Insurer targeted breast cancer patients to cancel

  1. 4 "...They had no idea that WellPoint was using a computer algorithm that automatically targeted them and every other policyholder recently diagnosed with breast cancer. The software triggered an immediate fraud investigation, as the company searched for some pretext to drop their policies, according to government regulators and investigators."

    (By Murray Waas updated 10:14 a.m. CT, Thurs., April 22, 2010, msnbc.com) See full story link below.


    Insurer targeted breast cancer patients to cancel - Health care- msnbc.com
  2. Visit  netglow profile page

    About netglow

    From 'YOUR WORST NIGHTMARE'; Joined Jan '09; Posts: 5,387; Likes: 10,401.

    22 Comments so far...

  3. Visit  HM2VikingRN profile page
    2
    None of the women knew about the others. But besides their similar narratives, they had something else in common: Their health insurance carriers were subsidiaries of WellPoint, which has 33.7 million policyholders -- more than any other health insurance company in the United States.

    The women all paid their premiums on time. Before they fell ill, none had any problems with their insurance. Initially, they believed their policies had been canceled by mistake.

    They had no idea that WellPoint was using a computer algorithm that automatically targeted them and every other policyholder recently diagnosed with breast cancer. The software triggered an immediate fraud investigation, as the company searched for some pretext to drop their policies, according to government regulators and investigators.

    Once the women were singled out, they say, the insurer then canceled their policies based on either erroneous or flimsy information. WellPoint declined to comment on the women's specific cases without a signed waiver from them, citing privacy laws.


    http://www.reuters.com/article/idUSTRE63L2LS20100422
    PICUPNP and NRSKarenRN like this.
  4. Visit  oramar profile page
    13
    This is a close to murdering a person you can get without actually pulling the trigger.
    PICUPNP, tewdles, leslie :-D, and 10 others like this.
  5. Visit  netglow profile page
    7
    This angers me so! I am very excitable regarding this issue, and seriously could not be in the same room dealing with these people. I'd have to be frisked.
    PICUPNP, tewdles, Moogie, and 4 others like this.
  6. Visit  wsuRN09 profile page
    5
    Wow, so what's the point of insurance if they not only deny you for a pre-existing condition, but now they find a way to drop you when you become ill? This makes me sick....
    tewdles, Moogie, Not_A_Hat_Person, and 2 others like this.
  7. Visit  morte profile page
    3
    ....money....
    tewdles, LockportRN, and wooh like this.
  8. Visit  DogWmn profile page
    5
    Sad but no surprise, insurance companies are inherently evil.
    OC_An Khe, elkpark, LockportRN, and 2 others like this.
  9. Visit  Batman25 profile page
    3
    It's deplorable beyond words. Disgusting.
    scoochy, LockportRN, and wooh like this.
  10. Visit  Ginger's Mom profile page
    2
    This is fraud and I hope they get there right to sell insurance janked.
    LockportRN and wooh like this.
  11. Visit  chacomom profile page
    8
    Having survived breast cancer for 2 years, I live in fear of the same problem.
    PICUPNP, leslie :-D, April, RN, and 5 others like this.
  12. Visit  NREMT-P/RN profile page
    3
    Until we start with ACCOUNTABILITY for making a bonehead (though profitable) decision and PUT THEM IN JAIL - this kind of CORPORATE issue will happen. Make this a company mandate - cost one their life - be criminally charged and suffer the necessary FATE!

    JAIL.
    JAIL.
    JAIL.

    No insurance + CANCER = LITTLE to NO Treatment = DEATH

    Sounds like fraud (nah - MURDER) to me. Many knew what their decisions would mean - so, lets make them explain - to a jury.

    Did I mention - JAIL.

    brandy1017, tewdles, and SmilingBluEyes like this.
  13. Visit  Chico David RN profile page
    2
    The basic business model of health insurers is to exclude the sick from coverage. It's central to what they are. As long as you have a system in which for-profit insurers compete with each other, finding ways not to cover the sick is going to be part of their business plan. The new health insurance law is supposed to ban that practice, but my money is on the insurers to find some way around that law. And in a model where collecting premiums is the source of revenue and providing care is considered a "loss" - that's the term they use - we will have new and better strategies to avoid providing care.
    And who can blame them for doing what they are set up to do - make profit at the expense of their policy holders? It's like blaming a lion for killing deer. We wouldn't be dumb enought to let a lion loose on the school playground, but we let these insurers control our access to care.
    tewdles and OC_An Khe like this.
  14. Visit  Not_A_Hat_Person profile page
    3
    Yet another argument for national health care. Medicare and the VA don't automatically drop breast-cancer patients.
    brandy1017, netglow, and Moogie like this.


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