FTCR: Insurers Inflated Med-Mal Claims to Justify Rate Hikes

December 30, 2005

  • December 30, 2005 at 9:32 am
    Tracy says:
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    So, Harvey is back and at it again. If he\’s so concerned about excessive charges, why not check on these three areas:
    Lawyer\’s Fees
    Medical Care Costs
    Gasoline Prices

  • December 30, 2005 at 11:28 am
    Jimmy Olson says:
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    The pdf file mentions \”The Doctor\’s Company\” as overcharging, but mentions no others. Nice job of reporting.

  • January 1, 2006 at 2:28 am
    JHSilversmith,Jr. says:
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    This article fails to identify FTCR, it\’s membership, the expertise of the authors, the accuracy of its sources. It might have merit, but it just might be another unjustified slam at the industry from some oddball source. With no facts or detail given it seems unjust for you to publicize these types of claims!

  • January 1, 2006 at 10:42 am
    Roger Poe says:
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    .
    .
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    These inflated rates are equal to grand theft, consumer fraud, deceptive trade practice, false advertising, mail fraud and racketeering…no?

    And since the actuarial accounting / insurance claim loss adjusting principles work for med-mal policies, what about the P&C industry / homeowner policies and losses…?

  • January 3, 2006 at 3:15 am
    Rob Pennell says:
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    I have personally reviewed this issue in regard to the figures recently reported in my own state of Missouri where the insurers aggregate amount claimed for losses went from $67M to $166M in the course of one year at the same time that they carriers were looking to press for tort reform. There is little question but that the insurers inflate these figures at least at some level. And in fairness, it only makes sense that they do to a certain extent to ensure that the amount of reserves set aside to cover their losses are adequate. It would be unsatisfactory for them to routinely have inadequate funds set aside to cover their losses and result in companies folding and claims going unpaid. The question is when are they overstating things too much just for their own financial benefit. In light of filings with the Texas Dept of Insurance by TX\’s largest med mal carrier that the full extent of savings its actuarials estimate from the tort reform measures it pushed so hard to get was 1% from the damage caps and 1.5% from the ability to make payments over time I think it is time that we all came to recognize that this is not about passing laws that will make a difference in premiums nor about unfair jury verdicts but rather about an overall effort to sway jurors into believing that if they award money to an injured party that they will risk denying themselves and their families access to medical care. It is the debate that the carriers want most – not any particular outcome from a legislative standpoint.

  • January 23, 2006 at 7:24 am
    Dave Wallerstedt says:
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    The corporate crooks like these are the reason that health care is going through the roof. With a national health care system this would stop. Now you know why Ford is putting it\’s workers on the streets. Health care if nationalized would be cut in half. You might even be able to afford a new Ford.
    DO NOT POST MY EMAIL ADDRESS

  • January 23, 2006 at 8:41 am
    Why? Hedge Hog\'s says:
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    The Joy of Giving …
    Why not give someone a gift you know they’ll love â€â€Ŕ the Black Angus Steakhouse gift card. It’s great for birthdays, anniversaries or even simply to brighten up someone’s day. We specialize in U.S.D.A. choice fresh-cut steaks; seasoned, seared U.S.D.A. Choice Prime Rib, slow-roasted to perfection and a variety of seafood entrees. Gift cards can be purchased at any Black Angus Steakhouse in the United States.

    The Joy of Giving …

    by Black Angus Steakhouse

    One of our outstanding waitress\’es could not be present on June 9, 1995. We feel terrible that we have lost one that was so highly recommeded by the hiring manager, Terry Hayes. Her References were Impeckable, it\’s Released of September 1995, and while each insurance company has their own requirments, most containly the …BIG Insurance Group, played a very important role should there have been that unforunate need to file and deny her worker\’s compensation claim. …that\’s what happend to one of highly beloved wait person\’s. We have not seen hide nor hare of her, but in our thoughts we pray she goes away.

    Clients take: Business Insurance Group aka California Compensation Insurance Company.

    Our Gift ca.rd\’s (reverse) program is known world wide, and if for any other reason than that! The psychosomatic Left wrist diagnosis still stands.

    Waitress take: that this company could very well learn a lesson or too from its success. … It is
    very unforunate that my son & I had to learn these lesson by living their version of The Joy of Giving…… year\’s, by Black Angus Steakhouse \”

    11 Year\’s & Accounting………

    Ooh, one last thought: I hope all you supporter\’s of Black Angus Corporation will reconsider and refer your business clients elsewhere. The next wait-person could be a single mom trying to make ends meet, or a college student trying to pay for tutition.

    Any Reconsideration\’s were not in the basket were they Foundation Health Corp? Nope, you made sure that by the time I got to the stand, of any industrial court, the medical records would show a prior worker\’s injury.

    So, if you are still not clear of the rec
    ords to proof your fraud, Call me!

