Attention 65 year olds signing up for Medicare. Make sure you choose options wisely according to CBS Money Watch. Attention 65 year olds signing up for Medicare. Make sure you choose options wisely according to CBS Money Watch. Obamacare plans are expensive and often confusing, but Medicare is much more straight forward, providing you know the rules. You have a seven-month initial enrollment period to sign up for Medicare. It begins three months before the month you turn 65, includes the month you turn 65 and ends three months after that Read More
Delay, deny, defend; there has got to be a better way to insure the health of Americans. As of now, the death of the United Healthcare CEO is emblematic of a larger problem; healthcare in the world’s wealthiest country sucks. We can discuss the reasons behind this to death, but unless we have an adult conversation about why we have the problems in our system, nothing constructive will resolve problems that include The task of reducing costs in our monstrosity of a system is enormous, however, offering Read More
Taxpayers are footing the bill for out of network care from insurers lying about the process. What happened to out of network coverage and how did the health care insurers destroy it.
RFK may go wild on reforming healthcare. I have some suggestions. Now that RFK is being considered for the new Trump administration, changes will happen for better or worse. I have some suggestions.
A doctor at Cigna comes clean about insurance company denials. If you ever wondered why clean claims get denied, a doctor shows us what is wrong with insurers who will do almost anything to increase their profits. The mantra of deny deny deny is alive and well in our insurance system. I tell our patients, fight for what you believe you are owed. I recently had the situation with my own insurer, Horizon for a colonoscopy that was supposed to Read More
Medical billing practices and high deductibles are why our medical costs are rising yearly; here’s why. Medical billing practices and high deductibles are why our medical costs are rising yearly; here’s why. It’s amazing that even during the pandemic when the federal government was paying for covid related hospital bills and testing and few people were visiting their doctors or the hospitals, yet insurance carriers continued to charge us more in insurance premiums while increasing our copayments and deductibles. As a front-line healthcare practitioner, the increase Read More
Insurance companies lose their antitrust exemption with the Passage of The Competitive Health Insurance Reform Act of 2020 Insurance companies lose their antitrust exemption with the Passage of The Competitive Health Insurance Reform Act of 2020 Insurance companies have long had an exemption from anti-trust violations as a result of a 1944 Supreme Court Case, United States v. South-Eastern Underwriters Association, the Court established that the business of insurance constitutes “interstate commerce,” and therefore is subject to Congressional oversight under the Commerce Clause of the Constitution. This decision specifically Read More
Obamacare or Nobamacare, why this is just a symptom of what is wrong with healthcare in the USA Obamacare or Nobamacare, why this is just a symptom of what is wrong with healthcare in the USA The election is over and a large portion of the population has either renewed or newly purchased a new health care plan from one of the exchanges beginning this month. The insurance companies are slowly removing themselves from the exchanges and talk of a public option of some sort to fill in Read More
The real math behind why your health insurance keeps rising (it has not been published in your newspaper yet) The real math behind why your health insurance premiums keep rising, and what the media hasn’t told us about Obamacare yet. From the wealthy to the not so wealthy, one thing seems to be a common theme of anyone buying health insurance; the cost continues to increase yearly without any relief. Today, I was speaking to someone who is a major employer and he is looking at other options than Read More
Health insurance companies fly in the ointment tactics, and how to win the game. How to win against a health insurer’s delay tactics
My health insurance just increased 25% in NJ; something is very wrong here. My health insurance just increased 25% in NJ; something is very wrong here. Obamacare or nobomacare, it makes no difference to me or the patients we care for as long as it serves our needs at a reasonable cost. Something has gone off the rails in Washington, as the partisans politicians fight to defeat Obamacare. These sets of rules and regulations, already present in New Jersey before Obamacare were designed to make it Read More
The Emergency Room was in my network; why wasn’t the doctor? The Emergency Room was in my network; why wasn’t the doctor? In network, out of network, why is this so confusing and complicated. As a healthcare consumer, it is getting harder and harder to trust that our healthcare costs will be properly paid by our insurer. Why should we have to worry about this anyway? Patients who want to use an in network doctor can usually go through their insurer Read More