2012 US Healthcare: CNNMoney: "Doctors Going Broke” - Why? ERISA & PPACA!

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On January 5, 2012, CNNMoney Reported That More And More Doctors In America Are Going Broke, Including Family Physicians, Cardiologists And Oncologists, Mainly Due To "Shrinking Insurance Reimbursement, Changing Regulations". ERISAclaim.com Announces Webinars To Discuss This CNNMoney Story On Why Doctors in America Are Going Broke.

This 2012 CNNMoney report is consistent with an AMA report on March 4, 2011 that 51% of doctors in TX are going broke......

On January 5, 2012, CNNMoney greeted 2012 US healthcare with an alarming report that more and more doctors in America are going broke, including family physicians, cardiologists and oncologists, mainly due to "shrinking insurance reimbursement, changing regulations". ERISAclaim.com announces free Webinars to discuss (1) the CNNMoney story and why doctors in America are going broke, (2) the recent AMA news that “51% of Texas doctors dug into personal funds to keep practices afloat in 2010”, (3) the recent Congressional GAO report that only a few doctors appealed insurance denials while 39 to 59% of denials were reversed if appealed, 4) how to navigate federal reimbursement laws, especially new healthcare reform law, PPACA, and 36-year-old federal law ERISA, and (5) how to appeal all wrongful insurance denials and delays.

On January 5, 2012, CNNMoney Story, entitled "Doctors Going Broke”, reports:
(http://money.cnn.com/2012/01/05/smallbusiness/doctors_broke/index.htm?hpt=hp_t3)

1.    “Doctors in America are harboring an embarrassing secret: Many of them are going broke”
2.    “This quiet reality, which is spreading nationwide, is claiming a wide range of casualties, including family physicians, cardiologists and oncologists.”
3.    “Industry watchers say the trend is worrisome. Half of all doctors in the nation operate a private practice. So if a cash crunch forces the death of an independent practice, it robs a community of a vital health care resource.”
4.    “Doctors list shrinking insurance reimbursements, changing regulations, rising business and drug costs among the factors preventing them from keeping their practices afloat.”

“This is a very timely and truthful story for doctors and hospitals in America. This is also a 911 call for US healthcare security. More importantly, when a doctor was “$3.2 million in debt” or “force 6,000 cancer patients to look for a new doctor”, as reported by CNNMoney in the first week of 2012, our healthcare system infrastructure earthquake is coming,” says Dr. Jin Zhou, president of ERISAclaim.com, a national expert on PPACA and ERISA appeals and compliance.

“This 2012 CNNMoney report is consistent with an AMA report on March 4, 2011 that 51% of doctors in TX are going broke: ‘51% of Texas doctors dug into personal funds to keep practices afloat in 2010 warned Dr. Zhou.

While the doctors listed the shrinking insurance reimbursement as the force driving doctors into bankruptcy, the Congress also did its homework on why. The Congressional GAO report March 16, 2011, 12 days after the AMA report, concluded that 39% to 59% of insurance denials were reversed if appealed, but only 0.5% of the denied claims were appealed in Ohio, very a few appealed nationwide (http://www.gao.gov/products/GAO-11-268).

It is the time for us to connect the healthcare 911 dots from CNN, AMA to the Congress, urged by Dr. Zhou.

“For 36 years, ERISA governs more than 50% of U.S. healthcare expenditure, and most private health plan reimbursement, but ERISA was never understood by doctors, even CNN never had an article on this issue," says Dr. Zhou, in a comment or feedback sent to the reporter of the CNNMoney for this article.

New healthcare reform law, PPACA Claims Appeals Regulations, went into effect on September 23, 2010, to be fully enforced in 2012, will regulate almost all healthcare claims outside Medicare and Medicaid market.

As a practical solution to the US healthcare problems in 2012, ERISAclaim.com announces free webinars to discuss the most problems reported by this CNNMoney article.

ERISAclaim.com free Webinars will cover the following topics:

1.    Comments and analysis of the CNNMoney article on January 5, 2012: "Doctors Going Broke"
2.    Comments and analysis of AMA report on March 4, 2011 that 51% of doctors in TX are going broke: “51% of Texas doctors dug into personal funds to keep practices afloat in 2010”. “More Texas Doctors Dipping Into Personal Reserves To Keep Practices Alive” (http://www.ama-assn.org/amednews/2011/03/14/bisc0314.htm)
3.    Comments and analysis of the Congressional Report, U.S. GAO, (GAO-11-268 March 16, 2011): Private Health Insurance: Data on Application and Coverage Denials (http://www.gao.gov/products/GAO-11-268)
4.    DOL Website of PPACA Claim Regulation and Guidance: http://www.dol.gov/ebsa/healthreform/
5.    EBSA News Release: US Department of Labor’s EBSA creates new consumer assistance Web page [11/10/2011] http://www.dol.gov/opa/media/press/ebsa/EBSA20111627.htm
6.    "Federal Department Of Insurance Complaints Website" for Doctors and Patients: https://www.askebsa.dol.gov/WebIntake/Home.aspx?submit=Submit+a+Complaint

In particular, U.S. GAO, (GAO-11-268 March 16, 2011): (http://www.gao.gov/products/GAO-11-268)

“Further, the data GAO reviewed indicated that coverage denials, if appealed, were frequently reversed in the consumer's favor. For example, data from four of the six states on the outcomes of appeals filed with insurers indicated that 39 percent to 59 percent of appeals resulted in the insurer reversing its original coverage denial……Ohio data indicated that 0.5 percent of claim denials were internally appealed.”

To find out more about the Total PPACA Claims and Appeals Compliance Services from ERISAclaim.com:
http://www.erisaclaim.com/products.htm

Located in a Chicago suburb in Illinois, for over 11 years, ERISAclaim.com is the only ERISA & PPACA consulting, publishing and website resource for healthcare providers in the country. ERISAclaim.com offers free webinars, basic and advanced educational seminars and on-site claims specialist certification programs for doctors, hospitals and commercial companies, as well as numerous pending national ERISA class action litigation support. Dr. Jin Zhou is regarded as the industry “Godfather of ERISA claims” for healthcare providers.

For any questions, please contact Dr. Jin Zhou, president of ERISAclaim.com, at 630-808-7237.

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