Word: humanae
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Dates: during 1990-1999
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...WATCH Last week Aetna and Humana got slammed with class actions for failing to disclose bonuses given to doctors and claims reviewers who kept costs down by restricting patient care. More cases are expected, particularly if Congress allows malpractice suits against HMOs. Meanwhile, HMOs are planning to raise their premiums an average 11% next year, following this year's 6% increase, according to a Sherlock Co. survey. Although HMOs usually scale back these increases, why such a big initial hike? HMOs cite higher drug costs, for one thing, not to mention lawyers' fees...
...pushes Michael Moore away, the more tenacious he gets. He has been banished all the way to Bravo, and though his new show is not as slick as his last (TV Nation), it's even more hard-hitting. Moore bothers Big Business again, as he does when he invites Humana execs to the mock funeral of a man whose pancreas transplant has been denied by the insurers. It's unusual to find an angry liberal in this economy, but Moore makes a better case for the working guy than any politician out there...
...their sweethearts. It was from their HMOs. Thanks to increasing medical costs and decreasing federal reimbursements, taking care of patients over 65 is not so profitable a business as it was in the early 1990s. So as of Dec. 31, more than 90 HMOs across the U.S.--including Aetna, Humana and Oxford--will stop serving Medicare customers in certain regions around the country...
Insurers generally claim that medical-loss ratios have little meaning in themselves because of different accounting systems and are not an accurate guide to profits, which have actually been driven down lately by ruthless competition. Humana, one of the biggest for-profit HMOs, reported a drop in net income of nearly 94% for 1996 after some special charges...
Camaraderie is swell, but the play's the thing, and this year Humana had the goods. The big find was Naomi Wallace, a Kentucky native whose work has been produced by Britain's Royal Shakespeare Company but virtually not at all in the U.S. Her luxuriously poetic One Flea Spare is set during the London plague of 1665, when "at night the rats came out in twos and threes to drink the sweat from our faces." The stage is a canvas of convulsive emotions and pristine images of four tortured refugees from the pestilence. Only a 12-year-old girl...