July 25, 2012 |
When I was a lad, I suffered from asthma. And on more than one occasion, the doctor in my small town made a trip to our house - usually in the evening - to treat me. No, really. Healthcare in the U.S. has come a long way since then - and not necessarily in a good way. Take Wednesday's story in The Times: "[S]ome healthcare companies are starting to shift clinical services and decision-making on medical care overseas, primarily to India and the Philippines. " Yikes!
July 25, 2012 |
After years of shipping data-processing, accounting and other back-office work abroad, some healthcare companies are starting to shift clinical services and decision-making on medical care overseas, primarily to India and the Philippines. Some of the jobs being sent abroad include so-called pre-service nursing, in which nurses at insurance firms, for example, help assess patient needs and determine treatment methods. Outsourcing such tasks goes beyond earlier steps by healthcare firms to farm out reading of X-rays and other diagnostic tests to health professionals overseas.
February 1, 2012 |
A major health insurance company has settled an enforcement action with state regulators over providing special therapy for autism patients. California Insurance Commissioner Dave Jones on Tuesday said that Blue Shield of California Life & Health Insurance Co. agreed to immediately cover the cost of applied behavior analysis therapy, which Jones described as a well-recognized and effective treatment. The settlement with the Insurance Department stems from a dispute that began in July when Jones filed an enforcement action against Blue Shield.
February 6, 2011 |
The federal investigator took the witness stand and described the crime scene: a sprawling field clogged with boulders, native grasses and knee-high sagebrush. The defendant, a California farmer, had said the site was a 200-acre wheat field. But the investigator found no tilled soil, no tractors, no plows. In fact, she testified, she found no wheat. The field was just a field ? and a prime example, federal prosecutors allege, of a wave of agricultural insurance scams sprouting across the nation.
December 18, 2010 |
Nearly four years ago, state authorities forced out top-level officials at the government-run workers' compensation insurance firm, revamped the operation and launched a criminal investigation into reports of conflicts of interest, self-dealing and misuse of as much as $1billion. Today, that probe involving the State Compensation Insurance Fund continues in silence as prosecutors face possible statutes of limitations that would bar some criminal charges and civil lawsuits. The last publicly known activity occurred 18 months ago, when a search warrant was issued on a former board member in Redding, about 150 miles north of Sacramento.
October 8, 2010 |
Farmers Group Inc., a Los Angeles-based insurance management firm, and its Swiss corporate parent Thursday agreed to pay $455 million to 13 million current and former policyholders to settle a 2003 lawsuit that accused them of charging excessive fees to customers. The settlement, if approved by a Los Angeles County Superior Court judge, would resolve all claims dating back to 1999. Payments to people who purchased Farmers home, automobile, personal liability and commercial property coverage are expected to average $35, but individual settlements could vary considerably, Farmers Group said.