Friday, November 30, 2007
WSJ: Health policy caps mean catastrophic coverage may not be there when needed
Yesterday's WSJ ran a story that highlights the plight of the insured middle-class in this country: It's possible to max out a health policy with a $1.5 million cap in the metaphorical blink of an eye. The story is here (though it may require a paid subscription to read it).
Tuesday, November 27, 2007
When hospice patients don't die quickly enough, Medicare comes knocking
Friday, November 09, 2007
Krugman: Health Care Excuses
- Excuse No. 1: No insurance, no problem.
- Excuse No. 2: It’s the cheeseburgers.
- Excuse No. 3: 2007 is better than 1950.
- Excuse No. 4: Socialized medicine! Socialized medicine!
And, by the way, a big shout out to the managers at The New York Times who have stopped putting the good stuff where only subscribers could get to it. I don't know what their new business plan is, or how they can afford it, but I am grateful for total Web access (i.e., the same as The Washington Post). As a subscriber, I've always had it, but as a blogger it was frustrating not being able to share so much as a link. Those days are now blissfully over!
Insurer misconduct alleged in California
Calif. insurance chief probes report of cancellations
California’s insurance commissioner is investigating a report that Health Net rewarded an analyst more than $20,000 in bonuses tied to canceling individual health insurance policies, thereby saving the company millions in medical expenses.
“We certainly view this as a serious breach,” said Byron Tucker, spokesman for state Insurance Commissioner Steve Poizner.
The Los Angeles Times reported that Health Net revoked 1,600 policies between 2000 and 2005, saving the Woodland Hills, Calif.-based insurer $35.5 million in medical payments. The company set policy rescission targets, which the senior analyst in charge of cancellations regularly exceeded, earning her praise and monetary rewards, according to the newspaper.
Tying compensation of claims reviewers to their actions is illegal under state law.
“The characterization of our compensation programs is inaccurate and misleading,” Health Net said in a written statement.
The bonuses were disclosed during an arbitration hearing on a $6 million lawsuit brought by a 51-year-old hairdresser from the Los Angeles area whose Health Net policy was revoked during her chemotherapy treatments for breast cancer. The Times’ lawyers intervened to have the documents unsealed, according to the newspaper.