What else does health care fraud affect beside premiums?
825322
Healthcare fraud may take months or years to discover.  A policyholder who has a serious, costly medical condition & has relied on fraudulent coverage is not only without insurance, but now unable to purchase it on an existing (pre-existing) condition.  (Due to the customary exclusion of pre-existing conditions in all medical insurance).  This also typically means that other than qualifying for some form of group insurance, the individual can no longer purchase insurance at all, due to underwriting selection practices by the insurers.\n\nThe unpaid medical bills may lead to financial ruin, the inability to obtain replacement insurance may do the same.
516800
I don't know specifically but associations can usually help people out with those types of questions. Check with the Healthcare Distribution Management Association: http://www.healthcaredistribution.org/\n\nHope that helps! I wish you much success & happiness in all your ventures!
1086248
I applied for Mega Life and Health Insurance. For starters it was expensive. I expected to pay about $300 a month. It took 3 months to get my policy. The monthly payments were to be automatic drafts from my checking account but they would not take a debit card. They wanted a credit card. I don't do credit cards. The payment went up $30. because my doctor said I had high blood pressure. I just took my blood pressure - 110/75. I don't have high blood pressure and told the dr. he caused my insurance to go up. So I cancelled them. Plus my doctor was not on their list. You have to call them everytime you got to a doctor to get their OK. Too much hassel.
944446
Google that and you will find as I did that there is a wealth of information on external environment analysis within health care!!!\n\nGood Luck!!!
1035349
health care\n homelessness\nstate services
354718
Sometimes spotting fraud is easy, sometimes it is hard.  However, usually there is not outright fraud.  Sometimes people's reactions to pain can be affected by outside factors such as being off work or possible litigation secondary to an injury.  These reactions to pain are not outright fraud.\n\nAnyways, we look for coordination between subjective complaints and objective testing.  There are also specific tests to try to determine malingering.  Overall, it is tough but, with practice, any doctor will "know it when they see it".
363533
I think that this will be a helpful page for you:\nhttp://ca.dir.yahoo.com/Business_and_Economy/Business_to_Business/Financial_Services/Insurance/Commercial/Professional_Liability/Medical_Malpractice/
780891
In today's terms: Potential Fraud
594346
ANY sort of welfare fraud burns me up.  Makes me crazy.  Gets my goat like few other things do.\n\nThis one makes me scratch my head a little as well.  If he already has medical coverage, it will always always always be used as primary.  The only way he will be able to take advantage of it is to go to providers that take Medicaid, and are willing to bill secondary insurances.\n\nIf you want to talk about loopholes, Medicaid participating providers are required to bill Medicaid and not the patient until Medicaid has processed the claim.  However, Medicaid will not pay as primary in a situation like this, and often providers are not required to submit to secondary insurances.\n\nI haven't been in the field for ten years.  Things might have changed, but I haven't heard anything to that affect from people I know who still do this sort of work---And they know it interests me.  :-)
930169
Program antifraud of compensates it You compensate them of up to 25,000 are possible to be paid to the people who provide the information to the halting and to the conviction of the people who confian fraud of the insurance. The people can disclose fraud suspected to the department in..........
879965
Depends on the type of medical bills, the state the policy was issued in, and the state of residence.  Most likely, at the very least, they would be highly questioned.
468581
It goes to show you that in your country health care is a business. Thank God it is not like that in Canada... yet! That in its self is a crime. I'm pretty sure that they are your property. Seeing how it is confidential information about you. Shame to your doctor he sounds pretty unethical anyways. Time to get a new one.
103808
No, it is not.    There are some "minor" crimes involving prescription fraud, such as having prescriptions written to the name of an insured relative, rather than pay retail price.  Most cases of prescription fraud, however, involve drug use and drug abuse. \n\n"Although there has been some debate as to what qualifies as a white-collar crime, the term today generally encompasses a variety of nonviolent crimes usually committed in commercial situations for financial gain."
901891
Because they base their rates on the expected health of the participants.\n\nIf you join a plan with a pre-existing condition, then you mess up the actuarial tables.\n\nInsurers try to pay claims for people who are sick by taking premiums from people who aren't.\n\nIt cheats the system to let in people who already know they are sick and are guaranteed to take up some of the premiums.\n\nThat's not fair to the healthy people in the pool.\n\nThink about what you are saying.....\n\nA person joins a pool of others and says "here's a little bit of money....now I want all of you to pay a lot of your money for my medical needs even though I'm only going to pay a little bit of that."\n\nThere's no way the sick person's money is ever going to be able to be used to pay for other people's claims...which is what the insurer needs to pay claims......thus the exclusion.
328193
Yes. You should google this because this has become a big issue lately. There are several class action lawsuits that are going on. What hospitals do is charge poor people more for their services when compared to those who have insurance. Then when they collect they actually make more of a profit. This is called medical cost offsetting. Hospitals have been doing this for a while, but no one was apparently paying attention. Hope this helps you out.
731587
this might help http://www.redorbit.com/news/science/554072/diseases_caused_by_pollution_cost_state_health_care_according_to/index.html?source=r_science
975774
Mental health has more risk  then just medication cost to the insurance company. The cast of an inpatient stay is extremely high and they take that into account even if he is not that ill. \n\nAnd yes there is policy that most companies have that states that if they have had a certain illness with-in the last x amount of years then they will either be denied coverage totally, excluded that specific illness and cover all know things, make you pay a higher rate, or make you wait a certain time period for the illness to be covered by the policy. But like others have said if you get the policy through a job then it will not matter. And I hope he understands that the employer is not allowed to ask or inquire about someone health. HIPPA laws