Medical Insurance news, October 2019

Agent helps wade through Medicare alphabet soup

31 October

The insurance agent held an open house Wednesday, Oct. 23, at Hillock Insurance at 616 W. North St. in Enterprise to help people understand and be able to enroll in Medicare and related programs.

Second, it's important to understand the difference between Medicare A and B and the additional plans of Medicare Advantage, Medicare supplement plans, and Part D, which covers prescription drugs.

Medicare Advantage, aka Medicare C, is a program administered by Moda-a health-care insurance company that started out as the Oregon Dental Service in 1955.

If you join a Medicare Advantage Plan, you still have Medicare.

These "Bundled" plans include Medicare Part A and Medicare Part B, and usually Medicare prescription drug.

If Medicare Advantage through Moda doesn't work for you, there are supplement Plans F, G, K and N, also known as "Medigap insurance" These plans are defined by Medicare.

There are many different options for medical insurance to supplement the basic Medicare parts A and B. "It's helpful to have someone guide you through those choices. It's not a one-size fits-all," Bennett said.

Read the full story at Wallowa County Chieftain

Alibaba touts pop stars and health insurance to boost growth

30 October

The Nov. 11 online shopping spree - co-opted by Alibaba as an alternative to Valentine's Day - is called "Singles Day" because its 11/11 date is graphically the loneliest day in the calendar.

Alibaba is already expanding into less-penetrated rural markets in China as a potential new source of growth.

Alongside that initiative, it is now also making it easier for the 40 million small business owners whom Alibaba counts among its "Economic bloc" of merchants, many of whom lack access to social services, to get health insurance and borrow money.

Alibaba has long sought to extract synergies by cross-selling services in other business segments.

Alibaba already provides loans to one-person and other tiny businesses through affiliated banks, doing credit checks by scrutinizing prospective borrowers' Alipay usage history, utility bill payment records and online shopping habits.

Alibaba plans to take it nationwide by the end of the year.

These services' ability to flourish depends on the Alibaba economic bloc's ability to keep growing - and the broader economic health of the Chinese economy.

Read the full story at Nikkei Asian Review

Zurich survey: 1.7 million Hongkongers don't have healthcare protection

30 October

A newly released survey shows that more than a million Hongkongers don't have any kind of healthcare protection, plumping to spend their cash on investments, entertainment, shopping, and housing instead. Zurich Insurance Hong Kong has conducted an online survey regarding local knowledge of medical expenses, showing that 27% of respondents did not purchase any form of individual medical coverage.

Based on its results, Zurich has predicted that in Hong Kong, there are about 1.7 million adults aged over 20 or above facing a healthcare protection gap.

"The survey findings reflect that the public still underestimates the importance of medical insurance," said Fiona Kwok, CMO of Zurich.

The survey also found that 35% of respondents, who were also prior claimants, were not fully compensated, and 90% had to pay more than 10% of the medical expenses out of pocket.

Even though plenty of insurance products offer deductible options, the survey revealed that the public's understanding of them was low.

In light of the Hong Kong government's launch of the Voluntary Health Insurance Scheme in April, 71% of respondents who were interested in purchasing VHIS said "Full coverage of medical expenses" captured their attention most.

"Medical insurance is a significant lifetime investment, so flexibility, including job mobility and relocation, should be an integral part of the purchase decision," Eric Hui, CEO of Zurich commented.

Read the full story at Marketing Interactive

Sen. Spartz: Government is problem in healthcare

29 October

During WWII, the government financed spending by printing money and imposing wage and price controls to control inflation.

In the 1960s, the government went further and enacted a direct government subsidy - Medicare and Medicaid.

Government cannot prescribe the laws of supply and demand.

Some method of rationing must be substituted for price, which invariably means government rationing and denial of medical care.

In the 1990s government went further in refining price control by types of doctors, locations, with government subsidies and no relations to results.

The government again came up with capacity controls like certificates of need, shrinking competition further.

The government reached a new level of micro-management.

In the 2000s, further government interventions, prohibition of physician-owned hospitals, perverse incentives of volume-driven fee-for-service care, and subsidies incentivized increased competition for power, games of cost shifting, chaotic pricing systems, consolidation to gain power, and creation of oligopolies in each sector of medical care with conflict of interest at every level.

Read the full story at The Times

Medical inflation control imperative to sustain life insurance market

29 October

ONTROLLING the unabated rise of medical inflation in Malaysia is integral in ensuring that health insurers remain relevant in the industry and are able to provide affordable and extensive coverage in the market.

Malaysia's medical and health insurance market reportedly has the highest average gross medical inflation, coming in at approximately 15.4% in 2018, and is expected to continue rising.

Among the reasons driving medical inflation higher in the country are the rise in non-communicable diseases, higher average life expectancy and the costs associated with employing the relevant staff to operate new and advance medical technology.

Sun Life Malaysia Assurance Bhd CEO, president and country head Raymond Lew said medical inflation is a fact of the industry, driven by global and currency pressures.

He said controlling the rise of medical inflation in Malaysia requires a concerted effort from the entire healthcare ecosystem, as insurance is only one component of a link that includes the health regulator, the hospitals and doctors.

There is immense untapped potential in the life insurance market today, with only an estimated 54% of the Malaysian population covered by life insurance or takaful plans.

