Broken Promises: Fraud by Small Business Health Insurers

Be the first to write a review

Overview

As the costs of medical care have skyrocketed, so has the amount of money lost to fraudulent health insurance providers. These bogus operations typically victimize individuals on the lower end of the socioeconomic scale who then face staggering medical bills without coverage.

Robert Tillman shows how market conditions and weak regulatory structures have allowed these crimes to occur, and cites recent institutional and legal changes that have created both new demands for ...

See more details below
Paperback (New Edition)
$24.95
BN.com price
Other sellers (Paperback)
  • All (6) from $1.99   
  • New (5) from $4.98   
  • Used (1) from $1.99   
Sending request ...

More About This Book

Overview

As the costs of medical care have skyrocketed, so has the amount of money lost to fraudulent health insurance providers. These bogus operations typically victimize individuals on the lower end of the socioeconomic scale who then face staggering medical bills without coverage.

Robert Tillman shows how market conditions and weak regulatory structures have allowed these crimes to occur, and cites recent institutional and legal changes that have created both new demands for insurance and greater opportunities for fraud. He also analyzes the political and economic climate that enables these criminal practices to flourish.

Drawing on court documents, congressional hearings, and actual cases, Tillman provides numerous examples of the three most prevalent forms of fraud: scams involving multiple employer welfare arrangements, employee leasing schemes, and fictitious labor unions. He also examines recent innovations in insurance fraud such as "24-hour plans" and coverage offered by dubious religious organizations.

With the regulation of health insurance currently in chaos, Broken Promises offers a critical examination of this insidious form of white-collar crime. It is a timely book that raises important questions about the definition of insurance and consumer protection.

Read More Show Less

Editorial Reviews

Ian Shaw
Broken Promises is an interesting study of insider health insurance fraud. This book is about white-collar criminals but fundamentally it is also about the conditions that promote their crimes....[H]ow can individuals protect themselves against insurance fraud? Individuals are insuring against risk but that insurance is itself becoming a risk. Reliance upon the state is not encouraged but it is now clear that the community cannot cope alone with fraudulent insurers.
—Law and Politics Book Review
Ian Shaw
Broken Promises is an interesting study of insider health insurance fraud. This book is about white-collar criminals but fundamentally it is also about the conditions that promote their crimes....[H]ow can individuals protect themselves against insurance fraud? Individuals are insuring against risk but that insurance is itself becoming a risk. Reliance upon the state is not encouraged but it is now clear that the community cannot cope alone with fraudulent insurers.
— Law and Politics Book Review
Read More Show Less

Product Details

Table of Contents

List of Abbreviations
Introduction 3
Ch. 1 The Health Care Crisis and Health Insurance Fraud 24
Ch. 2 The Trouble with MEWAs 49
Ch. 3 Employee Leasing Scams 78
Ch. 4 Bogus Labor Unions 105
Ch. 5 Not an Insurance Company 136
Ch. 6 The Political Economy of Reform 162
Conclusions 189
Index 209
Read More Show Less

Customer Reviews

Be the first to write a review
( 0 )
Rating Distribution

5 Star

(0)

4 Star

(0)

3 Star

(0)

2 Star

(0)

1 Star

(0)

Your Rating:

Review Guidelines
Add Recommendations
Your Name: Create a Pen Name or

Barnes & Noble.com Review Rules

Our reader reviews allow you to share your comments on titles you liked, or didn't, with others. By submitting an online review, you are representing to Barnes & Noble.com that all information contained in your review is original and accurate in all respects, and that the submission of such content by you and the posting of such content by Barnes & Noble.com does not and will not violate the rights of any third party. Please follow the rules below to help ensure that your review can be posted.

Reviews by Our Customers Under the Age of 13

We highly value and respect everyone's opinion concerning the titles we offer. However, we cannot allow persons under the age of 13 to have accounts at BN.com or to post customer reviews. Please see our Terms of Use for more details.

What to exclude from your review:

Please do not write about reviews, commentary, or information posted on the product page. If you see any errors in the information on the product page, please send us an email.

Reviews should not contain any of the following:

  • - HTML tags, profanity, obscenities, vulgarities, or comments that defame anyone
  • - Time-sensitive information such as tour dates, signings, lectures, etc.
  • - Single-word reviews. Other people will read your review to discover why you liked or didn't like the title. Be descriptive.
  • - Comments focusing on the author or that may ruin the ending for others
  • - Phone numbers, addresses, URLs
  • - Pricing and availability information or alternative ordering information
  • - Advertisements or commercial solicitation

Reminder:

  • - By submitting a review, you grant to Barnes & Noble.com and its sublicensees the royalty-free, perpetual, irrevocable right and license to use the review in accordance with the Barnes & Noble.com Terms of Use.
  • - Barnes & Noble.com reserves the right not to post any review -- particularly those that do not follow the terms and conditions of these Rules. Barnes & Noble.com also reserves the right to remove any review at any time without notice.
  • - See Terms of Use for other conditions and disclaimers.
Search for Products You'd Like to Recommend

Recommend other products that relate to your review. Just search for them below and share!

Create a Pen Name

Your Pen Name is your unique identity on BN.com. It will appear on the reviews you write and other website activities. Your Pen Name cannot be edited, changed or deleted once submitted.

 
Your Pen Name can be any combination of alphanumeric characters (plus - and _), and must be at least two characters long.

Continue Anonymously
    If you find inappropriate content, please report it to Barnes & Noble
    Why is this product inappropriate?
    Comments (optional)