Decoding Health Insurance: What 2017 Has in Store
We've seen some payers go back and actually terminate retroactively, terminate patient's policies back One Year, return their premiums and request refunds from the facilities that provided care and help them get better.
Health insurance is a tricky terrain, especially with laws and guidelines that seem to change with the wind. In this episode of 'The Power to Create Yourself', Ross Remien teams up with Angela Opalak, CEO of an insurance billing company, to shed light on what 2017 might bring for health insurance. Whether you're a patient, a parent, or run a treatment facility, this conversation is packed with insights you'll find invaluable.
Angela breaks down the latest developments in the insurance world, including what families need to know and what might happen if the Affordable Care Act gets repealed and replaced. One major issue is that many people are buying policies they don't fully understand. This has led to situations where insurers retroactively terminate policies, return premiums, and even ask for refunds from care facilities. While Obamacare has helped more people get insured, it has also introduced some complexities.
Facilities that play by the rules are finding it harder to operate due to others exploiting the system. Angela and Ross discuss how insurance companies are pushing for more structured care standards to ensure positive outcomes and reduce relapse readmissions. Accreditation and clear clinical processes are becoming crucial in providing quality care. The episode also tackles the high failure rate in addiction treatment.
Ross emphasizes the need for individualized care plans and the importance of telling each patient's story to secure the right level of care. With a consumer-driven market on the horizon, patients might soon be able to compare plans across states, making it easier to find the right fit. Staying informed and proactive is key in this ever-changing healthcare landscape.
Tune in to hear Ross and Angela's full discussion and arm yourself with the knowledge you need to navigate 2017's health insurance challenges.