Anuska Kalita’s Post

Before we dive into the exciting new issues of 2024, let's revisit 2023's most read article of issue 1- an insightful analysis of how PMJAY, a hospitalization insurance health program, gained unprecedented attention on India’s public and institutional agendas. Authored by Anuska Kalita and Kevin Croke, this piece is highly valuable for those interested in India’s health policy and in the broader question of how to bring health and other issues onto the public agenda successfully. Don't miss this opportunity to learn from one of 2023's most influential articles! Read it here: https://bit.ly/47xZn6G

As a society, our focus on health has become drastically more important, specifically with disease prevention and improving health. As Angela Puga Garcia writes, health insurance companies like Chorus Community Health Plans play a huge role in this social agenda and can help people achieve their health goals. Health Education is one of the main ways insurance companies can have a long-lasting impact on their insured. Creating educational resources and campaigns about disease prevention, healthy living, and chronic disease management can empower individuals to make informed choices. To learn more, check out the MAPFRE article here: https://lnkd.in/gA4X5mEC #HealthInsurance #HealthPrevention #HealthEducation

Panic Mode! We get it, we think nothing will happen to us, or don't know the consequences when something does. So can you protect your health with a pre-existing condition? Yes, you can! It is important to remember though, that health insurance will not cover pre-existing conditions, and generally related conditions and will only cover new, unrelated conditions. Make sure you speak to us to understand how this will work for you. Unfortunately, countless medical conditions could happen to us at any given time, so even if you do have a pre-existing condition, you may want to think about if another medical condition were to happen again. If you don't have a pre-existing condition though, don't leave it too late and go into panic mode. Make sure you are protected before it happens!

Data sharing is at the center of whole person care.

Tips for Self-Funded Health Plans: Managing Budgets   #SelfFunded #HealthPlanBudgets #CostContainment Hey there fellow self-funded insurance warriors! 🛡️💰 What strategies have you implemented to meet budgets in your health plan amidst rising costs? Let's share some ideas and insights to help each other out! Here are a few t... Source: https://lnkd.in/g59RwNj3

Tips for Self-Funded Health Plans: Managing Budgets   #SelfFunded #HealthPlanBudgets #CostContainment Hey there fellow self-funded insurance warriors! 🛡️💰 What strategies have you implemented to meet budgets in your health plan amidst rising costs? Let's share some ideas and insights to help each other out! Here are a few t... Source: https://lnkd.in/gKb8W4uK

THIS IS THE SHEER ABSURDITY OF OUR FOR PROFIT!!! HEALTHCARE SYSTEM. Should your insurance company be allowed to stop you from getting a treatment — even if your doctor says it’s necessary? Doctors are often required to get insurance permission before providing medical care. This process is called prior authorization and it can be used by profit-seeking insurance companies to create intentional barriers between patients and the health care they need. At best, it’s just a minor bureaucratic headache. At worst, people have died. Prior authorization has been around for decades, but doctors say its use has increased in recent years and now rank it as one of the top issues in health care. To produce the Opinion Video above, we spoke to more than 50 doctors and patients. They shared horror stories about a seemingly trivial process that inflicts enormous pain, on a daily basis. The video also explains how a process that is supposed to save money actually inflates U.S. health care costs while enriching insurance companies.

5th Circuit Requires Health Plans to Continue Providing Free Preventive Care. On June 21, 2024, the 5th U.S. Circuit Court of Appeals ruled that a key component of the Affordable Care Act’s (ACA) preventive care mandate is unconstitutional. However, in a decision it referred to as a “mixed bag,” the 5th Circuit limited its ruling to the plaintiffs in the case, a small group of individuals and businesses from Texas. This means that, for now, health plans and health insurance issuers must continue to provide first-dollar coverage for the full range of recommended preventive health services.

Insurance Trust Medical Plan Members have 24/7 access to a Personal Health Advocate – someone who is looking out for your best interests about all things health-related. One Member commented, "I think that one of the greatest virtues of a person who is in your profession is listening and you did a lot of that today. I think you are an outstanding member of your team and I hope that you will give yourself a little feather in your cap for listening so well and soothing my questions today." Learn more: https://bit.ly/3AosxqB

🧙♂️ "I solemnly swear that I'm [helping people take control of their healthcare spending]" Using health insurance can feel like being on a moving staircase in Hogwarts. When you need care, you know where you want to go. But you're forced to take a roundabout path that costs more and takes longer than you planned. The whole idea with Start Health is making a veritable Marauders Map for your healthcare journey. Personal health assistants can help you find the "secret passages and shortcuts" to receiving the best care at the best price. No confusing networks, unclear pricing, or surprise bills. Just straightforward coverage that puts you in control and saves you money. 🪄"Mischief managed"