Among the initiatives being explored is standardising the billings used by private healthcare providers and introducing medical fee benchmarks by publishing the charges of common medical procedures in private hospitals.

Read the full story at The Malaysian Reserve

Money saver or bad deal? Debate over short-term insurance policies heads to Senate

28 October

Short-term health insurance policies do not have to cover pre-existing conditions.

These are among the reasons the U.S. Senate is expected to vote this week on whether to overturn a 2018 Trump administration rule that let states extend short-term, stopgap health insurance into a yearslong alternative to traditional coverage.

Minnesota-based UnitedHealthcare won't say how many short-term health insurance policies it has sold.

Regulation of the policies, which make solid profits for United and dozens of other health insurance companies, is spare.

The country's largest health insurance trade group, America's Health Insurance Plans, says a need exists for affordable coverage choices.

Virginia Democratic Sen. Mark Warner forced the GOP to stage another vote on short-term insurance with a procedural maneuver.

The National Association of Insurance Commissioners reports that on average, insurance companies spend about 35 cents of every premium dollar on administration rather than coverage.

Scott Keefer, the company's vice president of public affairs, does not believe extending the length of short-term plans is a viable way to increase health insurance coverage and reduce health care costs in the country.

Read the full story at Star Tribune

New federal rules to allow employers to '401(k)-ize' health benefits

28 October

A change to the Internal Revenue Service code, set to take effect Jan. 1, allows employers to stop providing insurance for employees - and instead pay workers pretax funds to buy coverage themselves.

Michael Kolber, a partner with Manatt Health, which counsels companies on health coverage and access, said in an August op-ed that the new health reimbursement arrangements, or HRAs, will appeal to many employers because they will allow them to shed managing health plans for thousands of employees.

The same scenario faces the health insurance industry.

One reason, they say, is employees usually are not as knowledgeable as employers when it comes to finding the best health plans.

Because of the knowledge gap and greater convenience, Kasim added, employees most likely will continue to favor companies that provide health coverage.

Steve Wojcik, vice president of public policy for the National Business Group on Health, said new HRAs may add a greater benefit to smaller companies with a limited payroll.

Wojcik said the new federal rules will allow companies to calculate how much to pay for HRAs, and under which conditions.

The federal government believes as many as 11 million workers could use the new HRAs to buy their own plans within the next five years, experts say.

Read the full story at UPI

Minn. study: Truckers saw offsetting savings with sleep apnea treatment

26 October

A new study finds that a group of truckers who underwent sleep apnea treatment saw a significant reduction in medical insurance costs for other health problems.

In a study being published in the medical journal Sleep, researchers at the University of Minnesota, Morris looked at the experience of one trucking firm that mandated sleep apnea diagnosis and treatment for drivers.

They found the program saved the employer's health plan $441 per driver per month in medical insurance costs stemming from health care problems other than sleep apnea.

For years, transportation safety experts have raised alarms about the risk from drivers with sleep apnea, but researchers say the trucking industry has pushed back against mandatory screening due to cost concerns.

Obstructive sleep apnea is a common health problem where the airway closes repeatedly during sleep, causing those with the condition to partially awaken throughout the night.

In the study, researchers say that of the 1.87 million U.S. commercial drivers operating non-farm-based heavy trucks, as many as 524,000 are expected to have at least mild sleep apnea.

Starting in 2006, the Wisconsin-based trucking firm Schneider National Inc. launched its sleep apnea program, which provides diagnosis and treatment without co-payments.

The vast majority of testing is now done using a home sleep study, allowing drivers to sleep in their own beds or in the cabs of their trucks rather than in a clinic.

Read the full story at Star Tribune

Medical debt crushing communities of color

26 October

A report recently released by the Center for Public Policy Priorities examined the effect medical debt has on communities of color.

The authors also found that Texans in neighborhoods of color have medical debt at rates higher than six other Southern states- Alabama, Arkansas, Florida, Georgia, Mississippi, and Tennessee-and far greater than the national average of 21 percent.

The lack of Medicaid expansion has left 5 million Texans without medical insurance.

While 13 percent of White Texans are uninsured, nearly 18 percent of Black/African American Texans and 29 percent of Hispanic Texans do not have health insurance, according to the CPP report.

The racial differences also apply to medical debt collections.

Travis County has the worst racial disparity in healthcare collections among urban counties, with a 22 percentage point difference between neighborhoods of color and White neighborhoods owing medical debt, according to the report.

In Harrison County in East Texas, neighborhoods of color owe $693 more, on average, for healthcare than their White neighbors.

Read the full story at Reform Austin

Chinese hospital adopts blockchain for medical bills

25 October

Yesterday, Chinese media outlet Sina reported that the Guangzhou Huadu District People's Hospital had launched a blockchain-based invoice service.

Now, the hospital issues electronic bills for both outpatients and inpatients, accessible by smartphone.

Patients can use Tencent's popular WeChat app to access medical bills, saving the hospital costs on paper and improving its sustainability.

Blockchain further allows for efficient billing and immutable, auditable storage of medical information.

In August, China's leading search engine Baidu launched a medical blockchain for data sharing and prescriptions.

Fellow domestic firm Alipay also has a medical blockchain for insurance claims.

Last month, its local government piloted a company registry platform, and the Guangzhou Internet Courts host a Baidu blockchain node.

