Charges laid in massive health insurance scam worth $1M in fraud

Health insurance scam - Scam alert

A Florida man has been charged with impersonating a New Jersey doctor to make falsified claims. A Florida man is now facing charges in a massive health insurance scam. To swindle his insurance company out of about a million dollars, he allegedly assumed the identity of a doctor in New Jersey. The man proceeded to file a number of fraudulent claims against his medical plan. By using the New Jersey doctor’s identity, the man allegedly submitted over $1 million in fake insurance claims. The health insurance scam involved services that…

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Thousands in Arkansas fear lost health insurance benefits under new rules

Health Insurance Benefits - Time For Change - chalkboard

Medicaid changes in Republican led states are often aligning with Trump’s efforts to dismantle Obamacare. One state at a time, health insurance benefits are changing for those reliant on Medicaid and whose governors are Republican. As the GOP works to take Obamacare apart, many states now have stricter Medicaid regulations. Arkansas has become the first state to push the new health insurance benefits rule. It will require state residents to have to provide proof of their employment or volunteer status in order to keep their Medicaid coverage. As the law…

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Individual mandate repeal causes health insurance gap in many states

Health Insurance Gap - Mind the Gap platform

Several states are now scrambling to come up with a way to make coverage more affordable. After the individual mandate penalties were removed for failing to purchase coverage, a health insurance gap has formed in many states across the country. This has left some states struggling to make their health care affordable. As people drop their coverage health care in the states will become increasingly expensive. The only state in the country that required coverage after last year’s dismantling of the Affordable Care Act was Massachusetts. Increasingly unfavorable markets caused…

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Health insurance trends may be driving opioid epidemic

Health insurance trends - Pills - pain killers - drugs

A recent Johns Hopkins Bloomberg School of Public Health Study measured this effect. Health insurance trends toward greater popularity of coverage may be pushing along the opioid epidemic. The reason, according to the Johns Hopkins Bloomberg School of Public Health study, the reason is that the majority of private insurers as well as Medicare and Medicaid aren’t doing enough to stop it. The study examined coverage policies from major health insurance companies in 2017. The researchers looked into what the policies offered in terms of coverage for treating chronic lower…

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Doctors seek alternatives to having to accept health insurance

Accept health insurance - Doctor

A growing trend is sending doctors to use monthly membership fees instead of payments from insurers. A growing number of doctors are refusing to accept health insurance in favor of other systems such as monthly membership fees. This has been a response to challenges that they have faced with insurers as well as struggles they’ve seen among their patients. Doctors feel held back by a system encouraging them to consistently see high patient numbers. Struggles with claims processes and rising costs have also frustrated their patients. Doctors feel as though…

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Colorado health insurance will continue to protect those with pre-existing conditions

Colorado health insurance continues to protect those with pre-existing conditions - man in wheelchair

As Americans across the country return to struggling for coverage, Coloradans will be spared. Colorado health insurance will maintain its coverage of individuals with pre-existing conditions, despite the Trump administration’s recent moves. The president shocked the health care industry earlier this month when the Department of Justice announced it wouldn’t be defending certain central components in the Affordable Care Act. This announcement may mean that Americans with pre-existing conditions could once again lose coverage. That said, Colorado health insurance law will make certain that residents of the state will continue…

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Ohio health insurance companies release recommendations to fight opioid abuse crisis

Opioid abuse crisis - Ohio health insurance - hands reaching for pills

Eight of the largest insurers in the state issued fifteen recommendations to combat the epidemic. Eight of Ohio’s largest health insurance companies have issued a list of 15 recommendations to fight the opioid abuse crisis. The misuse of these serious drugs has reached epidemic proportions within Ohio and many other states. The insurance companies have attempted to find areas where reasonable action is possible in combating the opioid abuse crisis. Among the recommendations are efforts to identify pregnant addicts to make certain they obtain the treatment they need. That said,…

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Walgreens insurance denial places it at risk of lawsuit over death, court says

Insurance Denial - Bottle of Pills

The pharmacy insists that it was not obligated to contact the doctor of a woman who then died. The Massachusetts Supreme Judicial Court has ruled that the family of a woman who died has the right to sue Walgreens. This court case will question whether or not a pharmacy is obligated to assist a patient in being certain his or her insurance will provide prescription coverage. The case involves a Massachusetts woman who had epilepsy and required a drug to control her seizures. Yarushka Rivera’s epilepsy required her to take…

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Could health food insurance support preventative medicine and natural treatments?

Health food insurance - fruits and vegetables

Doctors and healthcare providers are increasingly pursuing food-based interventions. Health food insurance could one day be on its way to American plans. Just as health plans currently cover some prevention, prescriptions, procedures and doctor visits, they may one day cover certain foods. The idea is that food-based interventions can effectively prevent or treat certain conditions. The food-based intervention trend is rapidly expanding across the United States. In this way, doctors are recommending that patients prevent conditions by eating right. Similarly, some conditions can be treated more effectively when a patient…

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Mayo Clinic downsizing leads to heath insurance unit sale

Health Insurance Unit - Medicine - Doctor - Heart rate - health

Corporate downsizing has led the highly reputed organization to take a new direction with its coverage. The Mayo Clinic has sold its health insurance unit in western Wisconsin. Patients covered by those policies will be offered a new option for their coverage. The policyholders were not without warning as the Mayo Clinic has been discussing it for years. The Mayo Clinic sold its health insurance unit to WEA Trust, a public employee insurer. The academic medical center decided within the last couple of years that it would put its health…

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