Introduction
With the outbreak of Covid-19, many people have been forced to confront the reality of the healthcare system. One of the most important questions the society has to ask itself is how to protect the most vulnerable members of society – the elderly. This paper will focus on identifying how healthcare insurance fraud has been rising since Covid-19 hit and what steps they can take to protect elderly loved ones following fraud identified in various healthcare insurance funds.
Historical Impacts upon the Development of the Health Organization
Several key historical impacts have been on the development of healthcare insurance for the elderly over the last five to ten years. One of the most important changes has been the Affordable Care Act (ACA), passed in 2010. The ACA made it illegal for insurance companies to discriminate against people with pre-existing conditions (Cross, 2020). This made it possible for older adults to get healthcare coverage from companies such as Health Blue.
Another significant event was the outbreak of the Covid-19 pandemic in 2020. This led to a surge in demand for health insurance as people realized the importance of having coverage in case of an unforeseen health event (Gupta et al., 2021). The pandemic also increased fraud and abuse of healthcare insurance plans, as scammers took advantage of people’s fear of people’s health. Overall, these historical events have significantly impacted the development of healthcare insurance for the elderly. The ACA has made it easier for older adults to get coverage, while the Covid-19 pandemic has increased fraud and abuse.
Population Demographics of the Service in Relation to COVID-19 and Health Blue Insurance Company
Since the outbreak of COVID-19, there has been an increase in healthcare insurance fraud cases in the United States. This is especially true for those who are enrolled in Medicare or Medicaid and other health insurance companies such as Health Blue. There are a few reasons why this is happening. First, many people are now working from home and have more time on their hands to commit fraud. Second, there is more confusion about healthcare insurance rules and what benefits people are entitled to. And finally, with so many people out of work or with reduced incomes, there is a greater incentive to commit fraud in order to get healthcare coverage.
The most common type of healthcare insurance fraud being committed right now is billing for services that were never rendered. Doctors, hospitals, or other healthcare providers can do this. It can also be done by individuals who set up fake medical practices or billing companies.
Proposed Trends in Utilization Patterns in Health Blue Insurance Company in Relation to COVID-19
There has been a recent uptick in healthcare insurance fraud in the Health Blue insurance company. This is likely due to the fact that many people are now using their health insurance to pay for COVID-19-related treatments and services. One can do a few things to help protect themselves from healthcare insurance fraud. First, one ought to ensure that only one uses health insurance to pay for legitimate medical expenses (Gupta et al., 2021). If one is unsure whether or not something is a legitimate medical expense, one can always check with a health blue insurance company beforehand.
Second, be aware of the most common types of healthcare insurance fraud. Some of the most common types of fraud include billing for services that were never rendered, billing for unnecessary tests or procedures, and upcoming. If one thinks that you may have been a victim of healthcare insurance fraud, one should contact the Health Blue Company right away. They will be able to investigate the matter and determine if any fraudulent charges were made to any account.
The Financial Impact of the Healthcare Insurance Fraud for the Elderly since COVID-19 in Health Blue Insurance Company
Healthcare insurance fraud has been a big problem for the elderly since Covid-19. Many people have lost their health insurance because of the fraud and this has led to financial problems for many families. Health Blue is one of the largest health insurance companies in the United States and it has been hit hard by the fraud (Pandey & Pal, 2020). The company has already lost billions of dollars because of the fraud and it is expected to lose even more money in the future.
The fraud has also led to an increase in premiums for the elderly. This is because the company has to pay more for claims that are being made by the fraudsters. The healthcare insurance fraud is a big problem for the elderly and it is having a negative impact on their finances. It is important to be aware of the problem and to report any suspicious activity to the authorities.
Conclusion
There is no doubt that healthcare insurance fraud has been on the rise since Covid-19 hit. Elderly people have been particularly vulnerable to scams, with many falling victims to schemes that promise free or low-cost health insurance. While it is important to be aware of these scams, it is also important to remember that plenty of legitimate health insurance options are available for seniors. If one is unsure whether a particular offer is legitimate, it is always best to check with the state’s department or an attorney before signing any documents.
References
Cross, C. (2020). Theorising the impact of COVID-19 on the fraud victimization of older persons. The Journal of Adult Protection.
Gupta, R. Y., Mudigonda, S. S., Baruah, P. K., & Kandala, P. K. (2021). Implementation of correlation and regression models for health insurance fraud in Covid-19 environment using actuarial and data science techniques. arXiv preprint arXiv: 2102.04210.
Ma, K. W. F., & McKinnon, T. (2021). COVID-19 and cyber fraud: Emerging threats during the pandemic. Journal of Financial Crime. Web.
Naseeb, H., Diab, A. A., & Metwally, A. (2020). The impact of the COVID-19 pandemic on medical and travel insurance pricing and fraud risks: An exploratory study. Journal of Risk Management in Financial Institutions, 14(1), 59-71.
Pandey, N., & Pal, A. (2020). Impact of digital surge during Covid-19 pandemic: A viewpoint on research and practice. International journal of information management, 55, 102171. vol. 55, Elsevier BV, 2020, p. 102171.