Read the full story at Ledger Insights

China pilots new model of medical insurance payment

24 October

China's National Healthcare Security Administration has issued two key technical documents for a pilot project that introduces diagnosis-related groups, a patient classification to standardize payment in the national medical insurance schemes.

The documents were a technical standard and a detailed classification plan for installing the DRGs in China, the administration said in a press release Thursday.

Under the DRG model, patients will be classified into DRGs with similar clinical symptoms and resource costs on the basis of their age, gender, length of stay and clinical diagnosis.

Medical fees and insurance payments will thus be based on DRG classification instead of specific patients.

According to the pilot classification plan, patients will be sorted into 26 major diagnostic categories and 376 adjacent diagnosis-related groups.

China plans to launch the pilot project in 30 cities, including Beijing, Tianjin and Handan in northern China's Hebei Province.

The DRG model may help prevent excessive treatment and overuse of medicines and examinations, said Zheng Jie, an official with Beijing's healthcare security department.

Read the full story at XinhuaNet

BetterMed Delivers Compassionate-First Medical Loan Financing to the US Market with Unprecedented 97% Approval Rate

24 October

Global company, renowned for its fixed interest rate of 3.9% APR, leverages machine learning to provide medical loans up to $350,000 with no credit check.

BetterMed, the compassionate-first medical financing partner, today announced the availability of comprehensive medical lending for the US market at a guaranteed fixed rate of 3.9% APR. BetterMed's financing options cover a wide range of medical care costs, providing borrowers the most compassionate loan terms and flexible repayment plans on the market.

BetterMed borrowers pay four to six times less than they would for comparable financing options offered through other medical loan or credit services.

Utilizing its extensive network of hospitals and doctors, BetterMed is the only loan provider to negotiate healthcare costs on behalf of its customers, ensuring patients receive the most reasonable rates.

While BetterMed financing covers all types of medical costs, the company is one of the few loan facilitators to specialize in critical care cases - traditionally one of the hardest areas for individuals to secure medical financing.

Through its proprietary algorithms, coupled with personal engagement, BetterMed evaluates each loan application to determine if additional assistance can be provided in the form of customized loan terms, a gifted portion of the medical costs or, in some cases, gifting the full cost of care.

The BetterMed Compassionate Grounds program is a $750 million annual fund and, to date, has helped more than 220,000 individuals receive life-changing medical care.

Using machine learning and evaluation metrics that include a $999 application fee and proof of ID, income and employment, BetterMed's algorithm and loan process has resulted in a 97% approval rate across all applicants and a 100% customer retention rate.

Read the full story at Yahoo!

Centene Lets Individual Major Medical Enrollment Rise

23 October

Centene Corp. is still happy with its commercial individual major medical insurance business, and it's still letting individual major medical enrollment rise.

The St. Louis-based insurer gave some information about its major medical insurance operations Tuesday, when it released earnings for the third quarter.

The company ended the quarter providing or administering major medical coverage for 15 million people, up from 14 million people a year earlier.

Medicare plan enrollment fell to 404,500, from 417,400, but the company is in the process of acquiring another carrier, WellCare, that's a major player in the Medicare plan market.

Centene has been selling individual coverage through the Affordable Care Act public exchange system, and it also ended up with additional commercial health insurance business when it acquired Health Net.

The company's enrollment in ACA public exchange program plans increased to 1.9 million, from 1.5 million a year earlier.

Overall commercial enrollment increased to 2.4 million, from 2.1 million.

Read the full story at ThinkAdvisor

Why do my medical, health plan premiums/contributions keep increasing?

22 October


WHILE Malaysians are becoming more aware of the need to have medical insurance/takaful, they also have to contend with increasing premiums/ contributions.

These days most policies/certificates are comprehensive and come with medical cards, allowing the policyholder/certificate holder to be admitted to hospital and doctor charges guaranteed by the insurance company/ takaful operator.

Before we look at the drivers behind the increases, we must first understand that the cost of comprehensive medical policies/certificates would automatically rise as you get older.

These premiums/contributions are drawn up based on a variety of assumptions including the probability of a yearly medical inflation.

Medical inflation is often higher than other goods and services due to improvements in technology and treatments, new drugs, people living longer and requiring more medical care, etc.

Insurance companies/takaful operators might reasonably price an inflation rate of six to eight per cent to cover medical inflation.

With Malaysia having experienced one of the highest medical inflation rates in Asean in recent years, the expected increase in claims for 2019 is 13 per cent.

The Life Insurance Association of Malaysia, the Malaysian Takaful Association and the Persatuan Insurans Am Malaysia have jointly commissioned an independent consultant to conduct a comprehensive study on the drivers of medical claims inflation.

Read the full story at New Straits Times

Premium hike: Your health insurance may soon cost 10-15% more

21 October

Health policy premiums may soon see a 10-15 percent increase with insurers being asked to cover additional ailments from October 1.

The Insurance Regulatory and Development Authority of India recently issued guidelines barring insurers from denying a health insurance policy for genetic disorders, mental health procedures, puberty and menopause-related illnesses, among others.

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

The Mental Healthcare Act 2017, which came into force from May 29, 2018, mandates every insurer to ensure medical insurance for mental health ailments.

As per the law, this would be similar to a regular health insurance available for physical illnesses.

