Haine introduces insurance fraud protection bill

SPRINGFIELD – State Sen. Bill Haine, D-Alton, has introduced a plan creating protections against a new type of health insurance fraud caused by the Affordable Care Act.

The plan is contained in an amendment to House Bill 3784. The Senate’s Insurance Committee is expected to hear the amendment during a meeting today.

Under the ACA, a person who is not covered by a group insurance plan can apply for and receive health insurance from multiple companies. If that person then gets medical treatment, the hospital bills all of the insurers and each company is required to cover the cost of the treatment. The hospital – having received too much money for the treatment – then gives the extra money to the individual.

The plan allows health insurance companies that all cover the same person to coordinate with each other on how medical expenses are handled.

“People could abuse the system because of changes from the Affordable Care Act. We are preventing fraud and reducing the costly waste associated with this type of abuse,” Haine said.

The proposal is supported by the Illinois Chamber of Commerce, the Illinois Department of Insurance, Blue Cross Blue Shield and several other insurance providers.

“It’s imperative that we continue to keep healthcare costs low for the business community and consumers. This bill prevents an unnecessary increase in costs as a result of a fraud on the system,” said Jennifer Hammer, executive director of the Illinois Chamber of Commerce Healthcare Council.

 

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