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Humana Fraud Report 2012 Below is the Humana Fraud Report for 2012. The report is an updated history of Humana’s misconduct over the past decade. Humana Fraud Humana Financials 40% denial rate (Healthcare.Gov, AMA) CEO compensation: $7.3 million (up 15% according …

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Sequestration and Health Care By definition, sequestration is the action of taking legal possession of assets until a debt has been paid off (Merriam Webster). In regards to the federal government, sequestration is a process that automatically cuts the budgets …

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Medical Access Pilot Program Several members of Congress (members, leadership from U.S. House and U.S. Senate) have come out recently in support of Medical Access’ new non-insurance model. U.S. Representative Alan Grayson (FL) is one of those members who has …

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Cigna Fraud Report 2012 Below is the Cigna Fraud Report for 2012. The report is an updated history of  Cigna’s felonious misconduct. Cigna Fraud Cigna Financials 33% denial rate (Healthcare.Gov, Kaiser, AMA) CEO compensation: $12.5 million ( AP, CNBC) $466 million …

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Medicare Advantage 2014 MLR Rule

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Medicare Advantage 2014 MLR Rule The. U.S. Centers for Medicaid and Medicare Services (CMS) has released its proposed Medicare Advantage MLR rules for 2014. The proposal is based upon the mandatory requirements found in P.L. 111-152 (sister law of the …

 

Blue Cross Blue Shield Fraud Report 2012

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Blue Cross Blue Shield Fraud Report 2012 Below is the Blue Cross Blue Shield Fraud Report for 2012. The report is an updated history of Blue Cross Blue Shield’s felonious misconduct.   Blue Cross Blue Shield Fraud Report Blue Cross Blue Shield …

 

Aetna Fraud Report 2012

Aetna Fraud Report 2012 Below is the Aetna Fraud Report for 2012.  The report is an updated history of Aetna’s felonious misconduct. Aetna Fraud Report Aetna 2012 Financials 19% denial rate (Healthcare.Gov, Kaiser, AMA) CEO compensation:  $9.7 Million (according to AP …

 

ObamaCare Gun Provision

Obamacare Gun Provision U.S. Senate  Majority Leader Harry Reid (D-NV) wrote the now famous Obamacare gun provision which he inserted into PL 111-148 with the help of NRA President Wayne LaPierre. Why would a Democrat, Senator Reid, do this? When Senator …

 

Fiscal Cliff Health Care Provisions

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Fiscal Cliff Law On December 31, The U.S.  Senate passed the Fiscal Cliff bill in a 89-8 vote. On January 1, The U.S. House of Representatives passed the bill in a 257-167 vote. The bill passed, “American Tax Relief Act”, …

 

Physicians in 113th U.S. Congress

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Physicians In 113th U.S. Congress Below is a listing of the physicians who will be members of the 113th Congress when it is officially gaveled into session in January 2013.  There are 20 physician members. 17 members are Republican and …

 

Health Care Reform Sister Law

Health Care Reform Sister Law Health Care Reform  (P.L. 111-148) has a “sister” law known as the Health Care and Education Reconciliation Act. It was born (signed into law) on March 30, 2010 and became officially known as 111-152. Unlike …

 

Hospital-Acquired Infections In Accountable Care Organization

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Hospital-Acquired Infections In ACOs For the ninth and final part of my research, I took a look at the  hospital-acquired infections in Accountable Care Organizations (ACOs).  I specifically looked at the most well known  Health ACOs  and I compared them to well known …

 

Hospital Readmission Penalty Health Insurance ACOs

Hospital Readmission Penalty Health Insurance ACOs For the eighth part of my research, I took a look at the  hospital readmission penalty of Health Insurance Accountable Care Organizations (ACOs). I  took a look at just how much money hospitals will lose as a …

 

Readmission Penalty Rate Health Insurance ACO

Readmission Penalty Rate of Health Insurance ACOs For the seventh part of my research, I took a look at the readmission penalty rate of Health Insurance Accountable Care Organizations (ACOs). I specifically looked at the readmission penalty rates of the most well known  Health …

 

Physician Compensation Loss Health Insurance ACO

Physician Compensation Loss Under Health Insurance ACOs For the sixth part of my research, I took a look at the physician compensation loss  of Health Insurance Accountable Care Organizations (ACOs). I specifically looked at the physician compensation rates of the most well known …

 

Hospital Profit Health Insurance ACO

Hospital Profit of Health Insurance ACOs For the fifth part of my research, I took a look at the hospital profit of Health Insurance Accountable Care Organizations (ACOs). I specifically looked at the admission rates of the most well known Health Insurance ACO organizations …

 

Hospital Revenue of Health Insurance ACOs

Hospital Revenue of Health Insurance ACOs For the fourth part of my research, I took a look at the hospital revenue of Health Insurance Accountable Care Organizations (ACOs). I specifically looked at the admission rates of the most well known  Health Insurance ACO organizations …

 

Length of Stay of Health Insurance ACO

Length of Stay of Health Insurance ACOs For the third part of my research, I took a look at the length of stay of Health Insurance Accountable Care Organizations (ACOs). I specifically looked at the length of stay (patient days) of the most well …

 

Emergency Room Visits of Health Insurance ACOs

Emergency Room Visits of Health Insurance ACOs For the second part of my research, I took a look at the emergency room visits of Health Insurance Accountable Care Organizations (ACOs). I specifically looked at the emergency room visits of the most well known  Health …

 

Medicare Savings Generated by Affordable Care Act

Medicare Savings in the Patient Protection and Affordable Care Act According to Centers for Medicare and Medicaid Services‘ Office of the Actuary, The Patient Protection and Affordable Care Act (ACA) will produce Medicare savings  (add) of $575 Billion over the …

 

Federal Employee Health Benefit Plan

Federal Employee Health Benefit Plan Health Insurance companies Blue Cross Blue Shield, Cigna, Humana, Kaiser Permanente, and United Healthcare have purposefully defrauded the Federal Employee Health Benefit Plan (FEHB) in order to get profits for their shareholders. What is the …

 

Hospital Admissions of Health Insurance ACOs

Hospital Admissions of Health Insurance ACOs For the first part of my research, I took a look at the hospital admissions of Health Insurance Accountable Care Organizations (ACOs). I specifically looked at the admission rates of the most well known  Health Insurance …