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

Health insurance policies are priced depending on the coverage and the list of ailments included.

Those like genetic disorders and mental health do not have adequate historical data for insurers to price products that include these ailments.

Read the full story at Money Control

Horror car smash raises questions over road accident coverage

19 October

Because the other car didn't stop, there's no liability on which victim could lay claim.

A Dubai woman has been left severely injured without coverage despite having comprehensive car insurance after a horrific road accident.

As the other car left the scene and there was no CCTV or witnesses, she said police recorded the incident as having had no other vehicle involved.

Despite being comprehensive, it capped personal accidents at Dh3,000 with the view to only later taking a percentage off a total Dh200,000 limit, after a medical evaluation upon her discharge.

Khayrullina's husband now has to foot the bill before the insurance company will even consider evaluating that claim and in any case the full amount won't be covered.

It can also be important to understand what is excluded and in what cases no policy will cover, i.e. if you cause an accident overspeeding or crossing the red light.

According to naik, the police also impounded their written off vehicle at a cost of Dh100 a day reaching Dh4,800 before Naik was informed he had to collect.

The couple have contested that there was a second vehicle involved, whose insurance might have covered Khayrullina's injuries, but as there was no evidence of this, the police have closed the case as a straightforward loss of control.

Read the full story at Gulf News

Turkey Health and Medical Insurance Market Share, Size, Industry Growth Rate, Development Status and Regional Trends Forecast to 2019-2024

19 October

A complete background analysis of the Turkey health insurance industry, including an assessment of the national health accounts, economy, and emerging market trends by segments, significant changes in market dynamics, and market overview, is covered in the report.

Turkey Health and Medical Insurance market covers the outlook for overall market status, size and share.

Turkey Health and Medical Insurance market report also presents the market competition landscape and a corresponding detailed analysis of the major vendor in the market.

Top up insurance is the fastest growing portion of the private medical insurance market in Turkey.

Since the inception of complementary health insurance in 2013, there has been significant rise in the health insurance coverage, owing to the availability of qualified and high standards of healthcare in private health institutions.

Analysis of the Turkey Health and Medical Insurance market including revenues, future growth, market outlook.

Profiles on Turkey Health and Medical Insurance including products, sales/revenues, and market position.

Brief on health insurance premiums and study on the effect of medical trend rate on health plans.

Read the full story at NewsFlashed

Biden's Attacks On Single-Payer Undermine Liberalism Itself

18 October

Joe Biden has a dire warning for voters who've been seduced by single-payer advocates' sweet nothings: In Bernie Sanders's socialist dystopia, the typical American worker would see a small percentage of her income deducted from each paycheck, so as to finance her health-insurance coverage.

Although the existing Medicare for All proposals would create some cost savings, they would not fully rectify our overspending problem in the near term.

For these reasons, any plausible proposal for shifting all of America's health-care costs onto Uncle Sam's books is bound to look fiscally extravagant.

As the right-wing Mercatus Center revealed last year, under one plausible model, Bernie Sanders's Medicare for All plan would cost the U.S. $32.6 trillion over a decade - while simply maintaining our existing health-care system would cost $34.65 trillion.

Under the norms of mainstream political journalism, costs imposed on the American people by the private sector require no justification or defense; only costs imposed by the public sector do.

If you are committed to abetting the meteoric rise of private health-insurance premiums, a debate moderator will not ask you to level with the American people about how much your approach to health-care policy will cost them.

If you are committed to reducing overall health-care costs by expanding the public sector's role in medical provision, you will be ritually scolded for the extraordinary fiscal price of your program.

How one calculates the potential electoral cost of running on a somewhat less popular health-care policy - let alone how one weighs that cost against the potential long-term benefits of popularizing single-payer - is inescapably subjective.

Read the full story at New York Intelligencer

Gerard Gianoli: Senate legislation will cause physician shortages

18 October

Doctors join insurer networks because the insurance companies guarantee a certain price for services, at a discount to the physician's usual charges.

In return for this concession, the physician gets a steady stream of patients who are enrolled with that insurance company.

Because there are few major insurance companies, especially since the passage of the Affordable Care Act, insurers have a heavy hand in these negotiations.

Insurance companies offer out-of-network benefits to the insured, but these benefits are reduced.

Insurance companies pay more in total outlays for out-of-network bills than for in-network bills, even though their insured patients are paying more too.

In response to these mandates, the insurance companies allowed fewer doctors in their networks and fewer specialists - who tended to be the most expensive.

Imposing price controls on doctors and making them pawns of insurance companies would hurt patients.

Making insurance companies provide what they advertise, keeping their word, is the right move.

Read the full story at Shreveport Times

Samsung SDS Pilots Blockchain-Based Medical Insurance Network

17 October

Samsung SDS, an IT solution developer partially owned by the South Korean tech conglomerate, is expecting to roll out a blockchain-based medical claims processing system this month.

According to a CoinDesk Korea report on Wednesday, Yoon Shim, a vice president of Samsung SDS, said at the Blockchain Seoul 2019 event that the firm has been piloting the system since August this year.

Samsung SDS is 22.6 percent owned by Samsung Electronics and 17.1 percent owned by Samsung C&T. Yoon added that medical institutions and insurers have participated in the pilot to validate the effectiveness and the system will go live soon this month, based on another local news report.

