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Nathalie Flex

Westhill Consulting Insurance - Connecticut learns less is more with state health insur... - 1 views

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    I have really bad eyes. I like to get them checked often, but since I don't have health insurance, no doctor's going to really want to take a look at me," he said. He found out that he may qualify for Medicaid, which was long-drawn-out under Obamacare. So far, 9,123 have enrolled over Connecticut's ultimate goal is to sign up 275,000 people. Kevin Counihan, chief executive officer of Connecticut's health exchange, says he's not discouraged by the number of people signing up for private health insurance. "Buying health insurance is expensive and it's expensive and it's confusing and it's complicated. So no, I am not disappointed by it. However, we clearly have a strong goal to meet by March," he said. Counihan look forward to have 100,000 people enrolled by the end of March. He credits the state's computer system with the smooth even out. "Number one is, less is more. Do fewer things well than try to do more things inconsistently. Two is test the heck out of the system and make sure that before you go live, you are pretty darn confident that you know what is going to happen. And three is hire the best people that you can," he said. Counihan was implicated with Massachusetts' health insurance rollout in 2006. He says that taught him people don't buy insurance like they do a book or car. They usually consider the options an average of 18n times before making up their minds. He foresees a sprint of people signing up between Thanksgiving and Dec. 15, which in case is the deadline for coverage beginning on Jan. 1.
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    "Tuesday, November 12, statistics put out by Connecticut demonstrate that its website is the only one to sign up more folks for private insurance than for Medicaid. Angel Medina, 21, went to talk to an Affordable Health Care act navigator in Hartford. Medina was dropped from his mother's health insurance two years ago. "I have really bad eyes. I like to get them checked often, but since I don't have health insurance, no doctor's going to really want to take a look at me," he said. He found out that he may qualify for Medicaid, which was long-drawn-out under Obamacare. So far, 9,123 have enrolled over Connecticut's ultimate goal is to sign up 275,000 people. Kevin Counihan, chief executive officer of Connecticut's health exchange, says he's not discouraged by the number of people signing up for private health insurance. "Buying health insurance is expensive and it's expensive and it's confusing and it's complicated. So no, I am not disappointed by it. However, we clearly have a strong goal to meet by March," he said. Counihan look forward to have 100,000 people enrolled by the end of March. He credits the state's computer system with the smooth even out. "Number one is, less is more. Do fewer things well than try to do more things inconsistently. Two is test the heck out of the system and make sure that before you go live, you are pretty darn confident that you know what is going to happen. And three is hire the best people that you can," he said. Counihan was implicated with Massachusetts' health insurance rollout in 2006. He says that taught him people don't buy insurance like they do a book or car. They usually consider the options an average of 18n times before making up their minds. He foresees a sprint of people signing up between Thanksgiving and Dec. 15, which in case is the deadline for coverage beginning on Jan. 1."
juliarsantos

How to Spot and Prevent Medical Identity Theft - 1 views

Foxbusiness.com | westhill consulting insurance - While credit card breaches at retailers are grabbing headlines, identity thieves are quietly homing in on an even more lucrative area: health insur...

westhill consulting insurance how to spot and prevent medical identity theft

started by juliarsantos on 28 Aug 14 no follow-up yet
Rose McGowan

Fraud watchdog: Health law sign-ups dogged by data discrepancies - 1 views

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    WASHINGTON - The Obama administration has been struggling to clear up data discrepancies that could potentially jeopardize coverage for millions under the health overhaul, the government's health care fraud watchdog reported Tuesday. The Health and Human Services inspector general said the administration was not able to resolve 2.6 million so-called "inconsistencies" out of a total of 2.9 million such problems in the federal insurance exchange from October through December 2013. Of the roughly 330,000 cases that could be straightened out, the administration had only actually resolved about 10,000 during the period of the inspector general's audit. That worked out to less than 1 percent of the total. Several states running their own insurance markets also were having problems clearing up data discrepancies. Most of the issues dealt with citizenship and income information supplied by consumers that conflicted with what the federal government has on record, the report said. It marked the first independent look at a festering behind-the-scenes issue that could turn into another health law headache for the White House. President Barack Obama celebrated 8 million sign-ups as proof that technical problems which initially kept many consumers from enrolling had finally been overcome. It now turns out that some of those problems continued out of sight. The inspector general said the efforts of the administration and states to clear up the discrepancies were complicated by lingering computer issues.
Rose McGowan

