Self insured firms gamble on workers health
Welch Allyn leads the trend of self insured companies that fund employee health care through pooled corporate money rather than traditional policies. Most large firms use third party administrators to process claims and manage coverage, saving premiums and dodging state rules. The arrangement allows flexible, even discriminatory, decisions on treatment. it also carries the risk of major hit if many workers fall ill, mitigated by drop loss insurance. Amber Smith.
MENTIONED IN THIS ARTICLE
Welch Allyn
Skaneateles
Blue Cross
Blue Shield
Central New York
Mora
Self-Insurance Institute of America
Irvine
Dan Fisher
Amber Smith
Medical savings accounts eyed as insurance option
Medical savings accounts allow employers to earmark funds for workers medical costs and let employees use pre tax dollars for routine bills or catastrophic plans after a deductible. Critics warn MSAs may deter care if patients pay more out of pocket.
MENTIONED IN THIS ARTICLE
Msas
County closes clinics amid Medicaid reform debate
County officials push health managed care to replace neighborhood clinics as infant mortality and poverty concerns intensify. Critics warn loss of county services and the shift to HMOs may affect Medicaid patients and overall public health oversight.
MENTIONED IN THIS ARTICLE
Wouter
Pms
Syracuse
Onondaga County
Hmos
Larry Consenstein
St. Joseph’s Hospital Health Center
Novick
Purlie Health
Health Department 2
Healthsource
Hnos
HMO Denied Reconstructive Surgery for Cancer Victim
Diana Morgillo battled cancer surgery and a harsh insurance ruling. Travelers Health Network initially refused to pay for facial reconstruction deeming it cosmetic, later reimbursing after state intervention. Morgillo, scarred yet resilient, worked to support herself and her family in Syracuse.
MENTIONED IN THIS ARTICLE
Diana Morgillo
California
Suregg
Morgille
Syracuse
Travelers Health Network
HMO
Travelers
Mer
State Insurance Department
Morgillo
Jeanette
Margillo
Blaine
Morello
Ra-Lim Discount Store
Mohammad Tabaie
Metropolitan Life Insurance
United Healthcare
Insurance Department
Vince Wong
Wong
Moregillo
Where Do Uninsured Children Get Care In Onondaga County
County officials question where 55076 Medicaid eligible residents obtain medical care as clinics face uncertain demand. Health advocates note expanded Child Health Plus coverage for children and a push toward mandatory Medicaid HMOs may reduce public crime roles, but uninsured families still need care avenues.
MENTIONED IN THIS ARTICLE
Martha Mulray
R Onondaga
New York State
Child Health Plus
New York
Missy Baldwin
New HMO Reform Fails To Change Core Practices In New York
Five years after enrollment surged to 4.5 million, New York passes laws regulating HMOs but critics say they stop short. The reform bans gag clauses, requires disclosure of doctor payments, and limits network access, yet allows HMOs to restrict doctors for Medicaid patients and to pay sales commissions. Officials defend the measure as a benchmark, while advocates warn it merely tinkers with a flawed system and leaves experimental treatments unfunded.
MENTIONED IN THIS ARTICLE
Health Department
Novick
Faet
Syracuse
North Syracuse Baptist Church
Grace Episcopal Church
Baldwinsville
Hmgs
New York
Hmos
Righits
Pataki
State Health Department
Frances Tarleton
Community Healthcare Alliance
PHO
Community General Hospital
Kathryn Norton
Barbara DeBuono
DeBuona Sai
Richard Kirsch
Citizens Action
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Iro
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Elaine
Salma Syed Prere
Michael Fine Atte