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Posts Tagged ‘America’

Washington, DC, United States (KaiserHealth) – Amanda Hite says she felt “really healthy” when she applied recently for health insurance. But Anthem Blue Cross and Blue Shield denied her, because she had seen a chiropractor a few months earlier for a sore back and later had visited an emergency room because of back pain.

“I was surprised and let down,” said Hite, 34, of Lexington, Ky., who didn’t think her periodic back pain would be enough to keep her from buying health insurance.

Hite’s case isn’t unusual. Many of the plans offered by Anthem Blue Cross in Kentucky reject about one in five applicants, according to data provided by insurers to the federal Department of Health and Human Services. Rival insurers in the state have even higher denial rates: Humana rejects 26 to 39 percent of applications in Kentucky, while UnitedHealthcare denies 38 to 43 percent.

Citing its own 2009 study, America’s Health Insurance Plans, an industry trade group, says 87 percent of people who apply nationally for individual coverage are offered a policy. That figure, however, includes people who are turned down for one policy but offered another that may cost more or have fewer benefits.

The federal website contains denial rates in all 50 states, the District of Columbia and U.S. territories, and is updated periodically. The most current information is for the first three months of 2011. The data show that denial rates routinely exceed 20 percent and often are much higher, according to a KHN review of 20 of the most populous states and the District of Columbia. The data reflect applications that are turned down for any reason.

The information provides fresh evidence of the challenges facing people buying individual health insurance. It also shows the likelihood of whether consumers are approved for a policy depends on which state they live in and the insurer they choose.

Denial rates can vary widely within individual states. In Georgia, for example, Aetna’s denial rate is 15 percent compared with 47percent for Kaiser Permanente and 67 percent for John Alden Life Insurance. (KHN is not affiliated with Kaiser Permanente.)

Also, the same insurer can have vastly different denial rates in different states. For example, Kaiser Permanente denied 32 percent of applications in Maryland but 17 percent in Colorado.

James Larreta-Moylan, director of individual and family plans for Oakland-based Kaiser Permanente, said the denial rates vary because of the different types of plans sold, and the age and health conditions of applicants in different markets. He said denial rates can be higher in some markets where sicker patients apply for plans with richer benefits. Medical underwriting, or reviewing an applicant’s health status, “is an unfortunate reality of today’s market,” he said.

Mike Cantone, 27, of Orlando, was denied a health insurance policy last year by UnitedHealthcare, which considered him a risk because a doctor used a monitor to test his heart for a few days in 2007. No problems were detected, he said. “I was shocked and frustrated,” said Cantone, a political director for a community organization. He is still uninsured.

‘Denial’ Definitions Differ

Two companies consistently had the highest denial rates — John Alden Life Insurance and Time Insurance, both owned by Milwaukee-based Assurant Health. In nearly every market surveyed, their denial rates were at least twice the rate of competing insurers. For example, in Tennessee, John Alden turned down 70 percent of applicants and Time, one of the biggest individual insurers in the country, rejected 53 percent.

Assurant spokeswoman Heather McAvoy said her company offers alternative plans when applicants are rejected due to health status. These can include policies that require consumers to pay extra to cover a pre-existing medical condition. “Unfortunately, when consumers accept the alternative coverage — and are, in fact, insured with Assurant Health — they are classified as a ‘denial’ under the HHS criteria,” she said.

AHIP, the trade group, says the federal data on coverage denials are misleading because they do not include people rejected for one plan but offered another. The data also include denials involving applicants who don’t live in the plan’s coverage area.

The Deartment of Health and Human Services acknowledged AHIP’s arguments but said it was important for the data to reflect when people can’t get the specific policies they apply for. The department said most of the denials are the result of medical underwriting.

Health Law Offers Help

The difficulty of buying individual coverage was a big reason behind the 2010 federal health overhaul, which will ban insurers starting in 2014 from denying individual policies based on health status.

In the past, most consumers haven’t been able to look up insurers’ denial rates before sending in a check to apply for coverage. Maryland is the only state that requires insurers to report information on denial rates.