WellPoint Offers Seniors Tips for Bouncing Back from Hospitalization - 3 views

INDIANAPOLIS, Feb 10, 2014 (BUSINESS WIRE) -- Imagine you've been in the hospital. You've eagerly waited for the day you could go home. When that day finally arrives, you're thrilled. It's a safe b...

WellPoint Offers Seniors Tips for Bouncing Back from Hospitalization westhill consulting insurance

started by Rose McGowan on 12 Feb 14 no follow-up yet
Rose McGowan

Westhill Consulting Insurance - Connecticut learns less is more with state health insur... - 1 views

Connecticut learns less is more with state health insurance website Tuesday, November 12, statistics put out by Connecticut demonstrate that its website is the only one to sign up more folks for p...

westhill consulting healthcare Individuals families and the self employed Health Insurance

started by Rose McGowan on 14 Nov 13 no follow-up yet
Rose McGowan

Tips to reduce your health cover premium over a period of time - 1 views

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    Avinash, a businessman, knows how to deal with all kinds of clients. Avinash, a businessman, knows how to deal with all kinds of clients. However, his inexperience in finding good health insurance policies has landed him in trouble a couple of times. In the recent past, he hasn't been able to keep an eye on the rising premiums of his health coverage and ended up spending much more than he should have. It is essential for you to go through the policy premium rates from time to time. Several strategies can be adopted for reducing the premium over a period of time. Rising health insurance policy premiums could be devastating because you would end up spending a big part of your income in paying them. We buy a health insurance policy to secure our future in case of a medical emergency. Even if you can't control expenses with respect to sickness, you can definitely control the rising health cover premiums. Avoid a policy with claim holding Insurance firms are known to charge a huge amount of premium to cover the client, considering it is going to cover the entire cost if the policy benefits are claimed. Sometimes, when you claim the policy benefits, your insurance provider hikes the premiums for the next year. So, it becomes imperative to go for an insurance policy that entails lower burden. For keeping a tab on premiums, it is recommended to opt for a family floater policy. These coverage policies can be taken for all your family members. They are much cheaper as the premiums are divided and you have to pay on an individual basis. Family floater insurance policies come with a two-year waiting period and some of the diseases/disorders that are covered during that time are all kinds of duodenal or gastric ulcers, sinuses, hemorrhoids, fibromyoma, hysterectomy, cataracts, endometriosis, hernia, etc. Opt for a policy with high
Rose McGowan

Westhill Consulting Insurance - How to Avoid Health Care Fraud | Westhill Consulting In... - 0 views

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    Westhill Consulting Insurance - How to Avoid Health Care Fraud Mail-order medications Patients who buy drugs through mail-order companies could be rolling the dice with their health says Dr. Deborah C. Peel, a physician and founder of the nonprofit Patient Privacy Rights. There's a high probability in many cases that these drugs are counterfeit Peel added. "And you don't ever know because the fraudulent tablets look just like the real ones," says Peel. She says ordering from companies that specialize in mail-order sales that are not affiliated with a legitimate insurance company, especially from foreign countries, can be very risky. Not only could the quality be questionable, it could also be illegal. "But people are desperate because we're being so grossly overcharged for medication," she says. Peel says you can lessen costs by buying generic. You can spot it by: the best thing to do is to keep away from buying drugs from foreign or obscure pharmacies. And if you decide to go with the mail-order route, just stay with U.S.-based companies because if it's a U.S. company, you can report the health care fraud to the Food and Drug Administration while if it's a foreign company, there's little that can or will be done. False product claims According to the Federal Trade Commission, millions fall victim each year to false miracle cures. Especially vulnerable are victims of debilitating and potentially deadly illnesses such as cancer, multiple sclerosis, HIV and AIDS. The FTC website says scammers take advantage of people with a grim diagnosis such as cancer and "promote unproven - and potentially dangerous - substances like black salve, essiac tea, or laetrile with claims that the products are both 'natural' and effective." But, say physicians and other experts, simply because something is advertised as "natural" doesn't mean it works. And while a patient is experimenting with bogus treatments, he or she can squander the opportu
Rose McGowan

