April 25, 2014 |
A CENTER CITY lawyer who masterminded a seven-year slip-and-fall racket that bilked insurance firms out of nearly $400,000 evaded arrest by committing suicide, District Attorney Seth Williams said yesterday. Andrew H. Gaber, 52, of Delaware County, shot himself to death last week. He was scheduled to be arrested yesterday as a result of a nearly two-year grand-jury investigation that ensnared him and dozens of others whom he lured into helping him rip off some 21 insurance companies.
April 22, 2014 |
Sue Schick, 52, president of UnitedHealthcare Pennsylvania and Delaware, claims she was mortified last month when, in the process of honoring her with the Greater Philadelphia Chamber of Commerce's Paradigm Award, the master of ceremonies read entries from her seventh-grade yearbook. She shouldn't have been. The yearbook showed early evidence of the leadership abilities that prompted the chamber to name her 2014's top female business executive. "In the Girl Scout cookie sales, we didn't think we could surpass the previous year," Schick recalled.
April 20, 2014 |
Lou Franzini was about to give up. For two months, he had been trying to get re-enrolled in the health plan he chose on the Affordable Care Act's marketplace. The former banker, 63, had been paying for the plan since December, but then it was arbitrarily canceled. And his calls to the marketplace always elicited a similar response: Nope, can't be done. Even the support of U.S. Rep. Jim Gerlach, (R., Pa.) and Independence Blue Cross couldn't sway the decision. "I'd call the marketplace and the rep would say, 'No, we have to talk to Independence,' " Franzini, of Exton, said.
April 13, 2014 |
Nearly 800 public comments - overwhelmingly negative - about Gov. Corbett's alternative Medicaid expansion proposal were submitted online by Friday's deadline, far more than for other states that offered less complicated plans. With the federal comment period over, the U.S. Centers for Medicare and Medicaid Services technically could act at any time. But public-policy experts say that the complexity of this plan - the only one in the nation to link an expansion of coverage for a new population to changes in insurance, including benefit cuts, for some current Medicaid recipients - will likely lengthen negotiations that typically take months.
April 6, 2014 |
Crozer-Keystone Health System and Cigna-HealthSpring are in a dispute over a Medicare Advantage contract that expires April 30. It's not unusual for negotiations between hospitals and health insurers to go down to the wire, but in this case, Crozer, Delaware County's biggest health system, insists HealthSpring, a unit of Cigna, has ended the Crozer contract. "Cigna-HealthSpring terminated our participation when we did not agree to their demand that we accept rates below Medicare rates and significantly below our cost to provide care to their members," Crozer said.
April 6, 2014 |
There were plenty of nights during the last 33 years that Denise Schroeder of West Chester had to choose between eating dinner and paying for health insurance. And no, that is not an exaggeration. Schroeder is a cancer survivor, and for many of those years, a working, single mom who felt lucky just to have coverage. Schroeder, who owns Happy Heart Clown 'N Stuff, a party entertainment firm, always fed her daughter but skipped meals herself when money was tight to ensure she could pay the $700 monthly premium.
March 17, 2014 |
Drew Ferrara and Connie Kaminski expected flood-insurance premiums to rise in parts of Yardley, a Bucks County river town swamped by three major floods between September 2004 and June 2006. But not by 800 percent. When the insurance bill arrived in December for their two-story real estate office near the Delaware River, they saw premiums jump from about $3,000 a year to nearly $27,000. "The absurdity of it was shocking," Ferrara said. "Who can afford to pay this type of insurance?"
March 10, 2014 |
It's a job where stress mounts like dollars on a taxicab meter. The hours are long, the wages are low, and the competition for customers is often fierce. Toss in an eat-on-the-go, fast-food diet, little exercise, a sore back and achy joints from jockeying through traffic all day and you start to grasp the health burdens Philadelphia cabdrivers face. "It's a high-stress job," said Ronald Blount, president of the Unified Taxi Workers Alliance of Pennsylvania, which represents 1,200 of the city's 5,000 cabdrivers.
March 3, 2014 |
The Affordable Care Act is changing more than the way Americans buy health insurance. It's making it simpler for unhappily married couples to uncouple. Word is starting to spread among family law attorneys that in the post-ACA era, health insurance isn't the binder it once was for holding bad marriages together. With more options available on the market and preexisting conditions no longer an issue, people once reluctant to divorce for fear of losing health insurance coverage would do well to reconsider.
March 1, 2014 |
Crozer-Keystone Health System, the biggest health-care provider in Delaware County, said Thursday that it was cutting 250 positions, after losing $15.7 million since July 1. "Changes in health care continue to have a negative effect on Crozer-Keystone and many other health-care providers in our region and throughout the country," Crozer said in a statement. The layoffs at Crozer, which employed 6,800, will include doctors and a "significant number of managers," the statement said.