Medical Insurance news, October 2019

TrumpĀ“s Refusal to Grant a Visa Without Medical Insurance Condemned

6 October 2019

The Republican president issued a proclamation on Friday in which he said that those seeking to live in this nation must be covered by approved health insurance or prove that they have the financial resources to reasonably afford foreseeable medical costs.

The United We Dream group said this move by the head of the White House 'is another economic and racist attack against a community that deserves medical attention in the first place.

The president brazenly targets and punishes immigrants and low-income families.

Trump continues to find cruel and hateful ways to harm innocent people, and separates American citizens from their loved ones who seek to join them, to feed their narrow-minded political base.

For his part, the senator and presidential candidate for the blue party Bernie Sanders said that while the Republican president wants to use medical care 'as a weapon to advance a racist and xenophobic agenda', he seeks to guarantee medical care for all 'and we will win'.

Read the full story at Prensa Latina.

This is how health insurance policies discriminate in India

5 October 2019

Ironically, just two days later the Insurance Regulatory and Development Authority of India brought out guidelines barring insurers from denying a health insurance policy for mental health procedures.

As part of its regulations on standardising exclusions in health insurance, IRDAI listed out several instances where a health cover cannot be denied.

This Act mandates every insurer to ensure medical insurance for mental health ailments.

Law had said that this would be similar to the regular health insurance available for physical illnesses.

The point to focus is how there are not enough variants of health policies to cover this procedure.

Due to a lack of adequate data, it is likely that these niche covers will cost at least 25-30 percent more than a standard health insurance policy.

The intention of the regulator is to enable a number of people to avail health insurance policies.

Rather than having one insurer sell five different products for cancer and heart disease, the real need is to have health plans that can help manage the different life-style conditions in a better manner.

Read the full story at MoneyControl.

Cruise ship holidays: know about medical insurance, how sickness and injury will be handled, before you buy a ticket

5 October 2019

Before paying a deposit for any cruise, read beyond the company's marketing material to study the quality of medical accommodation, says Ken Carver, chairman of International Cruise Victims, a non-profit organisation that supports passengers who suffer injuries or illnesses at sea.

Doctors on cruise ships aren't usually specialists.

Cruise ships typically hire doctors to care for health problems like norovirus.

Oasis of the Seas, the most expensive and largest cruise ship ever built, leaves the STX shipyard for its maiden voyage in 2009.

Before buying a cruise line ticket, it's critical to check with your health insurer to see whether and how you're covered for offshore medical issues, says Brett Rivkind, a Miami-based maritime lawyer who has handled thousands of cruise ship lawsuits over 35 years.

Many doctors on cruise ships are not even emergency-room qualified Philip Gerson, lawyer.

If you slip, fall and break an arm or leg on a cruise ship, it's critical to quickly act in your own best interests, Gerson says.

1,300 passengers had to be airlifted from The Viking Sky cruise ship off the Norwegian coast in March 2019 after the ship had engine trouble during bad weather.

Read the full story at South China Morning Post.

Here's Why You Might Get Money Back From Your Health Insurer This Year

4 October 2019

In this article, we'll explain what medical loss ratio is, why you might be receiving a premium rebate and more.

Medical loss ratio is a ratio that reflects the percent of dollars a health insurer collects in premiums that are spent on improving health care vs. spent on other things.

Large group insurers are required to spend a minimum of 85% of premium dollars on clinical services and activities.

So it's an aggregate measure of how health insurance companies spend their premium dollars in your state.

Let's say the insurance company you were with last year failed to spend an adequate amount of money on improving health care quality in your state.

As we've already established, that could be either up to 80% or 85% of premiums depending on your group plan.

Under the law, all commercial insurers have to hand the money back to the employer or group policyholder by September 30 of every year.

Read the full story at Clark Howard.

China's Social Security System: An Explainer

4 October 2019

China's social security system constitutes five different types of insurance and contributions to the mandatory housing fund.

China Briefing explains how social security in China is calculated, what are employer obligations, and how it impacts foreign workers and migrants.

It was not until 2011 that these separate parts were codified into a comprehensive national framework under the Social Insurance Law, in which the basic principles of China's social security system are outlined.

Generally speaking, China's social security system is made up of five different kinds of insurance, plus one mandatory housing fund as shown in the table below.

Social security contribution base = Previous year's total income / 12*. *For new hires, the starting salary may be used as the social security base during the first year.

Foreign employees working in China have been required to participate in China's social insurance scheme starting from 2011, when the Ministry of Human Resources and Social Security released the Interim Measures for the Participation in Social Insurance of Foreigners Employed in China.

Foreign employees are also eligible for social insurance exemptions if they come from countries that have social insurance exemption agreements with China.

With labor costs in China increasing at the same time as economic growth is slowing, it is easy for foreign investors to consider social security contributions to be burdensome and without benefit.

Read the full story at China Briefing.

Medicare Warns about Scams, Fraud

3 October 2019

Ongoing scams involve fraudulent health care screenings, genetic testing, lab work, and the sale of durable medical equipment such as wheelchairs, walkers, canes and diabetic supplies.

