Aug 02 2009
The Speaker of the House, took a break from serious legislation, to spell out their plan for Messaging …
http://www.youtube.com/watch?v…
Nancy Pelosi:
You see CEOs of these Industries making millions of dollars a year — indeed many of them a million dollars a month — for their ‘Leadership’ in withholding benefits, to people in NEED of Health.
let the Drum beating, begin …
Jul 18 2009
There is a bit of a Cold War of sorts, raging between Private Insurance “providers” and your neighborhood Health Care professionals (and it’s NOT the Govt getting in between the two.)
It’s the battle over Claim Denials. It’s an “arms race” that just keeps escalating …
DMI: Denial Management, Inc — The Claims Solution People
The Problem:
One in seven claims are denied by insurance companies. This can cost your clinic or practice thousands of dollars every year.
http://www.claimsmgt.com/produ…
That’s about 15% of Claims, Insurers choose NOT to pay. So, Doctors need all the help they can get, to stay focused on Healing, NOT Bill Collecting!
Denial Management Services
Problem: Most Health Systems lose between 3% and 5% of net revenues as a result of payment denials.
Solution: Outsource your denied claims to DMI, the foremost industry leader in capturing additional revenue.
Jul 09 2009
We learned last week from LA Times reporting, and from Congressional Hearings, that Insurance companies routinely try to drop your Insurance policy, if you happen to get one of their “Hot List” illnesses.
Getting any of these illnesses, can Trigger the Insurance Company’s “Cancellation Police”, into action.
Denial Specialists scour your medical history, and cross-check that against your application, looking for any reason to Cancel, or rescind, your Insurance policy, thus saving the Insurance Company untold thousands in future payments for your expected Care. Denial Specialists, of course, earn bonuses for each Policy they cancel. What a system!
Those 4 illnesses (out of the 1000+ such Triggers) previously disclosed are:
breast cancer, high blood pressure, lymphoma and pregnancy
Well thanks to the tough questioning of the Oversight and Investigations Sub Committee, at least 2 more Triggering Illnesses have been disclosed, as indicated in the video and transcript of the Hearing:
The 2 other newly disclosed “Drop List” illnesses, include:
ovarian cancer, and brain cancer
Jun 29 2009
If you’re going to need Health Care anytime soon, make sure you don’t “get” any of these more “costly” conditions:
breast cancer, lymphoma, pregnancy, or high blood pressure.
If you do, it will put you on the Insurer’s Radar, for possible Policy Cancellation …
Having the audacity of “Getting Sick”, can instantly turn you into a “Bad Investment” for “Big Insurance” … according to the latest info coming out of Senate Hearings into Insurance Company practices …
Jun 28 2009
About.com — Health Insurance
Question: What is a pre-existing condition exclusion period?
Answer: Insurance companies try to discourage people from waiting until they get sick in order to purchase health insurance. One way in which they do this is to impose pre-existing condition exclusion periods. This means that if you have a medical problem which exists at the time you enroll in or purchase your health insurance, the insurance company will deny all claims pertaining to this medical problem for a certain period of time.
(emphasis added)
http://healthinsurance.about.c…
So there IS Hope —
Just Stay at that Job Forever —
Or NEVER get Sick —
And NO Problem!!!
They got you covered! (as long as you can live with “Job Lock”)