Watch out for health care scams - 1 views

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    All the news about the Affordable Care Act has got me thinking about my health. I've been looking to download some health and fitness apps, but I notice many ask for a lot of personal information. Just how safe are these to use? The Affordable Care Act is bringing health care to a lot people's attention. It is also proving to be a field day for scammers. The Affordable Care Act has finally gone into effect. It brings sweeping changes to America's health care system. As usual, I am not going to comment on any of the politics involved. But I think everyone will agree that navigating the new system is very confusing. As with any moment of confusion, scammers are jumping in. They have got some new scams cooked up to scare and trick you. Let us start with insurance scams. One widely publicized requirement of the Affordable Care Act is that everyone needs insurance. I know some people are just going to grab whatever plan is cheapest. You might be tempted to fire up Google and search for insurance companies, but that is a bad idea. Scammers are setting up tons of fake insurance websites. You think you are signing up for insurance but you are really giving away your information. The place to start your search is the Health Insurance Marketplace at healthcare.gov. This is the official federal source for insurance providers. Of course, nothing is that simple. Sixteen states and the District of Columbia have their own marketplaces.
Rose McGowan

Pay close attention to your health plan to pay less - 1 views

First things first: Obtain a copy of your plan summary from human resources or directly from your insurer. Take the time to read the policy and if you don't understand something be sure to ask ques...

westhill insurance consulting close attention to your health plan pay less

started by Rose McGowan on 12 Feb 14 no follow-up yet
Rose McGowan

Tips on How to Save Money on Health Insurance - 1 views

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    Health insurance protects you from any unexpected and costly medical emergencies. However, the situation today is different than 20 years ago where healthcare is now rather cheap and affordable for all Americans. Choosing a reliable insurance company can be complicated, as you will have to deal with several insurers and their various healthcare policies. Individuals who want to enroll themselves to a good health insurance policy must take their time in choosing a good company that offers the right coverage at an affordable cost. Saving money on health insurance is not an easy goal to achieve but with some thorough research, you'll have an understanding of each of the policies available. First and foremost, you should check out the company's credentials and past achievements before you consider it as the one to get your policy from. Don't get confused by the different policies they offer; just choose the one that suits your budget with the coverage you need. Having good customer service that will answer your concerns in case the situation gets complicated is also a must for all health insurance companies. Comparing health insurance quotes is another good thing to consider, as it will give you the opportunity to choose the right policy that fits your needs. A cheap insurance policy is always an attractive deal for anyone to consider, but you must also check for the benefits it provides. It does appear like you save money in choosing an inexpensive plan, but with limited medical coverage you will end up spending more. Going through the terms and conditions before signing up with any plan is one way to find out if your insurance policy will take care of you until its validity ends. Joining various discount clubs for a lesser monthly payment is also a good idea. Some companies even provide up to 60 percent discount as long as you show them your discount cards. However, it will help you choose the right club to join if you check each plan's coverage as some re
Rose McGowan

Westhill Healthcare Consulting Jakarta fraud prevention review - FTC Warns about fake h... - 2 views