But as part of the federal health law, HHS last November started posting the coverage-denial rates, which can be searched by ZIP code at www.healthcare.gov.

Using the data from the website, a Government Accountability Office study of 459 insurers published earlier this year found an average of’ percent of applicants nationally were denied coverage. But the study showed a wide range of denial rates. A quarter of insurers had denial rates of 15 percent or below and a quarter had rates of 40 percent or higher.

A House Energy and Commerce Committee investigation into four large for-profit insurers last year found that the denial rates have steadily increased from 11.9 percent in 2007 to 15.3 percent in 2009. The companies reviewed were Aetna, Humana, UnitedHealthcare and WellPoint.

The denial rates are an important tool for helping consumers select an insurer, said Deborah Chollet, a senior fellow with Mathematica, a non-partisan think tank. That’s because the application process can take a month or more, and carriers typically require the first month’s premium with the application.

Sara Collins, vice president of the nonpartisan Commonwealth Fund, said the denial data underscore the need for the industry changes that will occur in 2014. “It’s not surprising that denial rates are high, because insurers have an incentive to only enroll the healthy risks,” she said. “If a person comes in with a health problem that will potentially cost (the insurer) money, they are probably not going to cover them.”

– Provided by Kaiser Health News.

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Bank of America may layoff 40,000

Diane Alter – AHN News Reporter

New York, NY, United States (AHN) – The morning after President Obama’s much talked-about and highly anticipated speech to Congress and the nation about jobs creation, news has emerged that Bank of America officials may lay off as many as 40,000 employees in a first round of restructuring that CEO Brian Moynihan is expected to discuss Monday.

The numbers are not final and could change, according to reports. In fact, Moynihan might not even discuss the number of job cuts at next week’s Barclays Capital 2011 Global Financial Services Conference in New York. What he is sure to discuss is how the bank expects to enact savings and shore up its stock price.

The planned job cuts at the nation’s second largest U.S. lender by assets are part of an overhaul at the bank to boost revenue and shareholder value. The bank has reported steep losses over the past several quarters and its stock price has sorely suffered.

Bank of America would not comment, but developments are sure to unfold over the next week.

Shortly before noon on Friday, shares of Bank of America were off slightly, trading at $7.15 on the NYSE.

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ProPublica Staff

Carson City, NV, United States (ProPublica) – by Paul Kiel

This post has been updated to reflect Bank of America’s response.

The state of Nevada dramatically expanded its lawsuit against Bank of America today, turning the narrow case it filed late last year into a broadside that targets virtually all aspects of the bank’s mortgage operations. Bank of America has previously denied wrongdoing.

The sweeping new suit could have repercussions far beyond Nevada’s borders. It further jeopardizes a possible nationwide settlement with the five largest U.S. banks over their foreclosure practices, especially given concerns voiced by other attorneys general, New York’s foremost among them. (You can read the suit here.)

In a statement, Bank of America spokeswoman Jumana Bauwens said reaching a settlement would bring a better outcome for homeowners than litigation. “We believe that the best way to get the housing market going again in every state is a global settlement that addresses these issues fairly, comprehensively and with finality.”

The suit also weakens a separate, 2008 multistate settlement in which Countrywide promised to evaluate troubled homeowners for loan modifications.

Most broadly, Nevada’s action signals that the banks’ problems with home mortgages—the main cause of the financial crisis—continue to burden them and rattle investors. Bank of America, the nation’s largest bank and mortgage servicer, has seen its stock plunge about 40 percent since March, due in part to its mortgage liabilities. Nevada’s action won’t help.

Nevada’s attorney general charges that Bank of America and the now-defunct mortgage giant Countrywide acquired by the bank in 2008, deceived borrowers and investors at almost every stage of the process.

According to the suit, borrowers were duped into unaffordable loans and then victimized again through a misleading mortgage modification program that homeowners tried to use to avoid foreclosure. Finally, the suit says, the bank filed fraudulent documents to move forward with the foreclosures.

