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#healthinsurance

10 posts10 participants0 posts today

For people outside the US, here's a demonstration of American health insurance. Do not let your country adopt our stupid model. I'm currently in the process of getting signed up with an insurance company that can deny people with health conditions coverage (Tennessee Farm Bureau, it was grandfathered in when the ACA passed). I had to fill out a long form with my medical history and have to supply blood test results to prove I'm not diabetic and don't have sky high cholesterol. They don't pay for any existing health issues for one year, and charge higher premiums if you have existing health issues. Why am I applying for this instead of the Affordable Care Act? Because look at these prices for people in their 50s in a rural area. Monthly premiums AS LOW AS $782 a month! Wow! 🙄 The last image shows the cheapest plan I can buy. $782 a month, with a $9200 deductible, which means my insurance would pay literally nothing until I paid $9200 for health insurance, which does not include premiums. The plan I'm applying for through my state is $330/month with a $3000 deductible . What a bargain. Our healthcare industry is a legal mafia. #Healthcare #Healthinsurance #LegalMafia

This is what I got this morning when I tried to log into my (previous) #healthInsurance company's website (which uses #Optum's "Healthsafe ID" for authentication) after 9am to submit a claim from last month (before we switched to new insurance).
It's of course a 🤡-show that Optum can't keep a mission-critical website up during business hours, and a double 🤡-show when they've got a bogus "test" email address displayed in the error message.
Par for the course for Optum, eh?
#changeHealthcare

I just went to pick up a prescription at #CVS and I went to give them my new insurance info and they already have it. I am _certain_ no one in my family gave it to them. That is… disturbing.
Most people would probably be like, "Oh, how convenient," but I'm like, "Wow, there are all sorts of privacy issues here."
#privacy #healthInsurance

Trump administration to pursue death sentence for Luigi Mangione
By Brad Ryan

Donald Trump's attorney-general orders prosecutors to seek the death penalty for Luigi Mangione, the man accused of murdering of a health insurance boss on a New York street last year.

abc.net.au/news/2025-04-02/lui

ABC News · US attorney-general orders prosecutors to seek death penalty for Luigi MangioneBy Brad Ryan

Health minister to investigate price gouging by private insurers
By Rachel Clayton

The Department of Health has been told to investigate price gouging practices by health insurers after one fund ignored a warning from the Health minister to stop exploiting a loophole to increase prices above the government-approved cap.

abc.net.au/news/2025-03-31/inv

ABC News · Private health funds slammed for 'price gouging' on insurance premiums despite warning from ministerBy Rachel Clayton
Continued thread

In the latest action, employees were instructed to sign a 4-pg letter ordering them to return all #USIP property while agreeing to forgo all future claims against the institute. It ordered them not to disclose any terms of the agreement in exchange for 1 month of #HealthInsurance & a monthly stipend paid for an unspecified period. Those who refuse to sign, the letter said, will lose all #benefits as of Monday.

"One week after the killing of UnitedHealthcare executive Brian Thompson, an intelligence report compiled by a regional intelligence center made an admission that’s shocking in its simplicity: Rising health care costs are correlated to threats against executives and civil unrest.

The two-page document obtained by the Prospect and compiled by the Connecticut regional intelligence center—one of dozens of fusion centers across the country that communicate intelligence between federal agencies and state law enforcement—is uncharacteristically forthright in its language and assessment that health care costs lead to instability, and that the reaction to suspect Luigi Mangione’s alleged action was largely positive.

According to the dossier, “Healthcare expenditure in the United States increased from $2.75Trillion (T) in 2004, to $4.09T in 2018, in inflation adjusted dollars. 2019 and 2020, saw expenditures of $4.2T and $4.6T respectfully, which represents a 10.6% increase year over year and was largely influenced by the COVID-19 pandemic. Historically, threats or actual acts of violence against those in the healthcare industry rose by more than 60% from 2011 to 2018.”

The dossier adds that the public “may view the ensuing manhunt and subsequent arrest of Mangione as NYPD, and largely policing as a whole, as a tool that is willing to expend massive resources to protect the wealthy, while the average citizen is left to their own means for personal security.”"

prospect.org/justice/2025-03-2

The American Prospect · Exclusive: Intelligence Dossier Compares Luigi Mangione to ‘Robin Hood’The document from a state fusion center cites high health care costs as a key source of instability in the country.
Continued thread

If you haven't subscribed to AI Prognosis, where I become your guide to the health care / medicine AI galaxy, you can do so right here!

The newsletter comes out weekly on Wednesdays and also includes (in my opinion) a 🔥 song recommendation every week. statnews.com/signup/ai-prognos

STATSign up for AI Prognosis — a STAT+ newsletter from Brittany TrangComing this February, Brittany Trang's new weekly newsletter unpacks the intersection of AI, health, and medicine.

Today's edition of AI Prognosis had a dud link for the "don't ever use this again" ambient AI scribe study. The web version below has the right one

Also in today's issue:

-CHAI's assurance labs are behind schedule
-AI tool for cancer clinical trials shows promise

statnews.com/2025/03/26/how-in

STAT · Your questions answered: How insurers are using AIIn this edition of STAT's AI Prognosis newsletter: A deeper look at how insurers use AI, and implications for patients.