Health Insurance Roundup, April 6, 2016


Solicitor who forged health insurance claim forms struck off

A solicitor who served a prison term for forging health insurance claim forms has been struck off by the High Court.

Patrick Enright (54), Glenlarehan, Castleisland, Co Kerry, was being struck off the roll of solicitors, not as a punitive measure, but for the purpose of maintaining the reputation of the solicitors’ profession, the President of the High Court, Mr Justice Peter Kelly, said.

Mr Enright committed the offences between 1988 and 1994 when he worked as an assistant manager for US-based health insurance Nylerin. He qualified as a solicitor in 1986 and in 1994 left the insurance firm to set up his own legal practice. 


Doctors Syndicate recognises new health insurance bill amendments – Daily News Egypt

After receiving a modified version of the health insurance bill in March, the Doctors Syndicate recognised the latest amendments of the new health insurance system and called for the amendment of pending items.

Syndicate secretary-general Mona Mina said, in a press conference on Monday, the bill was amended several times to a much improved version, yet it still has many flaws that need revision. 


Tens of thousands of Fulton residents lack health insurance | www.ajc.com

Nearly 180,000 Fulton County residents, about 21 percent, have no health insurance, recent data shows.

The county of roughly 1 million people – one of the largest in the state – falls in the middle of the pack when it comes to uninsured rates in Georgia.

Without insurance, people often go months or years without getting the medical care they need — suffering from diabetes, heart disease and other chronic illnesses that can turn deadly if not treated. 


Despite Fears, Affordable Care Act Has Not Uprooted Employer Coverage – The New York Times

The Affordable Care Act was aimed mainly at giving people better options for buying health insurance on their own. There were widespread predictions that employers would leap at the chance to drop coverage and send workers to fend for themselves.

But those predictions were largely wrong. Most companies, and particularly large employers, that offered coverage before the law have stayed committed to providing health insurance.

As it turns out, health care remains an important recruitment and retention tool as the labor market has tightened in recent years. Desirable employees still expect health benefits, and companies are responding, new analyses of federal data show. 


Anthem, Dignity Health To Collaborate On New Health Insurance Plan | California Healthline

Anthem Blue Cross announced Thursday it will collaborate with Dignity Health to offer a new insurance plan designed to lower costs through an integrated care management system. The plan is a tiered program that allows employers to choose either an Exclusive Provider Organization or a Preferred Provider Organization. The EPO provides the best price and offers a pre-determined network of providers. The PPO provides access to a wider range of providers with varying copay and cost-share levels. (Anderson, 4/1) 


Public Consultation: National Health Insurance White Paper | Health-e

The following April 2016 dates have been set aside for consultation on the National Health Insurance White Paper.

According to the South African Non-Communicable Diseases (NCD) Alliance, the following dates have been set aside for public consultation with specific groups. 


Baker and Penn researchers examine how consumers make choices on health insurance Marketplaces • Penn Law

Choosing a health insurance plan can be a difficult decision, a new study by a group of University of Pennsylvania professors explains, and when consumers don’t choose the best plans for them, the repercussions can range from dissatisfaction to severe financial difficulty.

In an article titled “For Third Enrollment Period, Marketplaces Expand Decision Support Tools To Assist Consumers” in the April issue of Health Affairs, Penn Law’s Tom Baker and a group of co-authors from Penn examined the ways consumers could make choices in the most recent open enrollment period for the health insurance Marketplaces established by the Affordable Care Act.

Baker is the William Maul Measey Professor of Law and Health Sciences at Penn Law and a preeminent scholar in insurance law, explores insurance, risk, and responsibility using methods and perspectives drawn from economics, sociology, psychology, and history. 


For 26-year-olds, good health meets insurance anxiety

The dreaded age of 26. Many of you are thinking: Huh? What I wouldn’t give to be 26 again!

Well, I’m here to tell you that 26 can be a scary age. It’s the expiration date, so to speak, for children covered by their parents’ health insurance. Older generations are probably scoffing at the fact that there are young people taking such a long ride on their parents’ dime. However, with the torrid growth in health care costs, it’s a more reasonable — and tempting — decision than you might think. 


How to Avoid the Top 5 Health Benefit Blunders

Small business health benefits are an important component of recruiting andretaining key employees. And yet, budgeting for health benefits can feel overwhelming. That’s because with the wrong approach, health benefits are expensive and do not meet the benefits expectations of employees. With the right benefits approach, however, small businesses can take control. This article outlines the top five common small business health benefits blunders and how to avoid them. 


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