“Taken together and separately, deceptive practices have resulted in an explosion of delinquencies and unauthorized and unnecessary foreclosures in the state of Nevada,” the suit alleges.

The state’s suit had previously been confined to the modification issue. At that time, Bank of America also said homeowners would be best served not through litigation but through reaching a multistate settlement to “broaden programs for homeowners who need assistance.”

In expanding the suit, Nevada’s Catherine Cortez Masto joins New York Attorney General Eric Schneiderman in stepping up investigations of the bank. In addition to initiating a broad investigation of banks’ securitization practices, he recently filed a suit charging that Bank of America had fraudulently foreclosed on homeowners.

A coalition of all 50 state attorneys general has been seeking a settlement with the five largest banks to address their foreclosure practices, such as the filing of thousands of false sworn statements with state courts. Some critics have said the states were speeding to an agreement without thoroughly investigating the banks’ abuses.

Last week, fissures in the coalition became public when Iowa Attorney General Tom Miller, who leads the 50-state coalition, removed New York’s Schneiderman from the group’s executive committee because, he said, Schneiderman had “actively worked to undermine” its efforts by opposing any quick settlement. As part of any settlement (reportedly in the range of $20 billion to $25 billion), the banks have been seeking a wide-ranging release from future legal claims, not just those related to foreclosure practices. Schneiderman has publicly rejected that idea and pushed ahead with his investigation.

Masto’s suit signals that Nevada may also reject any settlement in the near future on the foreclosure issues. Two other attorneys general, notably those from Massachusetts and Delaware, have also recently voiced concerns about any broad waiver of claims.

Geoff Greenwood, the spokesman for Iowa’s attorney general, declined to comment on Nevada’s suit.

Nevada’s newly expanded suit also undermines a previous settlement between Countrywide and numerous attorneys general. In 2008, as part of that settlement, Bank of America agreed to implement a mortgage modification program to address charges that Countrywide’s marketing and lending practices had defrauded borrowers. That promised wave of modifications never came, however, so Nevada alleges Bank of America has breached the agreement. The expanded suit revives those allegations.

In its new claims, Nevada also charges that Countrywide bungled the process of bundling loans into securities by not properly documenting the transfer of assets. Despite the lack of documentation, Bank of America has fraudulently pursued foreclosure on these homes anyway, the suit charges.

New York’s Schneiderman made similar charges earlier this month when he sued the Bank of New York Mellon, which, as trustee for several pools of Countrywide loans, was supposed to oversee the securities for investors. Countrywide’s failure to transfer complete mortgage loan documentation “impair the value of the notes secured by those mortgages” and “triggered widespread fraud, including Bank of America’s fabrication of missing documentation,” the suit charges.

– Provided by ProPublica.org

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Ayinde O. Chase – AHN News Staff

Washington, D.C., United States (AHN) – The U.S. Centers for Disease Control and Prevention (CDC) released a new study which finds fewer than half of female teens have been vaccinated against Human papillomavirus (HPV).

The findings also reflect that even when female teens start the vaccination, only two in three complete the series.

Furthermore the report National, State, and Local Area Vaccination Coverage among Adolescents Aged 13-17 Years, in Morbidity and Mortality Weekly Report, revealed significant racial/ethnic and poverty disparities for HPV vaccination completion rates and in cervical cancer rates. Medical experts attribute these disparities in vaccination rates future disease disparity rates.

Commenting on the data Jeff Levi, Ph.D., executive director of the Trust for America’s Health says, “These rates are nothing short of tragic. We could be sparing an entire generation from HPV, which can lead to a range of STDs, cervical cancer and other cancers.

He goes on to say, “We need public health officials to begin a major education campaign that overcomes parental misunderstandings about vaccines and the willingness of some policymakers to put the future health of today’s youth at unnecessary risk because of squeamishness about sexually transmitted infections.”

