Healthcare fraud in the United States reaches record levels

Health insurance fraud and abuse

Also breaking records is the amount that has been recovered, which has totaled $4.2 billion. The Department of Justice and the Department of Health and Human Services have announced that they have broken previous records in healthcare fraud recovery in their joint efforts to address the issue last year. This brought back $4.2 billion that would otherwise have scammed the systems and caused prices to rise. Attorney General Eric Holder and Secretary of Health and Human Services (HHS) Kathleen Sebelius jointly issued a report that demonstrated that for every dollar…

Read More

Vital health care being rejected due to insurance

A recent Senate Investigation has found that a staggering number of insurance companies from around the nation have denied coverage to thousands of people in need of necessary care. The investigation took place over six months, researching more than 1,600 cases. The results of the investigation were released last Friday, leading many to question the altruistic nature sometimes lauded by big name insurers. Michael Fields, an HVAC technician and resident of Maryland, is one of the key people that helped initiate the investigation. Fields in a coronary patient, whom on…

Read More

Big Insurer, Big Information!

Later this year, heavyweight insurer Blue Cross and Blue Shield Association will transform their healthcare data analysis service into its own business. Founded only 4 years ago, Blue Health Intelligence reviews millions of claims and details how healthcare is being put to use by policyholders. Claiming its database surpasses that of the government, Blue Health Intelligence uses its analysis to determine trends and offer insights to quality of coverage – a service that is quite cost effective. Current trends in the industry, spurred by looming legislative reform, are suggesting that…

Read More