Blockchain technology is used for the sharing of personal medical information.

Samsung SDS believes that the network will reduce the workload at medical institutions, shorten wait times for claims processing and reduce the cost of processing medical claims by up to 70 percent.

In June, Samsung SDS said that it had already signed a number of major hospitals to the blockchain healthcare network.

The list includes Samsung Hospital, Severance Hospital and Korea University Medical Center, while discussions were ongoing with other institutions.

Samsung SDS says Nexledger is being used in the implementation of 110 blockchain projects and holds 51 patents.

Read the full story at CoinDesk

EU-Based Britons Fuel Growth in Healthcare Insurance as Post-Brexit Fears Grow

17 October

Some Britons living in the Europe Union are worried about losing access to free healthcare after Brexit, opening up a potentially lucrative new market for European health insurers.

Their biggest concern is over Britain leaving without a deal, which could affect some of the healthcare arrangements enjoyed by Britons living in Europe, many of them pensioners, as well as by more than three million EU citizens in Britain.

Goode now receives four to six requests for information daily and gives advice about healthcare after Brexit at weekly meetings for expatriates at campsites in Benidorm.

The British government last month said 180,000 people already living in the EU who have their healthcare funded by the UK, including pensioners and students, would have their costs covered in the case of a no-deal Brexit.

Britons in Europe also worry health insurance will not cover them for pre-existing conditions.

Health insurance premiums have also tended to rise sharply in recent years due to increases in medical costs, which Mercer Marsh Benefits said was 9.7% globally in 2018.

Broader international medical insurance policies are more likely than domestic insurance to include pre-existing conditions, offer documents and even online doctors in a variety of languages, and be portable across countries, insurers said.

Read the full story at Insurance Journal

Medicare 2020 open enrollment begins Tuesday

16 October

Medicare open enrollment for health care coverage in 2020 begins Tuesday, Oct. 15.

During the annual open enrollment season, which runs through Dec. 7, Medicare beneficiaries can switch health and drug plans for 2020, with coverage beginning on Jan. 1.

New rules take effect next year governing prescription drug coverage, changes in out-of-pocket costs, expanded benefits under Medicare Advantage plans and the elimination of some popular supplemental Medigap plans for people who turn 65 after Jan. 1.

There are two main ways to get your Medicare coverage-Original Medicare and Medicare Advantage.

A Medicare Advantage Plan is an all-in-one alternative to Original Medicare.

About one-third of Medicare beneficiaries choose these bundled plans, which include Part A, Part B and usually Part D. Most Advantage plans also provide extra benefits - such as vision, hearing and dental coverage, and complementary gym memberships - that original Medicare does not cover.

The Medicare Plan Finder tool was redesigned for the first time in 10 years in preparation for the 2020 open enrollment season.

So instead of buying one of the most popular Medigap policies, Plan F, new enrollees in Medicare in 2020 and beyond may want to purchase Plan G, which covers all the same things as Plan F, except for the Part B deductible.

Read the full story at Investment News

SafetyWing Review 2019: Insurance for Travelers & Nomads Pros & Cons

16 October

With a headline pricing structure of $68/4 weeks for travels within the US, and $37/4 weeks for everywhere else, we sought to explore whether or not SafetyWing is a notable option for your travel medical insurance needs.

In its most basic form, SafetyWing is a travel medical insurance provider that is suited for those living the digital nomad lifestyle.

Take note, you don't need to be a freelance worker per-say to consider obtaining cover from SafetyWing, as the provider is still suitable if you're simply living abroad. Nevertheless, on top of offering medical insurance, SafetyWing also covers a number of other travel-related events.

When you first head over to the provider's website, you'll instantly be presented with its proprietary offer of $37/4 weeks, or $68/weeks if your travel plans includes the US. Ultimately, the overarching selling point from the team at SafetyWing is to provide its customers with travel medical insurance that is reliable, flexible, and perhaps most importantly - affordable.

SafetyWing offers 'Travel Medical Insurance', meaning that it provides both medical cover and travel cover.

First and foremost, if you experience a travel delay that exceeds 12-hours - and you require an unplanned overnight stay, then your SafetyWing insurance will cover you up to $100 per day.

You will only be covered in your home country for 30 days every 90 days - or 15 days for every 90 days if your home country is the US. Nevertheless, you can travel with SafetyWing insurance anywhere in the world apart from Cuba, Iran, and North Korea.

The claim process at SafetyWing works largely the same way as any other insurance provider.

Read the full story at MoneyCheck

The lowdown on medical and health insurance/takaful

16 October

ake our wellbeing, for example, and the stress we're likely to face should anything untoward happen to us, sans medical and health insurance.

Getting medical insurance has therefore become essential.

Generally, an individual medical insurance coverage offers a medical card facility for hospital admission.

The medical card provides you with insurance coverage.

The benefit of having a deductible means that your health insurance is cheaper - your monthly premium with a deductible will cost 10-20 per cent less than one without.

A standalone medical plan behaves like a term insurance in that you are covered as long as you pay your premium.

On the other hand, a medical insurance rider comes attached to a basic life insurance policy, most commonly an investment-linked policy.

Buying medical insurance can seem complicating and daunting.

