ipl-logo

Wendell Potter Case

1394 Words6 Pages

3. In the article Court case shows how health insurers rip off you and your employer Wendell Potter exposes some hidden facts about how the health insurance company BCBSM has been cheating on one of its costumers Hi-lex.
It all started when Hi-Lex’s company suspected that the Blue Cross Blue Shield of Michigan (BCBSM), Health Insurance Company was dishonest with them for 19 years. The documents filed in the case showed that in the year 1993 BCBSM executed a plan through which it would gather extra income by including certain mark-ups to hospital claims paid by its self-insured clients. After reviewing the evidences on this case, the judge was convinced that the accusations were true. He then ordered the insurance company to pay Hi-Lex 6.1 million …show more content…

He quitted his job because he knew a lot of hidden information about the insurance industry. Potter has worked on many investigations related to the health insurance domain.
He contributes in The Huffington Post bi-weekly and he responds to health care questions asked by readers on the ‘Ask Wendell’ feature. He also writes articles on the same topic on Healthinsurance.org.

The Protection and Affordable Care Act (PPACA) is the real name of what is called the Obamacare. It is enacted to make a better quality of health insurance in the USA, which is also affordable for everyone. The ACA was signed into law by President Barrack Obama on March 23, 2010 and supported by the Supreme Court on June 28, 2012.

The Blue Cross Blue Shield Association (BCBSA) is an association of 36 distinctive United States health insurance associations. It provides health insurances to more than 100 million Americans. The company was set up in 1929, and transformed into the Blue Cross Association in 1960, while Blue Shield grew in 1939 and the Blue Shield Association was made in 1948. The two affiliations united in 1982. …show more content…

It was found in 1939 and it is the largest health insurance company in Michigan.

Hi-lex is a Japanese company, concerned in the manufacturing of automotive technologies. It has different locations in Northern America precisely in the United States and Mexico. It is also present in 9 countries outside the American continent. It was established in 1946 in Japan, and established the 1st technical affiliation in U.S.A. in Michigan. Its net income today is around 113 million $.

The Center for Public Integrity is a nonprofit investigative news organization, founded in 1989 by Charles Lewis. Its mission is to reveal abuses of power, betrayal and corruption in order to serve democracy, using investigative journalism tools. The Center’s staffs are mainly journalists, copy editors, fact-checkers, and researchers who work on the investigative projects held by the center.
According to the code of ethics of journalists provided by the SPJ (society of professional journalists), a journalist should:
• Seek truth and report it
• Be accountable and transparent
• Act independently
• Minimize harm
Let’s see if Wendell potter followed this code of

Show More
Related

Case Study Of Len Bias V. Advantage International

3169 Words | 13 Pages

His family sued Advantage and Fentress for separate policies. One being the million dollar life insurance policy Bias had taken out for himself days before passing and then for also for terms of his contract

Read More

Robert Davis Case Summary

510 Words | 3 Pages

Bruelands insurance company finally decided to consent to a settlement of $25,000 awarded to Davis. After receiving that settlement for the damages to his truck, filed a claim with American Insurance Corporation for loss of use damages. AAIC did not honor his claim then cancelled his policy, arguing that they will only pay for what he was legally entitled to not his loss of use damages. Robert then filled a suit against request that they compensate him for the wages he lost during a two month of shutting his business down, due to no wrecker truck. AAIC only argument in the suit was they were not responsible for the loss of use damages that’s not under policy and how it not Texas law to recover loss of use if damages are destroyed.

Read More

Summary Of The Shea Vs. Esensten Case

496 Words | 2 Pages

Shea alleged Medica's fraudulent nondisclosure and misrepresentation about its doctor incentive programs limited Mr. Shea's ability to make an informed choice about his life-saving health care” (Shea v. Esensten, 1997). However, Medica removed the case to federal court, claiming that Mrs. Shea’s statement was preempted by the Employee Retirement Income Security Act (ERISA) (Shea v. Esensten, 1997). “Believing ERISA does not require an HMO to disclose its doctor compensation arrangements because they are not "material facts affecting a beneficiary's interests," the district court dismissed Mrs. Shea's amended complaint for failing to state a claim” (Shea v. Esensten, 1997). The case was long a drawn out because of the integrating of common laws brought into the

Read More

Cleveland V. Perry: A Case Study

1223 Words | 5 Pages

On April 3, 2015, Tammy Cleveland sued Gregory C. Perry, a doctor at Buffalo General and Kaleida Health the company that owns both hospitals involved in the death of her husband, Michael Cleveland. Tammy is accusing them of “negligent” care resulting in her husband’s death. The law suit claims that the “defendants’ alleged actions and/or inactions were morally culpable, actuated by evil and reprehensible motives, malicious, reckless, gross, wanton and/or in reckless disregard for her husband’s rights and her family’s rights.” (Dudzik, 2015) The defendants are contesting the case. Michael Cleveland had a heart attack on October 10, 2014, and was transported to the emergency room of DeGraff Memorial Hospital.

