Corporate Private Medical Insurance - Medical Insurance

Commercial health insurers inaccurately process 20% of medical claims, AMA says Washington Post

This report card focused solely on commercial insurers, a break from previous reports, which also looked at Medicare. The AMA report card is an effort to reduce the cost of claims processing for doctors. As much as $210 billion is spent annually to process insurance claims.

Private insurance companies matched their payments to what they agreed to pay doctors about 80 percent of the time, and Nancy Nielsen, immediate past president of the group, said that was a dramatic improvement.

"It is the report card that forced them to pay attention," Nielsen said.

Robert Zirkelbach, a spokesman for America's Health Insurance Plans, said it takes both insurers and doctors to process claims accurately and quickly. Many doctors don't submit claims electronically or promptly, he said. "Government data show that soaring medical costs -- not health-plan administrative costs -- are the key drivers of rising health-care costs."

The AMA rated Coventry Health Care highest of seven commercial insurers. Its national accuracy rating was about 88 percent. Anthem Blue Cross was at the bottom, with an accuracy rating of 74 percent.

Companies looking to save with cash plan PMI

As costs of having a private medical insurance policy have risen across the majority of health insurance providers, new research has found that a third of companies who currently offer private medical cover for their staff are looking at reviewing their policies. Aon Consultancy, who carried out the study, found that 16 percent of those were considering cash plan private medical insurance as an alternative to their current policies. Cash plan policies are a much more cost effective way of providing health insurance for staff, and is considered one of the top employee benefits available.


Companies are still deciding to take out private medical insurance policies, despite the price increase which Aon Consultancy believe to be up to 9 percent in some cases. This is evidence of the importance that providing good employee benefits are to the running of a company, either big or small, through improving general staff morale for one. The main reasons that the study found for continuing to provide corporate private medical insurance throughout the recession were to make sure that employees returned to work quickly following a bout of illness (53 percent), to provide employee wellbeing as part of their corporate responsibilities (56 percent) and over two thirds of the 653 employers that took part in the study offered PMI as part of a competitive benefits package. As well as this, private medical insurance is one way of attracting a higher calibre of staff so overall productivity could increase and save costs for businesses in the long term.

corporate private medical insurance - News


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