(PLEASE EXCUSE THE LARGE TYPE - I HAVE TO SEE WHAT I'M WRITING TODAY)
THIS MORNING, I WAS CONTACTED BY:
A HEALTH COACH, R.N.,
WHO IS EMPLOYED WITH TRI-WEST INSURANCE COMPANY'S
CONDITION MANAGEMENT PROGRAM (CMP)
866.876.2384
THIS WAS A LEGITIMATE CALL - NOT SOME PHONEY, PRETEND THING.
WHEN I ASKED HOW SHE GOT MY NAME, SHE SAID THAT I WAS REFERRED BY THE DOD, THROUGH A DISK OF THOUSANDS OF NAMES THAT ARE REGULARLY SENT TO TRIWEST BY THE DOD.
SHE SAID SHE DID NOT KNOW THE SELECTION CRITERIA THE DOD USES ON THIS DISK THEY SEND TO THE INSURANCE COMPANY WITH THOUSANDS OF INSURED'S NAMES ON IT.
I ASKED IF SHE PRODUCES NURSING NOTES, AND SHE SAID THAT SHE DOES, AND RECORDS THESE NURSING NOTES ON A COMPUTER PROGRAM THAT THE TRICARE INSURANCE COMPANY CALLS "CARE RADIUS".
INFORMATION IS SENT AND USED BY CONDITION MANAGEMENT PROGRAM HEALTH CARE PROFESSIONALS.
ACCORDING TO THIS TRIWEST HEALTH CARE INSURANCE EMPLOYEE, WHO IS AN R.N., WITH THE TITLE OF HEALTH COACH,
THE PURPOSE OF THIS CONDITION MANAGEMENT PROGRAM (CMP) IS TO PROMOTE AND EDUCATE THE INSURED ON KEY HEALTH CARE ISSUES RELEVANT TO THE INSURED'S MEDICAL/PSYCH ISSUES
I ASKED HER WHAT ISSUE SHE WISHED TO SPEAK TO ME ABOUT AND SHE SAID
DEPRESSION
I ASKED HER WHY THIS ISSUE AND SHE SAID THAT THIS WAS AN ISSUE DIRECTED FOR HER TO ADDRESS EITHER BECAUSE "PERHAPS" I WAS
REFERRED BY AN MTF PROVIDER (MILITARY TREATMENT FACILITY)
MY PRESCRIPTIONS FOR DEPRESSION MAY HAVE TRIGGERED THIS
OR FOR SOME OTHER REASON, SHE DID NOT KNOW ABOUT AND WAS UNABLE TO FURTHER ELABORATE. MY NAME WAS ON THE DOD DISK THAT WAS SENT TO THE INSURANCE COMPANY.
HOW DO I GET ACCESS TO YOUR NURSING NOTES? SHE SAID I CAN’T.
I REFUSED FURTHER CONVERSATION AS:
1. SHE TOLD ME THAT I CANNOT GET ACCESS TO THE INSURANCE COMPANIE'S MEDICAL/NURSING NOTES – NOW – OR IN THE FUTURE
2. I LET HER KNOW NICELY THAT SHE IS HIRED AND PAID BY A CORPORATE INSURANCE COMPANY UNDER THE GUISE OF PROVIDING ADDITIONAL ASSISTANCE TO INSURERS WITH THEIR VARIOUS MEDICAL/PSYCH ISSUES.
3. DETAILED INFORMATION IS THEN COLLECTED AND STORED BY THE INSURANCE COMPANY ON A COMPUTER PROGRAM CALLED "CARE RADIUS".
4. I, AS THE INSURED, AM NOT AUTHORIZED ACCESS TO THESE RECORDS - NOW - OR IN THE FUTURE.
5. THEREFORE, I REFUSED FURTHER CONVERSATION WITH THIS REPRESENTATIVE FROM THE TRIWEST CORPORATE INSURANCE COMPANY BASED ON MY LACK OF SATISFACTION IN THE TRANSPERENCY OF INFORMATION COLLECTED ABOUT ME THAT I WOULD BE PREVENTED FROM HAVING ACCESS TO NOW – OR IN THE FUTURE.
6. I FURTHER STATED TO HER THAT WHILE THIS MAY BE A NOBLE PROGRAM (CONDITION MANAGEMENT PROGRAM), I HAVE CONCERNS THAT THIS INFORMATION COULD POSSIBLY BE USED LATER ON BY THE INSURANCE COMPANY TO LIMIT, RESTRICT, OR ELIMINATE MY TREATMENT CARE AT A LATER DATE. I ALSO BROUGHT UP MY CONCERNS REGARDING THIS INSURANCE COMPANY'S CREATION OF THIS PROGRAM AS A GUISE TO FURTHER "MINE" DATA FROM ME AS WELL.
