Posts Tagged ‘healthcare reform’

ID Theft 2.0: Surge of Unemployed, Uninsured Give Rise to Health Insurance Fraud

By Health Insurance On January 13, 2011 No Comments
imageIt all started with credit cards. Remembering your PIN number in the check-out line was that industry’s Hail Mary Pass to cut losses from fraudulent purchases back in the mid-80s. Fingerprint and retinal scans were developed by the FBI about the same time to keep us out of secure areas and to keep our prying eyes off top-secret documents. Now, fast forward about 20 or so years. Throw in a dismal economy, mix in thousands of suddenly uninsured Americans and you’ve got the makings of an apparently unforeseen black hole of security that could threaten the future of affordable healthcare and the efforts of Congress to reform it. A woman in New York City faces up to seven years in prison on charges she recently forged more than 50 insurance claims that submitted them to her health insurance companyClick here to continue reading


Michael Goldberg on Biomedical Investment & Healthcare Reform

By Health Insurance On July 21, 2010 No Comments
Mohr Davidow Ventures Partner Michael Goldberg discusses the potential impact that healthcare reform could have on biomedical investment.

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Will Health Insurance Companies Lose Their Antitrust Exemption?

By Health Insurance On July 17, 2010 No Comments
imageFor the past 65 years, the health insurance industry has been one of the few that is exempt from antitrust regulations. That means that the government has little recourse in preventing the creation of monopolies and price fixing among health insurance companies that raises health insurance rates for everyone. The House of Representatives is looking to change that with a new bill. Why have medical insurance companies been able to avoid antitrust regulation for so long? There are mitigating factors that can be used to avoid the Department of Justice’s attention; in the case of Major League Baseball, the fact that they are the only professional baseball league allows them decreased scrutiny for potentially anti-competitive business practices. However, there are many health insurers: publicly traded, for-profit companies such as United Health Care, as well as not-for-profit organizations like BlueClick here to continue reading


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