Read the full story at New Straits Times

StartupCare and Generali Hong Kong partner to launch all-in-one digital healthcare platform

16 October

Health benefits solutions provider StartupCare has announced that it has partnered with insurance company Generali Hong Kong to launch an all-in-one digital healthcare platform.

StartupCare is claiming this is the first platform of its kind, providing tailor-made healthcare solutions for entrepreneurs and growing teams in startups and SMEs.

Its promising a seamless end-to-end insurance journey within the app, starting from the assessment of initial symptoms to finding a clinic and scheduling an appointment to e-claim services.

StartupCare is also providing the services of an online professional consultation team to solve questions regarding group medical insurance plan options.

Another element of the partnership includes providing group medical insurance plans for local startups with coverage that includes local and overseas general and Chinese medical practitioner consultations, physiotherapy, dental, and private hospital medical services.

The launch came in part from a survey StartupCare undertook to understand the relationship between group medical insurance plans and business growth, gathering responses from over 1,000 local startup and SME founders, as well as representatives from the IT and professional service industries.

It found that local employees often worked over 12 hours a day and were frequently under high pressure, which led to various health issues and significantly affected work productivity.

It also revealed that employees take four days of sick leave a year on average and that over 60% of respondents still insisted on going to work while under mental-related strain.

Read the full story at Marketing Interactive

Retirees and medical insurance

15 October

Thai government spokespeople, in recent years, have emphasized that that Thai hospitals are not free for foreigners.

Holders of one year 0/A visas or ten year 0/X, issued by Thai consulates and embassies abroad, do now require medical insurance worth at least 400,000 baht for in-patient treatment and 40,000 baht for out-patient care.

The vast majority of expat retirees in Thailand receive their annual extensions of stay at a Thai immigration office.

One substantial reason for leaving well alone is that many expat retirees self-insure because they are too old or infirm to obtain medical insurance.

These wealthier retirees contribute billions of baht annually to private hospital coffers when significant surgery is required.

Out of 10 crowd-funded evacuations publicized in the last year, all but one were under 50 years and several in their 30s. Thailand hopes for 40 million visitors to its shores in the next year.

Even if all had travel insurance, perhaps issued at airports and border posts with the attendant chaos and delays, they would certainly be not be covered for many medical hazards.

Read the full story at Pattaya Mail

US Congress examines private equity role in surging healthcare costs

14 October

The focus of public ire and politicians' scrutiny is turning to the private equity owners of US healthcare companies that provide emergency medical services.

Blackstone and KKR, two of the world's largest private equity managers, were asked to provide detailed information about every healthcare company they have ever owned along with documents about their relationships with medical insurance providers to the committee by September 30 this year.

Welsh, Carson, Anderson & Stowe, a New York-based private equity manager that has invested in 85 healthcare companies over its 40-year history, also received a request for the same detailed information.

Healthcare costs accounted for 17.1 per cent of US gross domestic product in 2017, the highest share among leading industrial nations, according to the OECD. The scrutiny by the committee shines an unflattering spotlight on private equity managers that have already developed a reputation for using large amounts of debt and high fees to enrich their top executives.

Eileen Appelbaum, senior economist at the Center for Economic and Policy Research, Washington, DC-based think-tank, said the business model of private equity managers was geared to driving up the costs of patient care.

US senator Elizabeth Warren, one of Wall Street's most vocal critics, has spearheaded the drive for reform of the private equity industry's involvement in the US economy.

Five PE managers - BlueMountain Capital, HIG Capital, American Securities, Apax Partners and Platinum Equity - have received letters from Ms Warren and two Democratic representatives demanding an explanation for their role in the deterioration of the US prison system.

Read the full story at The Times

Generic drugs get government boost in China

13 October

The 33 items include drugs to treat cancer, Parkinson's, high cholesterol, pediatric ailments and rare diseases.

To ensure supplies, China will take steps including making a list of medicines in shortage, and establishing and improving inventories of these drugs, according to a statement the State Council, China's cabinet, posted on Friday on its website.

The statement was in line with an earlier document on ensuring the supply of generic drugs, which was published by several agencies including the National Health Commission, the Ministry of Science and Technology, the Ministry of Industry and Information Technology, the National Medical Products Administration and the National Intellectual Property Administration.

The first section of a catalogue of generic drugs, covering the 33 items, has been compiled, according to a document released on Wednesday.

After the generic versions come to market, costs will surely plunge as the average prices of generic drugs are only 20-40 percent those of patented versions.

China vowed to promote R&D of generic drugs to solve the problem of shortages of high-quality generic drugs and to secure drug supplies, said the State Council in a guidance.

China will make a list of medicines that are encouraged to be produced as generic drugs, which will be included in the national science and technology plan, and priority will be given to the review and approval of their registration applications.

Read the full story at Global Times

Patience for health patients

13 October

Health care in the United States is a $3.5 trillion industry, with New York - at a cost of more than $10,725 per person, according to the Centers for Medicare & Medicaid Services - making up more than $163 billion of those costs.

From pretty much the beginning, health care is something Americans have treated as a commodity.

As medicine grew more complex, costs became more and more difficult to handle.

Unless you've lived outside the country for any extended period of time, the only health care we have known is one that exists through our health insurance.

Since 2000, outside of a three-year period immediately following the rollout of the Affordable Care Act, far more Americans have demanded the federal government take control of health care than those who think it should stay private, according to Gallup.