As with agencies including the IRS and SSA, scammers often make calls or send emails pretending to be from the agency in order to get personal information-in this case including a Medicare number that they can use to submit fraudulent claims to Medicare.

Also as with those other agencies, the notice advises that you hang up on callers and not to respond to such emails, saying Medicare never contacts beneficiaries to ask for or check Medicare numbers and it never sends representatives to people's homes to sell products.

Ongoing scams targeting Medicare beneficiaries, it said, involve fraudulent health care screenings, genetic testing, lab work, and the sale of durable medical equipment such as wheelchairs, walkers, canes and diabetic supplies.

Read the full story at Fedweek.

Medical insurance moving on from fee for service model

3 October 2019

Physicians will play a bigger role in the medical insurance revenue cycle as the industry moves away from a fee for service model, experts at the fifth annual Mena Health Insurance Congress said.

The three-day event brought together several experts to discuss key topics affecting the health insurance market in the Mena region such as the role of insurers and healthcare providers, success strategies for the healthcare market, global trends, regulatory issues and managing rising healthcare expenses.

The private health spending will pick up the pace to meet rising demand over this period, aided by government policy such as Vision 2030.

The UAE and Saudi Arabia command about 80 per cent of the insurance premiums in the GCC. Experts noted that significant changes in government health insurance regulations and rising populations can generate growth opportunities for private health insurers over the next three years.

The Dubai Health Insurance Corporation explained that there is fierce competition in the healthcare insurance sector.

By January 2019 over 50 insurance companies, 23 third-party administrators, and 103 brokers or intermediaries were already operating in the UAE alone.

After the successful implementation of mandatory health insurance by the UAE, KSA is also stepping up efforts for mandatory health insurance for all employees in the private sector and their families.

Laura Gerstein, chief employee benefits officer, Axa Insurance, also spoke about the importance of moving away from an FFS model.

Read the full story at Kaleej Times.

How this expat family navigated Switzerland's health insurance 'minefield'

2 October 2019

Throw relocating with a family and Switzerland's notorious health insurance jungle into the mix and even thinking about the move can leave you feeling exhausted.

What Stefan discovered what that health insurance in Switzerland is mandatory and finding the right cover isn't as straightforward as one would hope.

She was contacted by Benjamin Wagner from Expat-Savvy, an insurance consultancy company dedicated to English speakers living in Switzerland.

Benjamin reassured the Heussers that he could make sure the whole family was covered by all the necessary insurances.

Benjamin, who has been working in the insurance industry for the last 14 years, explains that taking out health insurance should be the first step when moving to Switzerland.

Once the mandatory insurance had been arranged for the Heussers, they set out to make sure all other bases were covered.

Expat-Savvy helps many new and established expats to get the best deal on their Swiss health insurance.

The insurance consultancy company prides itself on its ongoing relationships with clients, spanning from their first medical insurance to optimising their premiums, specialising retirement plans, and everything in between.

Read the full story at The Local.

Wisconsin Health Secretary Says Too Many People Lack Insurance

2 October 2019

Gov. Tony Evers' administration is forging ahead with plans to increase health coverage even as Republican lawmakers continue to oppose expansion under the Affordable Care Act - a law that is in limbo and could end up before the U.S. Supreme Court because of a pending legal challenge by a group of red states.

Under a two-pronged approach, the Wisconsin Department of Health Services and Office of the Insurance Commissioner are making efforts to boost private and government health coverage.

Health officials estimate that more than 400,000 people in Wisconsin had no medical insurance at some point last year.

In June, Evers issued an executive order asking state insurance and health officials to increase efforts to get more people covered.

The governor campaigned on increasing access to health insurance and supported taking federal money to expand Medicaid under the Affordable Care Act.

The half-million dollars in state money going to Covering Wisconsin will pay for seven full-time outreach workers.

As a federally-certified Navigator agency, Covering Wisconsin will get $200,000 in each of the next two years from the U.S. Centers for Medicare and Medicaid Services.

Navigators talk to consumers about getting health insurance coverage, assist them with enrollment, and help them understand how to use insurance.

Read the full story at Wisconsin Public Radio.

Medical insurance has to raise its game

1 October 2019

Global healthcare delivery is going to transform in the next 20 years and drastic changes need to be made to the existing health insurance business model, if we are to keep up.

The reality is that health insurance as we currently understand it is going to change, so we need to proactively evolve our approach now if we are to meet the needs of future customers and patients.

In the future, health issues will be identified, and often addressed at birth, thanks to major advancements coming down the line in the form of personalised medicine as well as gene editing and gene therapy.

'Future Health, Care and Wellbeing' outlines a future where healthcare will be very much focused on disease prevention.

Sophisticated methods of prediction and detection will allow patients to have more control over their health, and advances in personalised care will greatly improve treatment outcomes.

This could take the form of different funding models, saving products or new forms of insurance models like the emerging trends in community insurance.

Improvements in digital health will also have a huge impact on how individuals access their personal health information.

Read the full story at FT Adviser.

September 2019 news

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