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    Tulsa - October marks the start of when many health insurance plans open enrollment.Medicare and Obamacare will also soon begin enrolling for next year's coverage. 2NEWSProblem Solver Jamil Donith has a word of caution before you shop for health insurance online. According to the Federal Trade Commission, health insurance scams are preying on consumers shopping for or comparing health plans online. Scammers use websites or phony non-profit sites that seem to offer discount medical plans. In reality, the sites are set up to get your personal information. Things like your age, occupation, contact information, marital status and whether you have pre-existing medical conditions. The FTC advises: Be stingy with your personal information when you're on the web. When a site asks for your personal information know that data could end up in the wrong hands. A health insurance website might look like the real deal, but many are fronts for criminals wanting to steal your money and personal information. Research a company before giving it your business. Enter the company's name and the "complaints" into an online search engine to see what comes up. And, before giving any personal information ask the company for the details in writing about what you want to buy. If it can't provide the fine prince, that's a big red flag. Finally, check to find out if the plan you want to buy is really insurance. The State Insurance Department can tell you whether the plan is legitimate and whether an insurance provider is licensed to do business in Oklahoma. The Oklahoma Insurance Department website link is www.oid.ok.gov
Rose McGowan

'Fraud' and 'cover-up' exposed in failing semi-privatised Irish healthcare - Westhill C... - 1 views

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      Image: Pharmaceuticals. Flickr/Waleed Alzuhair. Some rights reserved.   Commerce has corrupted healthcare in the Irish semi-privatized insurance-based system.   Late last year Senator John Crown revealed under parliamentary privilege in Ireland's Senead that his own hospital, St. Vincent's University Hospital in Dublin, had in 2002 billed the country's largest private health insurer €1 million for the drug trastuzumab (Herceptin). But the drug had in fact been supplied to the hospital free by pharmaceutical giant Roche, as part of clinical trials for women with breast cancer.   This was not an inadvertent error as the hospital claimed, said Senator Crown, but deliberate financial fraud, which the hospital board had spent perhaps tens of thousands trying to cover up, employing 'substantial intimidation' to bury the matter.   Senator Crown is also Professor Crown, arguably Ireland's most distinguished oncologist. He had been told of the fraud in 2002 and at once notified all relevant health authorities.   An investigation started, and then stopped in its tracks. The hospital argued it had not known about this major research program me taking place on its premises.   The debacle had ended with the suspension of the drugs trial for a year, jeopardising the lives of women with breast cancer who might otherwise have participated in this important trial
Rose McGowan

Is 'Obamacare' like Canada's health-care system? 'Not even close,' according to critics... - 1 views

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    "Is 'Obamacare' like Canada's health-care system? 'Not even close,' according to critics The first major U.S. health-care reform passed in nearly 50 years is the Obamacare but regardless of critics passing judgment on "Obamacare" as "Canadian-style" health insurance, critics note that major differences between the two systems persist. The U.S. Patient Protection and Affordable Care Act, which went into effect earlier this week, is "not even close" to the Canadian system says McGill University Professor of Political Science Antonia Maioni. "Obamacare keeps in place the basic principle of health care in the United States which is: if you want to get access to care you need to buy insurance coverage," she told CTV News Channel on Friday. "Obamacare is trying to make it easier for people to be able to buy that insurance coverage and, if you are very poor, to be able to qualify for a government program. But it doesn't have the same principle as in Canada, where if you are a legal resident, you are automatically enrolled in a provincial or territorial health plan." In an op-ed published in the Globe and Mail, Maioni said the major differences between "Obamacare" and Canada's health-care system include: "Obamacare" is not a single-payer system (where one entity, usually the government, pays all costs) Care depends on the type of insurance coverage you buy Insurance coverage varies by state Wait times are based on the level of insurance coverage Obamacare" faces challenges in cost control Maioni said that while "Obamacare" was passed, in part, to address American spending on health care - the highest in the world at nearly 18 per cent of GDP, or $3 trillion - the act remains "problematic." "There's nothing in it that speaks to really serious cost control," she said. She furthermore said that while Canada also spends a lot on health care, there are mechanisms that the provinces can use to contain spen
Rose McGowan

Westhill Consulting Healthcare - A Few Persistent Iowans Manage to Buy Health Insurance... - 1 views

A few persistent Iowans manage to buy health insurance on crash-plagued Obamacare exchange There were at least five strangely determined Iowans have dealt with signing up for health insurance on t...