Read More

Edith Harriss: Accounting Scandal

405 Words | 2 Pages

Harris’s responsibility was to provide refunds to patients. After investigating, they noticed that many patients hadn’t received their refunds. The investigator said that over the past years she had embezzled more than $800,000. Harris’s responsibility was to provide refunds to patient’s. Surprisingly,

Read More

The Immortal Life Of Henrietta Lacks Essay

906 Words | 4 Pages

This case has brought up how much money these companies are making from selling peoples cells. The case is about a guy named John Moore who has leukemia. He goes to the doctor to get his spleen taken out since that is where the leukemia cell keeps growing (ANNAS, 1990). While in surgery the doctor took his spleen out and took the cells from it. He took the cells so he could make a cell line that came from his spleen (ANNAS, 1990).

Read More

Pros And Cons Of The Affordable Care Act

174 Words | 1 Pages

The affordable care act is a United States statue signed into law by President Obama in March of 2010. It represents the most significant improvement to the U.S. healthcare system since 1965 with the addition of Medicare and Medicaid. Also known and commonly referred to as Obamacare, it was enacted to increase the affordability and quality of health insurance, diminish the rate of the uninsured by expanding public and private insurance coverage while reducing the cost of healthcare for individuals and the government. This law will require Hospitals and doctors to reconstruct financial practices along side with technologically and clinically to advance better outcomes, reduce cost and improve methods of accessibility.

Read More

All The Presidents Men By Carl Bernstein And Bob Woodward

1075 Words | 5 Pages

By analyzing the text, examples of each guideline being followed can be found. By seeking the truth and reporting it, a reporter can act as a check on the government. The two Washington Post reporters do exactly that. When Bob Woodward is first assigned the

Read More

Tort Case Study: Health Care Law

1368 Words | 6 Pages

Health Care Law: Tort Case Study Carolann Stanek University of Mary   Health Care Law: Tort Case Study A sample case study reviewed substandard care that was delivered to Ms. Gardner after having sustained an accident and brought to Bay Hospital for treatment. Dr. Dick, a second-year pediatric resident, was on that day in the ED and provided care for Ms. Gadner. Dr. Moon, is the chief of staff and oversees the credentialing of all physicians at Bay Hospital.

Read More

Affordable Care Act Pros And Cons

1443 Words | 6 Pages

Affordable Care Act, (ACA) also nicknamed “Obamacare,” is a United States federal statute enacted by the 111th Unites States Congress and signed into law by former President Obama on March 23rd 2010. It represents the U.S healthcare systems most significantly regulatory overhaul and expansion of coverage since the passage of Medicare and Medicaid in 1965. (NCBI)The Affordable Care Act offers essential benefits that range from covering hospitalizations to mental health care to prescription drugs. A primary goal of it was to make sure all Americans or nearly all obtained health insurance. It created insurance exchanges for those seeking individual coverage and expanded Medicaid for low-income adults.

Read More

Pros And Cons Of Obamacare

721 Words | 3 Pages

The ACA/Obamacare was signed into law to change healthcare in the U.S. by President Barack Obama on March 23, 2010. The and upheld by the Supreme Court on June 28, 2012. ObamaCare's goal is to give more Americans access to affordable, quality health insurance. Also to reduce the growth in U.S. health care spending.

Read More

Thesis Statement For The Affordable Care Act (ACA)

1648 Words | 7 Pages

The affordable care act is a United States Federal Statue that was enacted under the Obama Administration in 2010. Since the the passing of Medicare in 1965, the ACA was considered the most forward advancement in the United States Healthcare System. The goal of the ACA was to focus on the inclusion of the entirety of the United States, rather than just a portion of our country. Prior to the

Read More

Affordable Care Act Vs Obamacare

246 Words | 1 Pages

The Affordable Care Act is also called Obamacare. It is also called Obamacare because it passed under the administration of Barack Obama. The ACA speaks for the most significant reform of the health care system since Medicare and Medicaid. Obama’s goal of the ACA was to reduce the amount of Americans that did not have insurance. He also wanted to reduce the overall cost of health care visits.

Read More

Hih Insurance In Australia Essay

214 Words | 1 Pages

HIH Insurance was a company in Australia which collapsed in March 2001. The fall of HIH Insurance is considered as the biggest corporate collapse in Australian history. HIH Insurance's failure was the result of a string of major events leading up to the collapse. These events were generally caused by the extremely poor decision making and leadership by many of HIH Insurance's founders and board of directors who displayed no ethical standards as they engaged in illegal activity, which resulted in them facing consequences through charges in court towards the end of HIH Insurance's collapse. This poor leadership was the root of many of the major problems within HIH Insurance which eventually caused the fall of the Insurance giant.

Read More

Summary Of Democracy's Detectives By James Hamilton

1320 Words | 6 Pages

One of the more recent efforts to assess the impact of watchdog reporting is developed in the book Democracy’s Detectives: The Economics of Investigative Journalism, published by James Hamilton in 2016. In this study, Hamilton presents the main trends of investigative journalism conducted and published in the US in the past three decades and provides a compelling economic argument regarding its impact and, consequently its worthiness. Indeed, Hamilton examines –among other material- more than 12 stories submitted to the Investigative Reporters and Editors (IRE) award between 1979 and 2010. Based upon this extensive database, the author identifies the topics investigated by the US muckrakers in this period of time, the impact of this story, and how these works were produced and funded.

Read More

More about Wendell Potter Case

Related Topics

Open Document