Don’t you love reading about these insurance giants? I’ve tried to write about other topics, but end up being attracted to insurance companies again, and again. UnitedHealth, the nation’s largest health insurance company, is poised to grow by about 9%. After all, it operates commercial Medicaid & Medicare Advantage plans via its UnitedHealthcare health insurance…
It’s time for Physicians to accept online reviews, and work on building their reputation. Gone are the days where patients are disrespected and there’s no one to listen to their vows. Social media has become a prevalent part of society and neglecting it will cause physicians great harm. Not only do Physicians have to watch…
“A broker can power up the bonus to $150,000 per employer” says Health Net of California. “Set sail for Bermuda,” says insurance giant Cigna, offering their top-selling brokers five days at one of the island’s luxury resorts! And if you think this was absurd, New York’s EmblemHealth guarantees their top selling broker a “chance of…
“Secret portions of a lawsuit allege that Purdue Pharma, controlled by the Sackler family, considered capitalizing on the addiction treatment boom — while going to extreme lengths to boost sales of its controversial opioid”. Yes, you’ve read that correctly. But are you really surprised? Not content with billions in profits from OxyContin, Purdue Pharma looked to…
I recently summarized an article about how lackadaisical insurance companies are when it comes to health care fraud. This time let’s talk about how we can make them take it seriously! Private health insurers should report fraud that happens in their networks, right? Its common sense to think that these companies will report the fraudsters and highlight…
The story of keeping a vegetative patient alive to keep the transplant program open for one New Jersey hospital has made headlines this month. Mr. Darryl Young, a 61-year-old male who received a heart transplant on 21 September 2018, never awoke from his transplant operation. His medical record notes showed the same comments “He follows…
Escalating health care costs are one of the greatest financial concerns in the United States and 10% of these costs are likely eaten up by fraud, likely because private health insurers preside over about $1.2 trillion in spending each year! Earlier this year, David Williams, with a PhD in Kinesiology, was sentenced to prison for…
In the United States the most profitable business is healthcare. It’s the only country where the wholesale cost of medication ranges from pennies to a few dollars and the sale cost the same medications is increased exponentially, and it’s all due to middlemen known as pharmacy benefit managers. This article isn’t about these legalized criminals, but rather…
When it comes to HIPAA violations, physicians are quick to be held accountable fined or imprisoned. Those whom violate HIAPA, purposefully, deserve the punishment that is due on them. However, it’s clear that physicians serve as scape goats. It’s similar to the NFL quarterbacks: win a game and you’re a hero, lose a game and it doesn’t matter…
Every physician, administrator, insurer knows that burdensome prior authorizations delay patient care and indirectly are contributing to physician burnout. This burden has likely made it impossible for physicians to continue their private practices and perhaps has contributed to the merger of practices and systems trying to streamline this process for themselves. When you have a…