Frustration of Fraudulent Claims

Folder with close up on the word claims and a note where it is written under investigation. Concept of insurance fraud, 3d Illustration

It’s a well-documented reality across nearly all lines of insurance coverage that fraudulent claims account for 5–10% of total claims processed. And despite the industry’s best efforts to combat fraudulent activity, it’s largely accepted as a “cost of doing business” in the world of insurance. What has frustrated several of my self-funded clients however, is… [Read More]

Healthcare Is In Even More of a Crisis Under ACA

healthcare us government aca

As healthcare is restructured, the key constituencies are fortifying their positions and as can be expected, taking advantage of the renegotiation, market gyrations and general confusion. Fraud (intentional or otherwise) is rampant and uncontrolled. During a recent congressional hearing on the website, a GAO official testified about efforts to test healthcare.gov by enrolling 18 completely… [Read More]