Approximately 20 million Americans – about five percent of the U.S. population – are currently infected with HPV, and another six million are infected each year. Annually, around 12,000 women develop cervical cancer, 3,700 develop vulvar cancer, 1,000 develop vaginal cancer and 2,700 develop anal cancer.

The vaccine is currently available free of cost for most teens as part of the prevention benefits in the Affordable Care Act.

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Linda Young – AHN News Writer

Charlotte, NC, United States (AHN) – Bank of America has announced it would slash 3,500 jobs in addition to the 2,500 it let go earlier this year.

The bank is under pressure from investors to increase profitability and analysts say that pressure will likely cause additional job cuts that could rise to 10,000 in all by the end of the year.

Charlotte, N.C.-based Bank of America (BAC, Fortune 500) says it plans to cut the 3,500 jobs during the third quarter. It will begin notifying affected employees soon. The cuts will occur across the company, including its international operations.

Company officials did not give specific reasons for the new cuts. However, some of the problems affecting the bank include revenue growth that was much slower than expected, low demand for loans and a portfolio full of bad mortgage loans from the U.S. subprime mortgage mess that accompanied the bubble-high real estate prices and resultant economic crash.

In addition, Bank of America is getting rid of some of its business to conform to international banking laws, which includes eliminating some credit card and life insurance portfolios.

Bank of America is the largest U.S. bank by assets.

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Bank of America Corp. may settle a state and federal probe of foreclosure practices in a deal that lets New York proceed with an inquiry into securitizations, said two people with direct knowledge of the talks.

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Latin America prepares for economic downturn

Tom Ramstack – AHN News Legal Correspondent

Washington, DC, United States (AHN) – Latin American finance ministers are trying to shield their countries from disaster amid predictions U.S. government budget cutbacks could hurt the region’s economies.

Economic ministers from the 11-nation Unasur organization met last week in Buenos Aires, Argentina, to discuss defensive strategies. They are working on an agreement that would create a roughly $12 billion emergency fund to bail out collapsing economies.

They also seek to reduce their dependence on the U.S. dollar for international trade and to develop policies to balance their trade deficits.

Unasur consists of Brazil, Colombia, Bolivia, Chile, Ecuador, Guyana, Paraguay, Peru, Surinam, Uruguay and Venezuela.

So far, Latin America’s economy has avoided the worst of the economic collapses in the United States and Europe that began in 2008 with a stock market collapse and recession. A brief drop in commodities prices along with government spending programs that shored up declining industries helped them avoid the worst of the crisis. However, economists predict the resilience of Latin American economies will not last much longer.

South American economies grew at an average of 6.6 percent last year, according to the International Monetary Fund.The Fund’s economists predict growth will slow to 4.7 percent this year and 4.1 percent in 2012.

By comparison, U.S. economic growth this year is running at 2 percent. Some European countries are showing no growth.

Stock markets in Latin American countries fell as much as 15 percent last week on news the credit rating service Standard & Poor’s downgraded the U.S. credit rating to double-A plus from triple-A.

Augusto de la Torre, the World Bank’s chief economist for Latin America and the Caribbean, said this week the outlook for Latin America is uncertain as concerns grow about another crisis for the United States and Europe.

China could be the next to falter as Western markets dry up for their manufactured products, he said.

“If China has a hard landing, that will hit us hard,” de la Torre told the Peruvian news media during an economic meeting.

Unasur leaders are exploring options to increase trade with China as its Western markets for manufactured products fizzle.

Protecting the economy is a major campaign issue in Argentina, where current president Cristina Fernandez won a landslide victory in primary elections this week.

She said at a press conference after the primaries that keeping Argentina’s economy strong would be a top priority for her if she is re-elected in October.

Low-income persons are most likely to be hurt by U.S. budget cuts that could reverberate around the world, including Argentina, she said.

Wall Street economists warn that her policies of price controls and using central bank reserves to pay debts could backfire for South America’s third largest economy.

The policies strengthen government control but depress market forces that help to balance the economy, according to some economists.

Argentina’s inflation rate is running close to 25 percent.

