SMRs and AMRs

Tuesday, June 16, 2009

Blue Cross praised employees who dropped sick policyholders, lawmaker says

Workers received high marks on performance reviews after policies were rescinded, documents show. The health insurer denies the practice is a factor in evaluations.

By Lisa Girion
LA Times
June 16, 2009

Blue Cross of California encouraged employees through performance evaluations to cancel the health insurance policies of individuals with expensive illnesses, Rep. Bart Stupak (D-Mich.) charged at the start of a congressional hearing today on the controversial practice known as rescission.

The state's largest for-profit health insurer told The Times 18 months ago that it did not tie employee performance evaluations to rescission activity. And executives with Blue Cross parent company WellPoint Inc. reiterated that position today.

But documents obtained by the House Committee on Energy and Commerce and released today show that the company's employee performance evaluation program did include a review of rescission activity.

The documents show, for instance, that one Blue Cross employee earned a perfect score of "5" for "exceptional performance" on an evaluation that noted the employee's role in dropping thousands of policyholders and avoiding nearly $10 million worth of medical care.

(More here.)

1 Comments:

Anonymous Anonymous said...

One reason Anthem Blue Cross (Wellpoint) doesn't drop more members---"consumers"--- is profits.

Without notification, they disrupt treatments for "review" too, getting between me and my trusted MD.

I am 52 (shame on me!). My premiums increased 5 times a total of 107% to $956 a month over just 30 months. Guess I am supposed to die before turning 50.

Public Option is what I need to stay as healthy as possible, self-supporting, and self-employed. The government can do it better for less; look at the VA!

2:03 PM  

Post a Comment

<< Home