7. I STATED THAT I CURRENTLY HAVE A CIVILIAN PRIMARY CARE PHYSICIAN, A CIVILIAN PSYCHOLOGIST, AND THE VA - AND THE ARMY CB-WTU NURSE CASE MANAGEMENT SYSTEM - ALL OF WHOM ARE MONTORING AND COORDINATING MY TREATMENT CARE.
8. I STATED THAT WHEN I CONTACTED MY ARMY NURSE CASE MANAGER, SHE HAD NO KNOWLEDGE OF THIS TRIWEST INSURANCE COMPANY'S CARE PROGRAM, NOR DID SHE KNOW HOW MY NAME WAS REFERRED TO TRIWEST EITHER.
THEREFORE, I DO NOT NEED AN INSURANCE COMPANY "CARE" PROGRAM TO FUTHER "ASSIST" ME.
NOW I KNOW AGENCIES WANT TO HELP. BUT WHAT GETS ME IS THAT MY NAME, AND THOUSANDS OF OTHER NAMES OF SERVICEMEMBERS ARE SUPPOSSEDLY BEING SENT BY THE DOD TO AN INSURANCE COMPANY - WITHOUT MY CONSENT OR PERMISSION.
SHE ALREADY HAD A PRE-ARRANGED TOPIC OF CONVERSATION - MY DEPRESSION - AND SHE WAS BOTH UNABLE TO ANSWER MY QUESTIONS ABOUT THIS INFORMATION SHARING - THE DEPTH OF INFORMATION SHE RECEIVED, THE HOW AND WHY AND WHO REFERRED ME TO THIS INSURANCE COMPANY'S CARE PROGRAM - AND, MY INABILITY TO GAIN ACCESS TO MY NURSING NOTES WITH THIS INSURANCE COMPANY'S "CARE" PROGRAM.
ANY THOUGHTS ON THIS??
BELIEVE ME, I'M NOT WANTING TO SOUND PARANOID, BUT I DO WANT TO MAINTAIN MY LEVEL OF PERSONAL PRIVACY. I AM A BIT MIFFED THAT THE DOD IS SUPPOSSEDLY SHARING GOD-KNOWS WHAT KIND OF DATA TO AN INSURANCE COMPANY WITHOUT MY CONSENT.
V/R,
NWLIVEWIRE
THIS MORNING, I WAS CONTACTED BY:
A HEALTH COACH, R.N.,
WHO IS EMPLOYED WITH TRI-WEST INSURANCE COMPANY'S
CONDITION MANAGEMENT PROGRAM (CMP)
866.876.2384
THIS WAS A LEGITIMATE CALL - NOT SOME PHONEY, PRETEND THING.
WHEN I ASKED HOW SHE GOT MY NAME, SHE SAID THAT I WAS REFERRED BY THE DOD, THROUGH A DISK OF THOUSANDS OF NAMES THAT ARE REGULARLY SENT TO TRIWEST BY THE DOD.
SHE SAID SHE DID NOT KNOW THE SELECTION CRITERIA THE DOD USES ON THIS DISK THEY SEND TO THE INSURANCE COMPANY WITH THOUSANDS OF INSURED'S NAMES ON IT.
I ASKED IF SHE PRODUCES NURSING NOTES, AND SHE SAID THAT SHE DOES, AND RECORDS THESE NURSING NOTES ON A COMPUTER PROGRAM THAT THE TRICARE INSURANCE COMPANY CALLS "CARE RADIUS".
INFORMATION IS SENT AND USED BY CONDITION MANAGEMENT PROGRAM HEALTH CARE PROFESSIONALS.
ACCORDING TO THIS TRIWEST HEALTH CARE INSURANCE EMPLOYEE, WHO IS AN R.N., WITH THE TITLE OF HEALTH COACH,
THE PURPOSE OF THIS CONDITION MANAGEMENT PROGRAM (CMP) IS TO PROMOTE AND EDUCATE THE INSURED ON KEY HEALTH CARE ISSUES RELEVANT TO THE INSURED'S MEDICAL/PSYCH ISSUES
I ASKED HER WHAT ISSUE SHE WISHED TO SPEAK TO ME ABOUT AND SHE SAID
DEPRESSION
I ASKED HER WHY THIS ISSUE AND SHE SAID THAT THIS WAS AN ISSUE DIRECTED FOR HER TO ADDRESS EITHER BECAUSE "PERHAPS" I WAS
REFERRED BY AN MTF PROVIDER (MILITARY TREATMENT FACILITY)
MY PRESCRIPTIONS FOR DEPRESSION MAY HAVE TRIGGERED THIS
OR FOR SOME OTHER REASON, SHE DID NOT KNOW ABOUT AND WAS UNABLE TO FURTHER ELABORATE. MY NAME WAS ON THE DOD DISK THAT WAS SENT TO THE INSURANCE COMPANY.
