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Insurance

New Report: Insurers Are Gaming Medicare To The Tune Of $140 Billion

The federal government is losing as much as $140 billion per year by subsidizing private Medicare Advantage plans, according to a bombshell new report. In the groundbreaking investigation, health care researchers identified the four major ways that private insurers systematically exploit the taxpayer-funded national health insurance program while denying care to the nation’s most vulnerable patients. The researchers additionally found that seniors could save over $1,800 in annual fees taken from their Social Security checks if the government redirected what it spends subsidizing Medicare Advantage plans to instead reduce premium costs. Under the current arrangement, “traditional” Medicare pays about $12,000 a year to private Medicare Advantage insurers for every patient whose care they “manage.”

The National Flood Insurance Program Is Broken

The most expensive type of disaster in the United States is flooding. Hurricanes, a major source of flooding, make up seven of the 10 costliest disasters in United States history, from Katrina in 2005 to Ian in 2022. Together, these storms alone have cost $800 billion, adjusted for inflation. Half a century ago—before any of these storms occurred—the federal government created the National Flood Insurance Program (NFIP), a public sector alternative to fill in the gaps in higher-risk areas where commercial insurance is unavailable. But as the frequency and severity of flooding events have increased—and as insurers continue to add to the list of states they refuse to insure—the NFIP has become massively oversubscribed, amassing more than $20 billion in debt on behalf of its five million policyholders.

First North American Insurer To Adopt Policy On Free, Prior And Informed Consent

Bermuda –AXIS Capital recently became the first insurer in North America to adopt a policy stipulating that it will not underwrite projects without ensuring clients have obtained the right to Free, Prior and Informed Consent (FPIC) of impacted Indigenous communities. This sets a best practice globally for insurers’ policies on Indigenous rights. AXIS’ new policy, which was published in the company’s broader Human Rights Guidelines, states: “We expect insureds to respect and observe the right to Free, Prior and Informed Consent (“FPIC”) in accordance with the United Nations Declaration on the Rights of Indigenous Peoples, and it is our policy to not provide insurance coverage on projects undertaken on indigenous territories without FPIC.”

US Facing Up To $2 Trillion Bill Each Year From Climate Crisis By 2100

Failing to take action on the climate crisis and surrendering to a worsening spiral of wildfires, heatwaves, flooding, and extreme storms, could leave the federal government with an annual bill of $2 trillion by the end of the century, according to new federal analysis. President Joe Biden released his federal budget for fiscal year 2023 last week which included $44.9bn to tackle the climate crisis, close to a 60 per cent increase from 2021. The budget also included a formal accounting on the financial risks of climate change to the US government for the first time. The analysis, conducted by the chief economist in the White House’s Office of Management and Budget (OMB), and the associate director for climate, energy, environment, and science, found that US gross domestic product (GDP) could be slashed 3 to 10 per cent by the end of this century.

AIG To Stop Insuring Coal, Tar Sands, And Arctic Drilling

Climate justice advocates celebrated Tuesday in response to insurance giant AIG's announcement that it will no longer invest in or provide insurance coverage for any new Arctic drilling activities nor will it finance or underwrite the construction of any new coal-fired power plants, thermal coal mines, or tar sands projects, effective immediately. AIG also said that it will immediately stop investing in or underwriting "new operation insurance risks" of coal-fired power plants, thermal coal mines, or tar sands projects owned by corporations that derive 30% or more of their revenue from those industries or generate over 30% of their energy production from coal.

Directors Of World’s Top Insurance Companies Tied To Pollution

Just over half of all directors at 30 of the world’s largest insurance companies have affiliations to polluting companies and organisations, reveals an investigation by DeSmog, including several individuals holding senior roles at some of the world’s largest energy companies. The findings raise concerns over a potential pervasive conflict of interest on the boards at a time when the international insurance sector is under pressure to halt its support for the fossil fuel industry. Positions held by the insurance directors analysed ranged from director and advisory roles, including current roles at ExxonMobil, Total, and RWE, along with current and former memberships to industry trade association and think tanks, such as the US Chamber of Commerce. DeSmog analysed director CVs on company profiles, LinkedIn pages, official filings, and news clippings from July 2021, logging the past and present work experience of 371 insurance directors who currently sit on the boards of 30 of the world’s largest property and casualty insurers.

Indigenous Youth Demand End To Trans Mountain Insurance

A group of Indigenous youth took their fight against the Trans Mountain Pipeline expansion project to the Vancouver offices of insurance companies backing the controversial venture earlier this week. On Thursday, approximately 20 youth from the xʷməθkwəy̓əm, Skwxwú7mesh, Səl̓ílwətaɬ (Musqueam, Squamish, Tsleil-Waututh) and other First Nations occupied the lobby — as well as south and west entrances — of 250 Howe St., a high-rise building housing Chubb Insurance Co. of Canada, one of 11 insurers backing the pipeline project. “We are demanding that they stop insuring the pipeline,” said a protest spokesperson who declined to give their name. “We’re going to be here all day, we’re going to make sure that they hear us, that they know that we’re here, that we know that we are trying to pressure them to stop insuring this pipeline.”

