the cost of “scores” has risen too, as those who provide this services are making billions.  As I keep saying, it’s all in those algorithms created that run 24/7 and we need some algorithmic centric laws, otherwise it’s just one bungled up mess after another.  BD 

Health Fraud Scores Could Be a Contributing Factor to Medical Claims Being Denied

With a form letter issued last week, a major health insurance provider in New York may have made the most compelling case of all for creating a "public option" for health care coverage. That letter, received by a family that I know, informed them that their premium would rise by 29 percent in October.

Not only was the increase staggering, but it raised the prospect of having the cost of that family's health insurance coverage more than double in the next four years. How many Americans can keep up with increases of that magnitude?

Henry Miller: Health Insurance Premium Rises 29 Percent

Related Reading:

Are We Ever Going to Get Some Algorithm Centric Laws Passed for Healthcare!
Goldman Stolen Code – Has Algorithmic Fraud Become A Business Model in HealthCare Too?
Health Care Insurers Suggest Algorithms and Business Intelligence solutions to provide health insurance solution
The 2 New Hot Words in Healthcare: Algorithms and Whistleblowers

0 comments :

Post a Comment

 
Top
Google Analytics Alternative