Health Buzz: American Medical Association Sues WellPoint and Other Health News

Bihskazv

20RtTF comment5 ,

Payback

How much money should an insurance company pay back in claims--75%? 85%? 99%?

How much profit should they make?

Remember, the companies call the payback their "medical loss ratio."

Land of The Free

Home of The Knave

Change is on the way

This is just a sign of the times. Relationships that once were thought to be too tough to break are falling apart as the dollars for the model they used are drying up. It is abuout time the AMA stood up like this. It is unfortunate that it is only happening now.

The payment model must change from a third party to a two party system for basic and specialty care. Programs are emerging, but not mature enough to take on the big insurance companies yet.

As the insurers lose market share due to high premiums and other practices that leave poeople out in the cold, the reform models will fill the gap.

Anyone who believes they are "covered" by health insurance has taken a very shallow look at their policy and ignored the practices of these companies for the last 30 years. Health insurance is no assurance at all, it will pay some of the bills not all of them. It is time for the Equity Health Plan and the Retail Medical Home Model to repalce this antiquated system of "insurance"

BLUE CROSS HMO

BLUE CROSS HMO PAID ZERO DOLLARS FOR PHYSICIAN OFFICE VISIT OR ANY LAB TEST .

THERE SHOULD BE A OUT OF NETWORK PAYMENT EVEN IF IT IS REDUCED PAYMENT

Perscription drugs

what about the rising cost of perscription drugs that Wellpoint and HMO's charge patients? HMO"s every so often change the cost of drugs and we the patients who need them in order to survive have no choice except to pay for them. The explanation we are given for the change is that certain drugs are placed on another tier. Whatever that means. These are the drugs that have no generic and are already out of sight!