Insurance Executive Admits To Killing Patients

Nurses Activism

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Specializes in Critical care, tele, Medical-Surgical.

When asked if it bothers them that when they rescind people's policies on technical grounds, some of those people will die, the gist of their answer was:

YES: We rescind people for technical reasons...

When asked if it bothers them that when they rescind people's policies on technical grounds, some of those people will die, the gist of their answer was:

YES: We rescind people for technical reasons.

YES: Some of them will die.

YES: We're going to continue the practice.

Here's how it works: If you have an individual policy, and you end up getting sick in a way that will cost a lot of money, your insurance provider will go through your file/history an try to find any sort of technical omission in the medical history you provide them with. When they find one - even if it's as basic as acne treatment or athlete's foot - they then rescind your policy, and you're left with no insurance and uninsurable.

may God have mercy on their souls.

but first, they need to have a soul.

sickening.

leslie

Evil is as evil does....

This is how the for-profit insurance companies work -- they're not interested in making sure people get the healthcare they need, they're interested in making profits for their shareholders. If they have to screw you over to do that, well, buh-bye and good luck. The only thing I don't understand is why more people don't find that objectionable and unacceptable ...

Specializes in Critical care, tele, Medical-Surgical.

health insurers refuse to limit rescission of coverage

...executives of three of the nation's largest health insurers told federal lawmakers in washington on tuesday that they would continue canceling medical coverage for some sick policyholders, despite withering criticism from republican and democratic members of congress who decried the practice as unfair and abusive....

[color=#545454]...[color=#545454]an investigation by the house subcommittee on oversight and investigations showed that health insurers wellpoint inc., unitedhealth group and assurant inc. canceled the coverage of more than 20,000 people, allowing the companies to avoid paying more than $300 million in medical claims over a five-year period.

it also found that policyholders with breast cancer, lymphoma and more than 1,000 other conditions were targeted for rescission and that employees were praised in performance reviews for terminating the policies of customers with expensive illnesses.

"no one can defend, and i certainly cannot defend, the practice of canceling coverage after the fact," said rep. michael c. burgess (r-tex.), a member of the committee. "there is no acceptable minimum to denying coverage after the fact."...

http://www.latimes.com/business/la-fi-rescind17-2009jun17,0,5870586.story?page=1&track=rss

Specializes in LTC.
health insurers refuse to limit rescission of coverage

...executives of three of the nation's largest health insurers told federal lawmakers in washington on tuesday that they would continue canceling medical coverage for some sick policyholders, despite withering criticism from republican and democratic members of congress who decried the practice as unfair and abusive....

[color=#545454]...[color=#545454]an investigation by the house subcommittee on oversight and investigations showed that health insurers wellpoint inc., unitedhealth group and assurant inc. canceled the coverage of more than 20,000 people, allowing the companies to avoid paying more than $300 million in medical claims over a five-year period.

it also found that policyholders with breast cancer, lymphoma and more than 1,000 other conditions were targeted for rescission and that employees were praised in performance reviews for terminating the policies of customers with expensive illnesses.

"no one can defend, and i certainly cannot defend, the practice of canceling coverage after the fact," said rep. michael c. burgess (r-tex.), a member of the committee. "there is no acceptable minimum to denying coverage after the fact."...

http://www.latimes.com/business/la-fi-rescind17-2009jun17,0,5870586.story?page=1&track=rss

i don't understand how these companies even begin to justify this practice.

Related article on the problems facing people with pre-existing conditions from the LA Times.

Last-resort health coverage barely covers

Excerpts:

The state's Major Risk Medical Insurance Program is meant to serve as a last resort for the up to 400,000 Californians who have been rejected for health coverage by private insurers because of medical problems.

But it's not easy to get into. It's not comprehensive. And it's not cheap.

Los Angeles residents Susan and Stephen Perry recently turned to the program after being shown the door by money-minded private insurers.

Susan, 62, a freelance writer, was diagnosed with ulcerative colitis, a digestive disorder, four years ago. Stephen, 58, a part-time teacher and a poet, has Type 2 diabetes.

"We're spending all our retirement cash," Susan told me. "But this is the only insurance we could get."

The program is clearly well intended. But it shows just how bad our healthcare system is for those who fall into the cracks -- and how the pursuit of even limited coverage can wipe out a family financially.