Implementing a measure as complex as the New York Health Act is one that is designed to remove and rebuild the entire backbone of our society.

While many would love to enjoy the benefits that could come with a single-payer health care system now, the fact is, there are a number of things that must happen first before such a program can even be implemented.

One way or the other, New York will be a model for the future of single-payer health care.

Read the full story at The Riverdale Press

Medicaid work rule before the appeals court today

12 October

The federal Court of Appeals for the District of Columbia heard appeals today of lower court rulings striking down work requirements for expanded Medicaid coverage in Arkansas and Kentucky.

The lower court found that the work rule, which threw thousands off coverage, ran counter to the core objective of Medicaid, to provide medical care.

The GAO has reported, it cost $26 million to implement and increased the cost of health coverage.

UPDATE: The Washington Post reports questions from the appeals court panel expressed skepticism about the work rules.

All three judges said the states had failed to consider people who'd lose medical insurance.

The attorney, Alisa Klein, of Justice's civil division, said the administration believes that requiring low-income people to work, or prepare for jobs, can improve their health and ultimately help them get private health plans, freeing up money that states could use for additional Medicaid benefits.

The judges dismissed the argument that a similar requirement existed in the food stamp program.

Read the full story at Arkansas Times

Elma Care's CEO on being a digital-first insurance provider in Spain

11 October

Take Spain, for example, a system where there's a public health system that every citizen pays for through their taxes, as well as a private health insurance market that people can buy into in order to expedite care.

One of those private health insurance companies is Elma Care, which is looking to shake up the system by giving patients a digital-first experience.

Private insurance companies are able to reduce wait times, Antón explained, because public and private insurance companies actually run their own hospitals separate from each other; that is not to say that there are not some that take both, but generally they operate independently from each other.

Since most people in Spain only have public insurance, roughly 10 million of the 46 million people who live in the country, the wait times are much shorter at private hospitals.

What Elma wants to do is the private insurance company that also provides users with that primary care option.

If the doctor does feel that the patient requires a lab test, Elma will book the test for the patient who can then go to the company's physical network, which consists of 23,000 specialists all around Spain and an agreement with more than 2,000 centers.

For its most expensive plan, which starts at €32 per month, patients get access travel medical insurance and dental insurance, plus their first 10 visits and medical tests per year are free.

While the company has six doctors on its platform, the fact that it's digital-first is what sets it apart from the other private insurance companies in Spain who are trying to catch up.

Elma has 6,000 members visiting its primary care centers, many of whom are Millennial women, though the service is popular with people between the ages of 30 and 50, and they typically use the app three to four times every six months.

The most striking result, Antón told me, is that 90 percent of the time, when people come to the Elma app, their problem is solved with them ever needing to go see a doctor in person.

Read the full story at Vator News

Upcoming Trends in United Kingdom Health And Medical Insurance Market 2019-2025| BUPA, Axa PPP, Aviva, and Prudential – Market Report Gazette

11 October

The Research Insights has recently added a new survey report to their vivid and dynamic database, tittle as United Kingdom Health And Medical Insurance Market, They have formulated this report by taking into consideration all the key aspects that tend to have an impact on the global market share, revenue, and profitability.

The multi-facet display of the United Kingdom Health And Medical Insurance Market navigates through an overview, which combines the definition, industry configuration, government guidelines that influence the global market, its cost structures, and manufacturing procedures.

The UK health insurance market is expected to register an effective CAGR of +8% over the forecast period.

While, Medicare provides all the required health services free of cost to all the residents, and some of the employers offer private supplemental health insurance as a benefit cover to attract quality employees.

The second section of the report comprises analytics on the United Kingdom Health And Medical Insurance Market based on its size in terms of value and volume.

The changing dynamics of the United Kingdom Health And Medical Insurance Market over a period of time is most likely to affect the company profile, gross margins, sale price, sales revenue, sales volume, product specifications along with pictures, and the latest contact information.

A complete background analysis of the United Kingdom Health And Medical Insurance Market industry, which includes an assessment of the National Health Accounts, economy, and emerging market trends by segments, significant changes in market dynamics, and market overview, is covered in the report.

We have effectively steered businesses all over the world with our market research reports and are outstandingly positioned to lead digital transformations.

Read the full story at Market Report Gazette Technology News, Latest Technology News, Trending Market News

Kerala govt set to revise medical packages under MEDISEP, KASP

11 October

The Kerala Government is set to revise upward the prefixed treatment rates for which cover will be allowed under its medical insurance scheme.

The move is aimed at ensuring more participation of private hospitals in both its new comprehensive health insurance scheme dubbed Karunya Arogya Suraksha Paddhati and the Medical Insurance Scheme for State Employees and Pensioners.

The insurance premium for the MEDISEP scheme will increase when the treatment rates are hiked.

Insurees need not have to pay premium for joining KASP. In all 41 lakh families have so far enrolled for KASP and 11 lakh families for the MEDISEP. The Kerala government's contract with Reliance General Insurance Company Limited for the MEDISEP had to be cancelled as many private hospitals had stayed away from it alleging that the rates offered for treatment were very low.

Only 112 private hospitals had facilitated the MEDISEP while only government hospitals were part of the KASP. The revised rates are unlikely to come into effect this financial year as the new insurer is yet to be awarded the contract.

