BCBS Calling Clients who Enrolled
- Thread starter SamIam
- Start date
My understanding of the calls is that BCBS is calling them "care coordination". The official line is that its to help their members understand their benefits, based on their medical history.
Those of us who are a teensy bit cynical think that its to figure out what the claim experience is going to look like.
Also, I think this was outsourced. I made a remark to the effect that maybe they could handle the call volume if they stopped worrying about future claims and get the people making those calls on the 800 line. Then BCBS could get people the help they have paid (or are trying to pay) for. That's when I was told they aren't employees, they hired a company.
Those of us who are a teensy bit cynical think that its to figure out what the claim experience is going to look like.
Also, I think this was outsourced. I made a remark to the effect that maybe they could handle the call volume if they stopped worrying about future claims and get the people making those calls on the 800 line. Then BCBS could get people the help they have paid (or are trying to pay) for. That's when I was told they aren't employees, they hired a company.
- 8,448
To stay within the MLR limitations related to Administrative Expenditures, BCBS-IL has outsourced a great number of functions. The 500 extra people touted by Blue Cross to help with end-of-2013 enrollment were in that group. I had one wish me a good-night when it was 9:00am in the morning. She was in the Middle East someplace. Very nice, but told me a flat out lie regarding adding children to 2014 subsidized plans.
Unfortunately, in-house overtime and website upkeep has been reduced to bare minimums as well. To keep from getting too upset at the company, I have to continually remind myself that the Affordable Care Act is responsible for a lot of the current sloppiness and outright neglect we're seeing from Blue Cross of Illinois.
Unfortunately, in-house overtime and website upkeep has been reduced to bare minimums as well. To keep from getting too upset at the company, I have to continually remind myself that the Affordable Care Act is responsible for a lot of the current sloppiness and outright neglect we're seeing from Blue Cross of Illinois.
ACA might be a valid argument. Except the profits for a NON-PROFIT are at $1 Billion. They had more than 3 years to get ready. ACA didn't tell them not to do anything until after the Supreme Court decision. They knew how many people they were going to add. They knew how many people would move to an ACA plan from a current plan. ACA didn't day "don't bother to test any IT changes". BCBS has done this to themselves. What's really sad is they have done a better job than anyone else.
HCSC profits top $1 billion for the second consecutive year | AIS Health
And this is when you are in Illinois and I am in Texas. We desperately needed healthcare reform. Especially on the individual side and ASO side. You had heart surgery as a teenager? Perfect health since? You are 63? Sorry...no coverage for you! Need a transplant? Sorry, you have a $1 million max. Sorry...No transplant for you!
ACA isn't perfect. Or even close. But something needed to be done.
HCSC profits top $1 billion for the second consecutive year | AIS Health
And this is when you are in Illinois and I am in Texas. We desperately needed healthcare reform. Especially on the individual side and ASO side. You had heart surgery as a teenager? Perfect health since? You are 63? Sorry...no coverage for you! Need a transplant? Sorry, you have a $1 million max. Sorry...No transplant for you!
ACA isn't perfect. Or even close. But something needed to be done.
- 8,448
KGMom, that link was for the 2011 HCSC profit. But the holding company did well in 2012 and 2013, with over $1 Billion in those years too.
To me, being a non-profit is just a way to avoid paying as much in income taxes. Our "non-profit" church brought in over $7 million last year and paid very little to Uncle Sam.
It makes me upset that Insurers earn so much, yet keep insulting our intelligence by cutting commissions and giving lame excuses for doing so. Don't they realize that we can see with our own eyes that they're raking in the cash?
You're right KGMom when you say that the ACA is just a portion of the reason why BCBS-IL is doing such a poor job. Granted, they didn't expect to, and planned not to have any of the non-grandfathered plans in place right now, but they shouldn't have went along with President Obama's sudden change of heart around Thanks-giving. Several of the other BLUES went ahead and converted all plans to ACA-Compliance as scheduled on 1/1/2014, in spite of what the President suddenly wanted.
ac
To me, being a non-profit is just a way to avoid paying as much in income taxes. Our "non-profit" church brought in over $7 million last year and paid very little to Uncle Sam.
It makes me upset that Insurers earn so much, yet keep insulting our intelligence by cutting commissions and giving lame excuses for doing so. Don't they realize that we can see with our own eyes that they're raking in the cash?
You're right KGMom when you say that the ACA is just a portion of the reason why BCBS-IL is doing such a poor job. Granted, they didn't expect to, and planned not to have any of the non-grandfathered plans in place right now, but they shouldn't have went along with President Obama's sudden change of heart around Thanks-giving. Several of the other BLUES went ahead and converted all plans to ACA-Compliance as scheduled on 1/1/2014, in spite of what the President suddenly wanted.
ac
That's one way that Texas and Illinois are different. Both small group and individual plans were given the option of renewing on 12/1 for 12 months on a pre-ACA plan. We were always doing that. It didn't change after Obama's announcement.
Of course, you had a current plan on auto-draft, cancelled it and added a new plan for 1/1, you were double-drafted....
Of course, you had a current plan on auto-draft, cancelled it and added a new plan for 1/1, you were double-drafted....