Westhill Consulting Healthcare A Few Persistent Iowans Manage to Buy Health Insurance On Crash

started by Rose McGowan on 16 Oct 13 no follow-up yet
Rose McGowan

A Health Insurer Calls, With Questions - 1 views

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    Not long after she signed up for health insurance under the Affordable Care Act, Judy Shoemaker received a phone call that puzzled her. The caller said she was welcoming new members to the insurance network and then asked Ms. Shoemaker to take a survey about health care issues, so information could be provided to her physician. Ms. Shoemaker declined, saying she didn't understand why her insurer would be seeking medical information to give to her doctor. "I thought it was strange," said Ms. Shoemaker, a consultant to nonprofits in Indiana. "I can talk to my doctor myself." James Tuck, who runs a dog care business in Chicago, got a similar call after signing up for insurance through the Affordable Care Act in March. The caller said he was contacting Mr. Tuck on behalf of his new insurer, Blue Cross Blue Shield of Illinois, to go over his benefits and ask him some questions. Mr. Tuck hadn't yet received his insurance card and was hesitant to answer questions, especially after he consulted a private health advocate, who had helped him evaluate insurance options. She advised him not to answer the queries. "She said their goal is to find a reason to get you booted off your insurance." Insurers say they are doing nothing of the sort. Lauren Perlstein, a spokeswoman for the Health Care Service Corporation, parent of Blue Cross Blue Shield of Illinois and plans in four other states, said in an email that the company contacted new policy holders to help "new members get the proper coverage and medical assistance they need, by helping guide them through the health care system." The company's "experts" contact new members to explain benefits and answer any questions, she said, as well as to "identify members who can benefit from our personalized medical management program so they can best manage their health."
Rose McGowan

Obamacare costs to taxpayers rise further as HHS reveals more costly fraud - 1 views

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    On May 17, 2014, The Fiscal Times reported that the government is: "paying incorrect subsidies to more than 1 million Americans for their health plans in the new federal insurance marketplace and has been unable so far to fix the errors, according to internal documents and three people familiar with the situation." A 7-page slide presentation created by HHS confirms that one-in-four people who have signed up for Obamacare have "data discrepancies." Reports are that some two million people's health care coverage may be at risk. Out of some 8.8 million persons who have signed up for coverage, about 5.5 million are in the federal insurance exchange receiving reduced rates, or benefits, to pay for their health insurance policies. The sliding scale subsidized policies are priced based on income, family size, and geographical location of the individual. Under the law, only citizens and legal immigrants are entitled to subsidized coverage. The presentation shows that the data errors involve information concerning details on income, citizenship and immigration status.
Rose McGowan

False medical claims - 1 views

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    The scams Phantom treatments. Dishonest medical providers will bill health insurers for expensive treatments, tests or equipment you never received - and for illnesses or injuries you don't even have. Double billing. Unethical providers may double- or triple-bill health insurers for the same treatments, hoping the insurer won't discover the overruns in the big stack of bills. Shoddy care. You might receive shoddy or substandard treatment for real and urgent medical problems. One eye doctor shined pen lights into patients' eyes and said he'd performed cataract surgery. Surgeons have used defective pacemakers and catheters during heart surgeries, which have killed patients or required more surgeries to correct the problems. Unneeded care. You might receive dangerous and even life-threatening treatment you don't need. One surgeon performed heart surgery on patients who didn't need it. Bogus insurers. Insurance agents or brokers sell you low-cost health coverage from fake insurance companies. Then they take your premiums and disappear. You're left without vital health coverage, and don't even know it until you make a claim. Identity theft. Cheaters steal your medical ID number, then use it to bill health programs tens of thousands of dollars for phantom treatment. Crooks steal your health info from dumpsters behind medical clinics, break into doctor offices and steal files, and hack into computer databases containing your records. Rolling labs. Mobile diagnostic labs give needless or fake tests or physical exams to consumers, then bill health insurers for expensive procedures. Runners. A person hired by a medical provider to drum up business trolls through neighborhoods, often low-income areas, enticing people to come to a clinic for tests. These runners will even round up children for unneeded tests and procedures.
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