Other economic concerns are arising in Brazil, where inexpensive imported products are hurting the domestic manufacturing industry.

Chile and Peru still have stable economies as investors try to protect their assets by purchasing gold and copper, but economists predict declines in the precious metals market.

A decrease in demand for oil is depressing the economies of Venezuela and Mexico.

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Matthew Borghese – AHN News Contributor

New York, NY, United States (AHN) – Big Apple students in middle and high school will receive mandatory lessons on sexual education, under a new program implemented by New York City Mayor Michael Bloomberg. Bloomberg’s effort to improve conditions for minority youth will reform juvinille detention and teach kids how to use condoms.

While condoms have been distributed at schools for years, their use will now be taught by teachers in class. Educators will also instruct students on the right age for sexual activity. New York State mandates middle and high school students take health education classes, but Bloomberg’s new plan adds a semester of specifically sexual education to be taken in 6th or 7th grade, then again in 9th or 10th grade.

“It’s obviously something that applies to all boys and all girls,” NYC Deputy Mayor for Health and Human Services Linda I. Gibbs told the New York Times. “But when we look at the biggest disadvantages that kids in our city face, it is blacks and Latinos that are most affected by the consequences of early sexual behavior and unprotected sex.”

“When we look at poverty rates, graduation rates, crime rates, and employment rates, one thing stands out: blacks and Latinos are not fully sharing in the promise of American freedom and far too many are trapped in circumstances that are difficult to escape,” Bloomberg said. “Even though skin color in America no longer determines a child’s fate – sadly, it tells us more about a child’s future than it should… we are confronting these facts head-on, not to lament them, but to change them, and to ensure that ‘equal opportunity’ is not an abstract notion but an everyday reality, for all New Yorkers.”

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MetLife Inc., the largest U.S. life insurer, said it’s weighing acquisitions in Latin America as ING Groep NV considers selling its business in the region.

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The Media Line Staff

Tel Aviv, Israel (TML) – Western powers and their allies in the Middle East hope to grease the wheels of democracy and political stability as they begin to release billions of dollars in loans and other financial aid to the region’s Arab Spring economies.

The economies of countries like Egypt, Tunisia and Jordan are facing a near-perfect storm of political unrest combined with negative growth and rising prices for imported energy and food. But the emerging aid pipeline may be clogged by domestic opposition inside donor countries. Recipients may balk at the conditions placed on much of the aid.

Aid could ease the way for Egypt and Tunisia to evolve into Western-friendly democracies as well as give a boost to beleaguered friends like Jordan’s King Abdullah. Without it, deteriorating economic conditions risk strengthening the hand of already powerful Islamic movements and undermining public confidence in the free markets and private business that economists say are needed to ensure long-term prosperity.

“These countries, particularly Egypt, face a financial hole and their economies have come to a standstill. The way out is to spend money which their governments don’t have,” said Paul Rivlin, author of Arab Economies in the Twenty-First Century. But the recipients will have to show they are taking the right political and economic measures. “The U.S wants to draw them back into a Western orientation. But the political systems in these countries may draw them elsewhere.”

Egypt, as the biggest of the Middle East’s troubled economies and the country most likely to set the direction of the region political, is the focus of the aid.

The International Monetary Fund (IMF) kicked off the effort May 12, saying it would respond to Egypt’s request for as much as $12 billion. That amount has since has been lowered to $4 billion. But in the meantime, U.S. President Barack Obama last week offered to forgive some $1 billion in Egyptian debt and. Egypt is reportedly close to an agreement with the World Bank to receive loans worth $2.2 billion.

But the biggest largesse of them all may come from Saudi Arabia, which on Saturday pledged $4 billion in the form of soft loans, deposits and grants, the Egyptian Middle East News Agency (MENA) reported, citing Field Marshal Mohamed Hussein Tantawi, the head of Egypt’s ruling military council, as saying.

Egypt won’t be the only beneficiary of international aid.

