This is an important decision. In many states insurance companies have "ghost networks" of doctors who are deceased, no longer practicing, or not taking new patients. It presents the picture to the public that they have many "In network doctors and hospitals" when in fact they do not. In Los Angeles a woman called 50 offices looking for psychological help for her child. She found none. Despite publicity this practice continues. Three hunded thousand is not much for an insurance company, but maybe it will get their attention. Here is the article:

CHICAGO (AP) — Illinois is fining the parent company of the state’s largest health insurer — Blue Cross and Blue Shield of Illinois — $339,000 for allegedly violating state law.

The Illinois Department of Insurance said Health Care Service Corp. is facing the penalty because it was late filing documents proving that it’s providing adequate networks of doctors and other providers to patients, the Chicago Tribune reported.

The department said that when Blue Cross stopped including the Springfield Clinic — a private multispecialty clinic in Springfield that serves about 100,000 patients — in its network, it was supposed to submit updated filings showing how it would continue to ensure central Illinois patients would have adequate access to in-network doctors and providers.

But the insurance company was 244 days late and 95 days late in submitting the related documents, the state Department of Insurance said. The late fees being imposed are $1,000 a day.

Health Care Service has 10 days to contest the fine.

Harmony Harrington, Blue Cross vice president of government and community relations, said the company is evaluating the state’s decision and deciding on next steps.

Harrington said Blue Cross began working with the state Department of Insurance when contract negotiations began last May with the Springfield Clinic.

“As we evaluate the department’s decision, we will continue to work collaboratively and in compliance with applicable laws and regulations while ensuring access, affordability and quality in health care for the more than 8 million members we cover,” Harrington said.

LINK: https://wgntv.com/news/illinoi...ld-of-illinois-339k/

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...Three hunded thousand is not much for an insurance company, but maybe it will get their attention. ...

Will result in different tactics to the same end, and the cost passed on the to insured.

What does get results is when the people who get found out, get real prison terms and serve them, then it moves the beast out of step.

Consider Bernie Madoff and Leona Helmsley for starters.


And in the process of the trials, should be the correct sentences employing seizure/forfeiture of personal assets/restitution and time, so less is taken from the pockets of taxpayers and the insured payers, by passing such costs as is the case when the corporation or organization is fined.

^^^^^^^^^^^
They did get Dr.Mcguire the former CEO of United Healthcare for back dating stock options. He was out of a job but still has millions. Of course no jail time. He was pretty much disgraced, but when you have money it is easier to take.

quote:

Originally posted by ZSMICHAEL:
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They did get Dr.Mcguire the former CEO of United Healthcare for back dating stock options. He was out of a job but still has millions. Of course no jail time. He was pretty much disgraced, but when you have money it is easier to take.

I have had dinner with that dude. We were mutual guests at the table. Incredible amounts of money for realz, but it doesn’t make you a better person. At that time in the late 90s, $2k bottles of wine and a trophy wife w/ obvious store bought. Unimpressed.

Cannot ethically really share any more than that.

$339,000?
That's their electric bill.

A drop in the bucket for that company

That should pay about 3 hours of the pensions that they refuse to fix.

No problem. They'll just take it out of doctors' reimbursements.

quote:

Originally posted by ZSMICHAEL:

They did get Dr.Mcguire the former CEO of United Healthcare for back dating stock options. He was out of a job but still has millions. Of course no jail time. He was pretty much disgraced, but when you have money it is easier to take.

Disgraced? He's probably laughing all the way to the bank.

quote:

Disgraced? He's probably laughing all the way to the bank.

^^^^^^^^^^^^^^
WSJ drug him through the dirt. Many of his colleagues abandoned him. He is not a Russian oligarch, and he lost his social status which was no doubt important to him. Probably not a country club member anymore. He does get an occasional pat on the back for his various donations.

quote:

Probably not a country club member anymore.

He can probably afford to buy small country and build his own country club.

In Illinois collect $339,000.00, SPEND $5,000,000.00 in legal fees and tax payer money all going to politically correct law firms to recover the $339,000.00.
Nothing to see here, move along.

quote:

Originally posted by V-Tail:

quote:

Originally posted by ZSMICHAEL:

They did get Dr.Mcguire the former CEO of United Healthcare for back dating stock options. He was out of a job but still has millions. Of course no jail time. He was pretty much disgraced, but when you have money it is easier to take.

Disgraced? He's probably laughing all the way to the bank.

Exactly, this. They "got nothing".

I'll bet you the best nanner in the bunch, that he had that in his "acceptable risk" column from way back, and that he planned and "invested" for any eventuality.
[Ze Frank] "Because, that's what the successful CEO do." [/Ze Frank]

quote:

In Illinois collect $339,000.00, SPEND $5,000,000.00 in legal fees and tax payer money all going to politically correct law firms to recover the $339,000.00.
Nothing to see here, move along.

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I am very tired of your excessive cynicism. You have made similar posts in several of my threads. I chose to ignore them. Not this time. I made suggestions sometime back of medical faciities in Chicago and you had negative feedback for every one. I have heard your cataract surgery story several times but refrained from commenting. Please grant me the courtesy. You seem a very angry and bitter man. Thank you

quote:

I'll bet you the best nanner in the bunch, that he had that in his "acceptable risk" column from way back, and that he planned and "invested" for any eventuality.
[Ze Frank] "Because, that's what the successful CEO do." [/Ze Frank]

^^^^^^^^^^^^^
Perhaps. I wrote him a very pointed letter sometime back and I am sure thousands of others did. He may indeed be without a soul. I sadly know some physicians like that. UNH is now the largest healtcare company in the world. Its share price plummeted to 20 dollars per share during the scandal and now sits at about Four Hundred and Fifty dollars per share