Tuesday, February 03, 2009
How Insurance Companies Save Money
I finally found someone who knows the inside workings of insurance companies and I asked them the same question , that several readers have asked me. " How is it , insurance companies can drop or lower a person's coverage , or even second guess a doctor ? ".
It's rather obvious , insurance companies use the UN-American principal , against their policy holders , which is : If it's bad for an American, while being good for the bottom line , then it's the Right action to take.
Here's what I was told , insurance is doing : If a person has a Phd. , then that person is also considered a doctor. Insurance companies hire these " Doctors in Basket Weaving " , to look at people's medical files ( aka - policy holders ) , to see if there are possible co$t$ cutting measures to put in place. These doctors have no medical experience what-so-ever. And yet , they are second guessing real doctors.
The real travesty is the commission , insurance companies pay out , to find those co$t$ cutting measures. Would you believe it's a whopping 45 % of the savings ? Here's how it works. Let's say 100 dollars are saved every month by eliminating payments on needles. After all , those can be re used , right ? Now , the " Doctor of Basket Weaving " gets 45 dollars in commission , butt , multiply that 45 dollars by 12 months and you get the full picture.
And yes , they still get a regular paycheck , while rummaging thru patient files. Typical pay is 120,000$ to start , plus car , apartment , meals and free medical insurance.
I will add to this ass new information comes in :
Remember , insurance companies do not have to divulge the identity of their " Doctors " .
I have also been told , some insurance companies are making changes in a " 3 step " method. More than 1 phone number and more than 1 case number is a part of implementing these changes and " NO " , they are not making the effort to tell you about these new changes. This means , you won't learn about any new changes , until you see your doctor and / or your pharmacy. The person telling me this also stated , that insurance companies are betting the doctor will start thinking something is wrong and not carry the ball thru the 3 steps.
It's rather obvious , insurance companies use the UN-American principal , against their policy holders , which is : If it's bad for an American, while being good for the bottom line , then it's the Right action to take.
Here's what I was told , insurance is doing : If a person has a Phd. , then that person is also considered a doctor. Insurance companies hire these " Doctors in Basket Weaving " , to look at people's medical files ( aka - policy holders ) , to see if there are possible co$t$ cutting measures to put in place. These doctors have no medical experience what-so-ever. And yet , they are second guessing real doctors.
The real travesty is the commission , insurance companies pay out , to find those co$t$ cutting measures. Would you believe it's a whopping 45 % of the savings ? Here's how it works. Let's say 100 dollars are saved every month by eliminating payments on needles. After all , those can be re used , right ? Now , the " Doctor of Basket Weaving " gets 45 dollars in commission , butt , multiply that 45 dollars by 12 months and you get the full picture.
And yes , they still get a regular paycheck , while rummaging thru patient files. Typical pay is 120,000$ to start , plus car , apartment , meals and free medical insurance.
I will add to this ass new information comes in :
Remember , insurance companies do not have to divulge the identity of their " Doctors " .
I have also been told , some insurance companies are making changes in a " 3 step " method. More than 1 phone number and more than 1 case number is a part of implementing these changes and " NO " , they are not making the effort to tell you about these new changes. This means , you won't learn about any new changes , until you see your doctor and / or your pharmacy. The person telling me this also stated , that insurance companies are betting the doctor will start thinking something is wrong and not carry the ball thru the 3 steps.
