ProPublica reports that a self-insured teachers plan in New Jersey is paying acupuncturists and physical therapists for resort-style services, at 5-star resort prices (and them some).
$677 for acupuncture?
Hey, if it’s Other People’s Money, who wouldn’t waste it on luxury services?
One of the many benefits of TiqiPay is how the platform helps check abuses like these.
Per ProPublica, teachers abusing these benefits were expected to pay 20-30% co-insurance. However, the providers are suspected of waving this. With TiqiPay, the patient cost share must be paid at the time of service for the provider to receive the insured portion. No cost share, no insurer share.
In addition, the TiqiPay model encourages insurers to design benefits that cap the total amount allowed. This model is in direct opposition to the open-ended model abused in this reporting.