The centre cancelled 554 treatment packages and added 237 new ones to this pan-India scheme which Kerala is yet to put to effect.

The Union government had funded Rs 130 crore out of the Rs 700 crore for KASP. Centre has agreed to consider the local needs while introducing its health insurance scheme in Kerala.

The Kerala government's new health insurance slabs may also reflect the changes in the rates of the ambitious national health protection scheme.

Read the full story at Manorama Online

John McClaughry: Rethink health care and health insurance

9 October

Vermonters have recently witnessed, once again, the annual battle over health insurance rate increases for individual and small business plans.

The Affordable Care Act added additional requirements.

The law tells the insurers what care they must pay for, but the insurers can't control what the providers charge.

In July the two insurers filed with the Green Mountain Care Board their annual request for premium rate increases.

Activists can always fill a room with people who want health care services at a large discount, or free, and demand that government either impose price controls on health insurance or take over the whole health care industry.

You rarely if ever hear an intelligent analysis of why health insurance and care cost what they do.

Vermont is long overdue for a thorough rethinking of how to help Vermonters maintain their wellness and access adequate care.

Read the full story at VT Digger

Hong Kong insurers target young and the elderly as protests deter mainland Chinese from buying insurance products in the city

9 October

Insurers entering the Hong Kong market are having to seek out younger and more elderly customers as the anti-government protests have led to a sharp fall in mainlanders visiting the city to buy life and medical insurance products.

Insurance sales to mainland Chinese customers have dropped by an estimated 30 per cent during the increasingly violent pro-democracy rallies that have plagued the city since early June, according to industry players.

Regulations require mainlanders must be in Hong Kong in person to buy insurance products.

Hong Kong's insurance sales to mainland Chinese policy holders plungeWell Link Life Insurance Company, which received a licence in April and started to sell products in August, is focusing on customers aged 50 and over, offering them retirement and medical products.

The company sells its products through 40 insurance brokers, while it plans to hire about 200 agents next year, Lee said.

Former Financial Secretary John Tsang joins virtual insurer Bowtie as adviserBowtie Insurance, which won the first virtual life insurance licence to be granted by the Insurance Authority in December, is not allowed to hire agents and can only sell products online.

Bowtie and Well Link are among the scores of insurers to offer the Voluntary Health Insurance Scheme, which is a tax-deductible scheme introduced by the Hong Kong government in April.

33 billion buying life insurance policies in Hong Kong, up 18 per cent from a year earlier.

Read the full story at Yahoo!

Chinese enjoy greater geographical flexibility in utilizing medical insurance

8 October

Chinese people who seek treatment in places where their medical insurance accounts are not registered have enjoyed greater convenience in reimbursing their costs.

A total of 3.18 million interprovincial medical bills have been settled since 2016 when the country allowed patients to use their medical insurance cards for medical treatment in designated hospitals and settle the bills straight away irrespective of the locality, according to the National Healthcare Security Administration.

The number of interprovincial medical bills settled on the spot has increased rapidly.

In 2018, the figure was 1.32 million, 6.3 times the 2017 figure, according to the NHSA. From February to August this year, the figure totaled about 1.48 million.

By the end of August, a total of 21,824 designated hospitals nationwide provided on-the-spot settlement.

Read the full story at Xinhua

Solve surprise medical bills with benchmarking, not arbitration

8 October

Surprise medical bills expose Americans to the high prices and occasional greed lurking in the heart of our health care system.

Medical insurers typically provide some insulation from these bills by negotiating prices for their in-network patients.

In its effort to fix surprise bills, Congress must not undermine this key lever for controlling hospital and doctor bills by instituting an arbitration solution, which is strongly backed by organized medicine, that is now working its way through several Congressional committees.

The Protecting People From Surprise Medical Bills Act, introduced into the House of Representatives in June, would use arbitration to settle disputes over surprise medical bills.

By ending the financial distress and anger that patients can experience when hit with surprise medical bills, and by guaranteeing insurance payments far above in-network rates, arbitration will prompt many doctors to leave insurance networks as soon as they can.

Doctors across specialties will quickly follow emergency physicians, radiologists, and anesthesiologists, who have made surprise billing a staple of their business models - only now the bills will no longer be a surprise, and insurers will be legally obliged to pay them.

A far better way to address the problem of out-of-network medical bills is through benchmarking.

If Congress passes a flawed solution to surprise medical bills that contains incentives for out-of-network care, it will eviscerate insurance networks.

Read the full story at STAT News

TSC set to award Sh9bn medical cover tender

29 October

The TSC issued a tender for the provision of medical insurance for teachers.

The Teachers Service Commission is set to award a multibillion shilling medical scheme tender that will cater for its 318,000 tutors over the next three years.

In August, TSC issued a Sh9 billion tender for the provision of medical insurance for teachers up to 2022.

Apart from having an established medical insurance firm, it is expected that the winning consortium will have a medical provider with the capacity to serve the huge TSC membership, including an extensive network of public and private hospitals.

The TSC has opted for four options with bidders expected to choose the option that fits them and TSC making the final decision.

Evacuation cover for teachers and their families will also be separate from inpatient cover.

Teachers have been pushing for better medical cover.

Read the full story at Daily Nation

Trump´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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