  • January 23, 2006 at 6:36 am
    brisa says:
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    This has been going on for a long time. The actuary assumes a worst case scenerio and figures the premium on it. If a claim is filed, the vast majority are settled for a fraction of that amount.

    It\’s called gravy. Health professionals and everyone else, through increased fees, get fleeced again.

  • January 24, 2006 at 1:20 am
    Patrick says:
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    Maybe your mother should have sent you to private school, obviously spelling, sentance construction and clarity of thought are not your strong points.
    Hopefully under a national health plan you would either be terminated at birth as of no use or simply kept alive for future organ donation purposes albeit exclusive of any cerebreal cortex need.

  • January 24, 2006 at 1:51 am
    J. Terry says:
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    The responsibility of control lies in the hands of the general public at hand. In Washington State the I-336 would have offered the following should it have passed:

    Strengthened the state commission charged with disciplining negligent doctors and adds citizen members to its board.

    Eliminated secrecy agreements that bad doctors use when settling cases to hide their medical negligence histories.

    Tracked malpractice claims and provides the public with access to the information.

    Required the state to investigate any healthcare provider who has paid three claims of $50,000 or more in a five-year period. Three judgments in 10 years could result in disciplinary action or a revoked license.

    Forced insurance companies to publicly justify rate hikes to protect good doctors from insurance price gouging.

    Strengthened our civil justice system by holding attorneys accountable by requiring them to file a certificate of merit, and sanctions lawyers who file frivolous lawsuits.

    Made sure that injured patients continue to be able to have their day in court.

    I-336 provides real solutions for better safer healthcare by holding everyone accountable: insurance companies, healthcare providers and the courts.

    Last doctor I had for Medical Malpractice, oops failed to diagnose a woman’s cancer for 2 ½ half years, perforated a woman’s colon so she had to use a colostomy bag for several weeks (but he fixed it, skippy), oh and removed a woman’s uterus by mistake. Oops, my bad? First claim paid out an excess of 50K.

    So until the general public take similar action and responsibility of our own insurance and health care costs as well as Doctors not ignoring their colleagues ahhh…boo boos… kindly stop whining or do something about it.

  • January 24, 2006 at 3:00 am
    Obviously your no math wize says:
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    What is so nice about DERIVE is the fact that any *** can decide how to use it. DERIVE doesn\’t force us to use a particular method. It simply broadens the range of methods to choose from.

    hence the word Scaffolding Didactics: (method of operation [MOO], tactic\’s used to create a false medical record).

    Ref: Recorded Q & A with Cal-Comp carrier, 2-14-96.

    From San Jose via Highway 101

    Exit at Highway 237 West (not East)
    237 becomes Grant Road
    El Camino Real
    Hospital 1 mile on (right)

    Around the corner and up your\’s too Patrick.

    Let me explain: Efforts to ligitimize a denied worker\’s compensation claim.

    Or, In case a skill is crucial or would that be your skull Patrick…

    It\’s 3rd and goal…. DR\’s. Records.

    Foot note: NFL Most Valuable Player\’s (1988) Mom & Son.

    Mom @ HCA\’s 08-25-88, Son\’s-Birth 03-20-88., & Most Available Records.

    Keyword\’s: Stanford Hospital, Good Samaritan Hospital, CA., just to name a few.

    Let me also decipher the Work Comps Team\’s quotes: No Left (Arm) Films Available?

    Now, most people do not stop to read the acknowledgements. Since you did, here\’s a bonus for you.

    http://www.nba.com/lakers/history/lakers_history_new.html#2

    Based on Med-i-cal Lake.

  • January 24, 2006 at 3:18 am
    LoL says:
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    Apparently your no spelling whiz either…

  • January 24, 2006 at 3:54 am
    Fact iss says:
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    Foundation Health Corporation, California Compensation Insurance Company, Black Angus Restaurant, State Farm Insurance, Health Net, State of California-Department of Industrial Labor.

    So when you carve out, not only BONE. I am going to make it real clear for you.

    1. Your Exploratory Data Analysis is on the rocks.

    2. Be it also Necessary (4 me) to gain insight into your D.U.I.\’s or
    could that also be a symptom based on your D.O.I.?

    Dora the Exployer on your case.

    D: 01 2 34 567 8910

    O: – + X /2

    I: + 1 7 35 4

    2) R

    1/2 midway / middle / double

    2) L

    Figure 96? with above R to L method.

    Ref: Date of denied 17 page ML-104 report: 4-17-96

    Age at time of injury: 35

    Date of Injury: 01-05-95

    There was no need to cut out a portion of my left Ulna BONE.

    Key Sentense: I will be able to introduced all the evidence that you induced as a shot into the call\’s of Fame.

  • January 24, 2006 at 4:00 am
    To: LoL says:
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    I make no Bone\’s about that!

  • February 5, 2006 at 11:43 am
    Kristen H says:
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    Does anyone know anything about this group such as membership size, where they get their money from…?



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