The Perrys had been covered by insurance offered by PEN American Center, an organization of writers and artists, until they received notice recently that their combined monthly premium would soon top $2,000.

So they went shopping for coverage among private insurers and discovered that their business wasn't wanted -- by anyone.

That left only the Major Risk Medical Insurance Program, which charges the Perrys $1,746.29 a month for coverage provided by Blue Shield of California. That's almost $21,000 a year.

For that, they enjoy a relatively low $500 annual deductible. But they also face an annual cap of $75,000 in payouts. God forbid if one of them suffers an expensive illness or injury.

The Major Risk Medical Insurance Program, or MRMIP -- pronounced "Mister Mip" -- is essentially catastrophic health insurance that doesn't cover catastrophes.

It's last-ditch insurance that's intended to safeguard hundreds of thousands of Californians turned away by private insurers but that lacks the funds to cover more than 7,100 people at any given time.

It's a system so anemic that even its boss readily acknowledges its shortcomings.

"We don't advertise the program because we can't handle everyone who comes to us already," said Lesley Cummings, executive director of the state's Major Risk Medical Insurance Board, which oversees MRMIP.

MRMIP was established in 1991 to address the growing problem of people with medical conditions being pushed aside by private insurers. Almost from the first day the program was unveiled, a waiting list has existed for enrollment.

It currently takes as long as four months to be enrolled in MRMIP. And even then, you have to wait three months more for coverage of prescription drugs to kick in.

To accommodate more people, the state created a companion system, the Guaranteed Issue Pilot Program, which now provides coverage to about 6,000 people. But that program was closed to new enrollment after participating insurers balked at some of the state's terms.

Under MRMIP, California taxpayers pay 40% of the premiums to enroll people in individual plans offered by Kaiser Permanente, Blue Shield and Anthem Blue Cross. Those premiums can run as much as 37% higher than market rates for similar individual policies because of the enrollees' medical history.

And the $75,000 cap on annual coverage is among the lowest such limits among similar state programs nationwide.

Specializes in Critical care, tele, Medical-Surgical.

insurance does not = healthcare!

please keep in mind that the author is not a nurse or health professional.

healthcare horror: care denied over $7 debt for insured patient

by donna smith

ok, if this wasn't personal enough just yet for me, it just got a whole lot more so. and if you think for one instant that in this nation at this point in history and with this popularly elected president and democratic congress you will be treated for a heart attack simply because you might die if you are not treated, think again. and if you think having insurance helps, think some more.

on friday, my husband was denied a blood test because a computer record from some distant time past and some other state showed he had a $7 balance with labcorp. i am not making this up....

... and my husband has been covered by insurance for many years. but now he sat - post myocardial infarction or heart attack - being told by a laboratory employee that he would be denied care due to an unpaid $7 bill. he did not have $7 with him. he was fasting. he tried to explain. they did not budge. they did call the supervisor. she confirmed and stood her ground for labcorp. no test for larry smith. he owes $7.

david king, the ceo of labcorp, made $8.2 million in 2008. he's one of the people and labcorp is one of the companies president obama is celebrating who will help transform our nation's healthcare system. indeed. and labcorp's political participation committee donated funds to several candidates in 2008, including sen. max baucus and sen. charles grassley, both of the senate finance committee that is working on the nation's healthcare reform....

http://www.commondreams.org/view/2009/06/29-6

Health Care Stories for America

A new site launched last week as a counterbalance to claims that the administration's agenda for health care reform will create a government-run bureaucracy that will make you wait in line for a doctor.

These stories-told by hundreds of thousands of ordinary Americans who have watched their premiums rise faster than wages, and spiraling costs shackle American businesses-put a personal touch on the health care crisis.
Specializes in Critical care, tele, Medical-Surgical.

How can anyone, including the President, read these stories and think the insurance companies should remain in charge of OUR healthcare?

Specializes in LTC.

Twenty stories to a page. Out of curiosity, I wondered how many pages of stories there were. I made it to page 145, (which means 2900 stories so far) and I am still going.

Herring is right, I don't understand how people can not see what happens when capitalism runs wild.

How can anyone, including the President, read these stories and think the insurance companies should remain in charge of OUR healthcare?

Has anyone from the anti-reform side defended the practices of the health insurance companies? I'd like to see what kind of rationale they come up with to justify denying insurance, denying claims, canceling policies, etc.

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