Category: Health Insurance

Health Insurance

Alaska addiction patients were lucrative in the treatment center’s scheme, the insurance company’s lawsuit says

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The sign outside the federal courthouse in Anchorage along 7th Avenue with the museum in the background
The front of the federal courthouse in downtown Anchorage. (Julia O’Malley/Alaska Public Media)

Health insurance company Moda is suing a California addiction treatment center, claiming the center falsified Alaska patients’ income in a scheme to overbill Moda by $3.3 million.

Moda filed the suit Thursday in federal court in Alaska. It says employees of the New Life Treatment Center recruited Alaskans struggling with addiction, and then either coached them to lie about their income on insurance enrollment forms or filled in false information for them.

According to the lawsuit, the patients’ income was actually lower than what they claimed on

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2 min read
Health Insurance

Meaningful Healthcare Access Requires So Much More Than Insurance Coverage

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Victor Agbafe, Matt Alexander, Jesper Ke, and David Velasquez are medical students.

*Patient name has been changed

Millions of Americans are expected to lose health insurance coverage with the end of the pandemic protections on health insurance enrollment, and hundreds of thousands already have. While much of the discussion has been rightfully centered around how to minimize losses in health insurance coverage, we must also consider last-mile challenges that affect access to healthcare.

Patients can struggle to obtain access to healthcare because of issues beyond insurance. The social, environmental, and economic factors that shape our lives, known as upstream drivers

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5 min read
Health Insurance

Top 5 Reasons Not to Have an Estate Plan

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We often hear many reasons why people do not have an estate plan or why they are putting off creating their estate plan.

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Here are the top five reasons why people don’t have an estate plan (and why these reasons shouldn’t prevent you from doing your estate plan today):

  1. I don’t have enough money, property, etc. Estate planning is not just about assets. Estate planning is a way to protect
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4 min read
Health Insurance

It’s Not Just You: Many People Confront Health Insurance Obstacles on Care and Bills

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A majority of Americans with health insurance said they had encountered obstacles to coverage, including denied medical care, higher bills and a dearth of doctors in their plans, according to a new survey from KFF, a nonprofit health research group. As a result, some people are delayed or skipped treatment.

Those who were most likely to need medical care — people who described themselves as in fair or poor health — reported more trouble; three-fourths of those receiving mental health treatment experienced problems.

“The consequences of care are delayed and missed altogether because of the sheer complexity of the

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3 min read
Health Insurance

Health insurers slammed after UnitedHealth says more surgeries are driving up costs

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[1/2] The corporate logo of the UnitedHealth Group appears on the side of one of their office buildings in Santa Ana, California, US, April 13, 2020. REUTERS/Mike Blake/File Photo/File Photo

June 14 (Reuters) – Health insurer stocks dropped sharply on Wednesday after UnitedHealth Group (UNH.N) said its costs were on the rise due to an increase in surgeries among older adults.

Shares of UnitedHealth, the largest US healthcare provider by market value, closed down 6.4% at $459.86, wiping out roughly $29 billion from the industry bellwether’s market capitalization.

Medicare-focused insurer Humana Inc (HUM.N) closed about 11% down, and a broader

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3 min read
Health Insurance

California’s insurance market wobbles as two major companies pull out over wildfire risks and construction costs

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Two insurance industry giants have pulled back from California’s home insurance marketplace, saying that increasing wildfire risk and soaring construction costs have prompted them to stop writing new policies in the nation’s most popular state.

State Farm announced last week it would stop accepting applications for all business and personal lines of property and casualty insurance, citing inflation, a challenging reinsurance market and “rapidly growing catastrophe exposure.” The decision did not impact personal auto insurance.

“We take seriously our responsibility to manage risk,” State Farm said. “It’s necessary to take these actions now to improve the company’s financial strength.”

Allstate,

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5 min read
Health Insurance

Curative Expands No Copay, No Deductible Health Insurance Plan to the Houston Metro Area

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First-of-its-Kind, High-Quality Health Plan Expands Offering in Houston, Where Residents Express Great Concern Over The Cost of Care, According to New Survey Data

Curative Insurance Company, provider of a cutting-edge, no copay, no deductible health plan*, is now expanding its fully insured benefit offering to the Houston metro area to serve employers in all of Harris County as well as any of their employees nationwide. Curative plans to expand the fully-insured option statewide in the near future and then to other states later this year. Curative now has one of the largest provider networks in the Houston area as well

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5 min read