Economic Impacts Of Civil Unrest

The civil disturbance that started in Minneapolis after the killing by police of George Floyd spread to 20 other states — an unprecedented property insurance catastrophe that will likely impact policy renewals and could even persuade some insurers to exclude coverage for damage caused by riots, executives for Verisk’s Property Claim Services said. “In the U.S., there has been no precedent for a riot catastrophe like this,” Tom Johansmeyer, head of PCS, said during a telephone interview with the Claims Journal on Thursday.

Insurance Companies Are Spending Millions On Attack Ads Against Medicare For All

The privatized, for-profit healthcare industry is close to panicking over the prospect of a nationalized system along the lines of other advanced countries. Healthcare corporations are spending millions of dollars on astroturfed attack ads against Medicare for All. The Partnership for America’s Healthcare Future, for example, a coalition of hospitals and insurance companies, has spent $1 million on a television campaign against changes to the current healthcare system they profit from.

Union Opponents Of Medicare For All Don’t Speak For Labor’s Most Vulnerable Members

As popular support grows for replacing private insurance plans with Medicare for All, critics of the single-payer approach have been playing up the fact that some top union officials, and their political allies, don’t want to do away with job-based medical coverage. “There’s no question that ultimately we need to establish a single payer system,” says national AFL-CIO President Richard  Trumka. “But there has to be a role for those hard-fought-for, high-quality plans that we’ve negotiated.”

Why Thousands Are Getting Hit With Unexpected Medical Bills

Hardly a week goes by without another story in the media covering a family somewhere in America dealing with an outrageous medical bill. Yet, in more and more cases, these families don’t have junk insurance, or lack coverage altogether. Indeed, they have what Americans would consider decent coverage, either through their employer or an Affordable Care Act marketplace. They also followed, or so they thought, the rules of their insurance policy requiring them to seek care inside their provider network. Yet, they are slapped with surprise bills, and often threatened by bankruptcy.

“Affordable” Health Insurance Vs Health Care

There is no such thing as affordable health insurance, because on a purely moral basis, no one should have to pay for administration costs to deny coverage,  and to generate a profit for such a universal basic human need. Insurance 101 teaches us that making small regular payments to build up a buffer for a large emergency expense is a good and prudent idea, even if that large expense never materializes. On a personal level this is called self-insurance. So why don’t we all just insure ourselves? Clearly, the wages most people make, and the costs of modern health care, do not balance out.

The Cost of Employer Insurance Is A Growing Burden For Middle-Income Families

Recent national surveys show health care costs are a top concern in U.S. households.1 While the Affordable Care Act’s marketplaces receive a lot of media and political attention, the truth is that far more Americans get their coverage through employers. In 2017, more than half (56%) of people under age 65 — about 152 million people — had insurance through an employer, either their own or a family member’s.2 In contrast, only 9 percent had a plan purchased on the individual market, including the marketplaces.

Minority Neighborhoods Pay Higher Car Insurance Premiums Than White Areas With Same Risk

By Julia Angwin, Jeff Larson, Lauren Kirchner and Surya Mattu for ProPublica - For decades, auto insurers have been observed to charge higher average premiums to drivers living in predominantly minority urban neighborhoods than to drivers with similar safety records living in majority white neighborhoods. Insurers have long defended their pricing by saying that the risk of accidents is greater in those neighborhoods, even for motorists who have never had one. But a first-of-its-kind analysis by ProPublica and Consumer Reports, which examined auto insurance premiums and payouts in California, Illinois, Texas and Missouri, has found that many of the disparities in auto insurance prices between minority and white neighborhoods are wider than differences in risk can explain. In some cases, insurers such as Allstate, Geico and Liberty Mutual were charging premiums that were on average 30 percent higher in zip codes where most residents are minorities than in whiter neighborhoods with similar accident costs. Our findings document what consumer advocates have long suspected: Despite laws in almost every state banning discriminatory rate-setting, some minority neighborhoods pay higher auto insurance premiums than do white areas with similar payouts on claims. This disparity may amount to a subtler form of redlining, a term that traditionally refers to denial of services or products to minority areas.

For Profit Insurers Fueling Opioid Epidemic

By Katie Thomas for The New York Times and Charles Ornstein for ProPublica - At a time when the United States is in the grip of an opioid epidemic, many insurers are limiting access to pain medications that carry a lower risk of addiction or dependence, even as they provide comparatively easy access to generic opioid medications. The reason, experts say: Opioid drugs are generally cheap while safer alternatives are often more expensive. Drugmakers, pharmaceutical distributors, pharmacies and doctors have come under intense scrutiny in recent years, but the role that insurers — and the pharmacy benefit managers that run their drug plans — have played in the opioid crisis has received less attention. That may be changing, however. The New York state attorney general’s office sent letters last week to the three largest pharmacy benefit managers — CVS Caremark, Express Scripts and OptumRx — asking how they were addressing the crisis. ProPublica and The New York Times analyzed Medicare prescription drug plans covering 35.7 million people in the second quarter of this year. Only one-third of the people covered, for example, had any access to Butrans, a painkilling skin patch that contains a less-risky opioid, buprenorphine.
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