HOW DO I GET ACCESS TO YOUR NURSING NOTES? SHE SAID I CAN’T.
I REFUSED FURTHER CONVERSATION AS:
1. SHE TOLD ME THAT I CANNOT GET ACCESS TO THE INSURANCE COMPANIE'S MEDICAL/NURSING NOTES – NOW – OR IN THE FUTURE
2. I LET HER KNOW NICELY THAT SHE IS HIRED AND PAID BY A CORPORATE INSURANCE COMPANY UNDER THE GUISE OF PROVIDING ADDITIONAL ASSISTANCE TO INSURERS WITH THEIR VARIOUS MEDICAL/PSYCH ISSUES.
3. DETAILED INFORMATION IS THEN COLLECTED AND STORED BY THE INSURANCE COMPANY ON A COMPUTER PROGRAM CALLED "CARE RADIUS".
4. I, AS THE INSURED, AM NOT AUTHORIZED ACCESS TO THESE RECORDS - NOW - OR IN THE FUTURE.
5. THEREFORE, I REFUSED FURTHER CONVERSATION WITH THIS REPRESENTATIVE FROM THE TRIWEST CORPORATE INSURANCE COMPANY BASED ON MY LACK OF SATISFACTION IN THE TRANSPERENCY OF INFORMATION COLLECTED ABOUT ME THAT I WOULD BE PREVENTED FROM HAVING ACCESS TO NOW – OR IN THE FUTURE.
6. I FURTHER STATED TO HER THAT WHILE THIS MAY BE A NOBLE PROGRAM (CONDITION MANAGEMENT PROGRAM), I HAVE CONCERNS THAT THIS INFORMATION COULD POSSIBLY BE USED LATER ON BY THE INSURANCE COMPANY TO LIMIT, RESTRICT, OR ELIMINATE MY TREATMENT CARE AT A LATER DATE. I ALSO BROUGHT UP MY CONCERNS REGARDING THIS INSURANCE COMPANY'S CREATION OF THIS PROGRAM AS A GUISE TO FURTHER "MINE" DATA FROM ME AS WELL.
7. I STATED THAT I CURRENTLY HAVE A CIVILIAN PRIMARY CARE PHYSICIAN, A CIVILIAN PSYCHOLOGIST, AND THE VA - AND THE ARMY CB-WTU NURSE CASE MANAGEMENT SYSTEM - ALL OF WHOM ARE MONTORING AND COORDINATING MY TREATMENT CARE.
8. I STATED THAT WHEN I CONTACTED MY ARMY NURSE CASE MANAGER, SHE HAD NO KNOWLEDGE OF THIS TRIWEST INSURANCE COMPANY'S CARE PROGRAM, NOR DID SHE KNOW HOW MY NAME WAS REFERRED TO TRIWEST EITHER.
THEREFORE, I DO NOT NEED AN INSURANCE COMPANY "CARE" PROGRAM TO FUTHER "ASSIST" ME.
NOW I KNOW AGENCIES WANT TO HELP. BUT WHAT GETS ME IS THAT MY NAME, AND THOUSANDS OF OTHER NAMES OF SERVICEMEMBERS ARE SUPPOSSEDLY BEING SENT BY THE DOD TO AN INSURANCE COMPANY - WITHOUT MY CONSENT OR PERMISSION.
SHE ALREADY HAD A PRE-ARRANGED TOPIC OF CONVERSATION - MY DEPRESSION - AND SHE WAS BOTH UNABLE TO ANSWER MY QUESTIONS ABOUT THIS INFORMATION SHARING - THE DEPTH OF INFORMATION SHE RECEIVED, THE HOW AND WHY AND WHO REFERRED ME TO THIS INSURANCE COMPANY'S CARE PROGRAM - AND, MY INABILITY TO GAIN ACCESS TO MY NURSING NOTES WITH THIS INSURANCE COMPANY'S "CARE" PROGRAM.
ANY THOUGHTS ON THIS??
BELIEVE ME, I'M NOT WANTING TO SOUND PARANOID, BUT I DO WANT TO MAINTAIN MY LEVEL OF PERSONAL PRIVACY. I AM A BIT MIFFED THAT THE DOD IS SUPPOSSEDLY SHARING GOD-KNOWS WHAT KIND OF DATA TO AN INSURANCE COMPANY WITHOUT MY CONSENT.
V/R,
NWLIVEWIRE