Medical tourism industry suffers as health insurance companies stop paying some bills

Health insurance - Medical Tourism

Insurers have begun excluding certain procedures for patients out of the country. American health insurance companies have started placing a limit on the procedures they will cover for patients traveling to other countries to get them. Patients had been traveling to cities such as Tijuana to receive their medical procedures. According to the Tijuana Convention and Tourism Committee, medical tourism has plummeted as US health insurance companies have started limiting the procedures their policyholders are covered for outside the country. The new regulations implemented by the insurers are impacting both…

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True Captive Insurance Selects Gradient AI to Provide Deeper Insights, Cost Efficiency for Healthcare Insurance

Solution Reduces Costs, Enhances Risk Management, Improves Member Experience Gradient AI, a leading enterprise software provider of artificial intelligence (AI) solutions in the insurance industry announced today that True Captive Insurance, a provider of innovative healthcare solutions for employers of all sizes, has selected its SAIL™ solution to help reduce group healthcare insurance costs while maintaining a high standard of care for member companies. Driven by the desire to have more control over company insurance plans, health insurance captives, like True Captive, have recently gained in popularity and are experiencing tremendous growth.…

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Why It Is Important for Health Insurance Companies to Invest in People

health Insurance Companies - Skills - Employees

The insurance industry has always been a people-intensive industry. The industry relies on capable people – from agents to underwriters and risk managers – to deliver services to customers. While there are plenty of technologies affecting this industry, people remain at the heart of many insurance operations. For health insurance companies, in particular, investing in people is now a necessity rather than an option. The industry is getting more competitive, and there are many reasons why it is important for health insurance companies to invest in the people supporting their…

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Telehealth insurance claims from private policies up by 4,347 percent

Telehealth insurance claims - mobile phone and stethoscope

This trend was led by the Northeastern US, where the increased reached a much higher 15,303 percent. The latest FAIR Health report recorded a striking increase in the number of telehealth insurance claims in the United States, which rose by 4,347 percent compared to last year. This dramatic trend is directly linked with the coronavirus pandemic precautions since March. The leading reason that people filed telehealth insurance claims was for mental health conditions. The next most common reason for using these services was for respiratory diseases and infections, then joint/soft…

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US Health insurance rebates may reach record levels in 2019

Health insurance rebates - us dollar - pills

A new report has indicated that the Affordable Care Act refunds could hit $1.4 billion this year. The provision of the Affordable Care Act (Obamacare) which provides millions of Americans with health insurance rebates is expected to reach a record high level this year. Health insurance customers may be receiving more in refunds this year than ever before. In 2012, a component of the Affordable Care Act went into effect which required insurers to pay their customers a medical loss ratio (MLR) payment every fall under certain circumstances. If those…

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