On Saturday, the European Bank for Reconstruction and Development (EBRD), which was formed to smooth eastern Europe’s transition to free market democracies, is working on a program that may eventually lead to investment of as much as 2.5 billion euros ($3.5 billion) a year in the Middle East. The EBRD said it is considering a request by Egypt to become a country of operations. Morocco, another EBRD shareholder, has also expressed an interest in qualifying, it said.

On Monday, the Group of Eight (G-8) – a forum for many of the world’s biggest economies – will discuss how they can contribute to modernizing the economies of the Middle East, without pledging dollar amounts for assistance. A special session will be devoted to Tunisia and Egypt.

Tunisia plans to attract $5 billion a year in foreign aid, loans and private investments over the next five years during meetings at the G-8 summit, Finance Minister Jelloul Ayed said in an interview with The Wall Street Journal Friday. Tunisia would apply for a $500 million standby loan, possibly from the World Bank.

Obama told a visiting King Abdullah that he would provide Jordan with several hundred millions of dollars in aid, channeled through the Overseas Private Investment Corp. (OPIC). Obama said the funds would “leverage ultimately about $1 billion for economic development in Jordan.”

Rivlin said Washington will lead the aid drive and should America judge that the Arab Spring economies aren’t meeting its conditions it “will be difficult” for Europe and international institutions to provide it either.

The Arab Spring economies are in bad shape by almost every measure. The five countries hit hardest by turmoil will show a combined drop in economic output of about 2.3% this year, according to figures based on a forecast by the Institute for International Finance (IIF) released in early May.

Egyptian Finance Minister Samir Radwan estimates his country’s budget deficit will top 10% of gross domestic product in the coming fiscal year, up from a previous forecast of 7.9% and has to borrow to cover the gap. Its official foreign currency reserves have fallen to $28 billion, but some economists think the drop is bigger than being report.

Uri Dadush and Marwan Muasher, from the Carnegie Endowment for International Peace, expressed concern that it will be difficult to convince the leaders of Egypt and other recipient countries to undertake the economic reforms needed to rekindle economic growth and enable them to eventually get off aid.

So far, the transitional governments of the region, as well as veteran leaders trying to retain power, have increased subsidies for consumer goods and promised to create jobs, all at a cost to badly strained budgets and economic efficiency. But Dadush and Muasher add that the bigger problem may be convincing Arab public opinion that free markets are beneficial.

“Change in the Middle East is about refusing an autocratic political system and calling for democracy – without a clear vision for what economic system should be put in place,” they wrote in the National Interest on April 13. “There is a significant possibility that the governments that ultimately emerge out of this crisis will renounce previous economic reforms as misguided.”

Indeed, many analysts think Egypt won’t agree to the economic reforms the IMF typically demands in exchange for its aid, such as subsidy cuts, for fear that they will spark another round of mass protests like the kind that brought down President Husni Mubarak in February.

“For understandable political reasons, the Egyptian government says that it is unthinkable to cut subsidies for food or energy. But can the IMF simply extend a loan without any conditionality? I doubt it,” Gideon Rachman wrote in the Financial Times last week.

Back at home, both American and European leaders will have to make a case for sending billions of dollars overseas at a time when they are experiencing severe economic difficulties of their own. Europe is trying to put out debt fires in Greece, Portugal and Ireland.

In the U.S., President Barack Obama is battling Congress over increasing the country’s debt ceiling. He faces opposition from a Republic-controlled House of Representatives to helping countries whose allegiance to America is more in doubt as long-time pro-Western despots are replaced by governments whose views are yet to be fully articulated.

The U.S. budget is weighed down by $14 trillion in debt as the White House and Congress fight over raising the national debt ceiling.

“Considering our own national debt, we cannot afford to forgive up to $1 billion of Egypt’s debt,” Elena Ros-Lehtinen, the chairwoman of the House Foreign Affairs Committee, said last Thursday. “The U.S. should only provide assistance to Egypt after we know that Egypt’s new government will not include the Muslim Brotherhood and will be democratic, pro-American and committed to abiding by peace agreements with Israel.”

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