Update: Proof We are Treated as Second Class TRICARE Beneficiaries

We will not repeat what we previously discussed in the original post, Proof We are Treated as Second Class TRICARE Beneficiaries Using DHA’s Own Data from 29 December 2013. If you have not read it, click on the title and you will be able to read it at your leisure.

We are only updating the information showing how much the Defense Health Agency (DHA) pays for care in the Philippines compared to the rest of the world and it is significantly worse than before when it showed they were spending 13% of what was expected based on 2010 TRICARE data.

We tried to give DHA every benefit of the doubt when we made the calculations. The indisputable facts and assumptions are below. Continue reading

Posted in Certified Provider List, Closed Network, CMAC Table, Demonstration, Emergency Care Access, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines, Wisconsin Physician Services (WPS) | Tagged | 3 Comments

Follow-up on Possible ISOS Data Breach and Loss of Patient Information

See our previous post, ISOS Data Breach and Loss of Patient Information Waiting to Happen.

Knowing that International SOS (ISOS) does not respond to many inquiries posed to them we passed on the security issues with the ISOS webpage to the Defense Health Agency (DHA). The hope was they would take the lack of security seriously and direct their contractor fix the issues.

After our initial discovery of the security issues we ran some tests against the website using Qualys SSL Labs. If you want to learn more about these kinds of security issues or run the test yourself go to the link. The site runs a large number of tests and simulated activity against the website and provides a report. The report carries an overall grade from A+ to F along with detailed information on the findings and basis for the grade. Continue reading

Posted in Defense Health Agency (DHA), International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines | 1 Comment

ISOS Data Breach and Loss of Patient Information Waiting to Happen

International SOS (ISOS) is failing to provide even adequate internet security on its webpages. All of our medical claims and associated medical information, User IDs and Passwords are at serious risk with this inadequate ISOS internet security. They have chosen to use an obsolete cryptography to secure the portal that grants access to all of our medical claims from overseas and only God knows what else. The weak security configuration they are using is TLS 1.0 which was replaced by TLS 1.1 in 2006 and again by TLS 1.2 in 2008. Continue reading

Posted in Defense Health Agency (DHA), International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines, Wisconsin Physician Services (WPS) | 1 Comment

International SOS re-awarded the TRICARE Overseas Program Contract

International SOS re-awarded the TRICARE Overseas Program Contract

Six more years of HELL for TRICARE beneficiaries in the Philippines and probably all around the world. This should send a loud and clear message that the Defense Health Agency totally and absolutely approves of fraud and their contractors ignoring beneficiary inquiries including contractor directed price increases by local providers.

Don’t forget this is the company, International SOS, that publicly claimed that Philippine TRICARE beneficiaries, by the millions, were trying to defraud them and TRICARE and openly stated “The Philippines is always going to be the bane of our existence,”. This clearly demonstrates how this company views TRICARE beneficiaries in the Philippines and the Philippine people in general. Continue reading

Posted in Closed Network, Defense Health Agency (DHA), Demonstration, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines | 8 Comments

Tricare Philippines Newsletter 15003, Some Observations from Reviewing and Investigating Errors and Other Anomalies on the Approved and Certified Lists

In our latest Newsletter we show you that the Not Used In > 2 Years list of Certified Providers can no longer be considered viable and many of the certified providers on the list in at least some areas are also questionable as they may well be providers that should been moved to the Not Used in > 2 Years list. If beneficiaries use them they may find their claims delayed or worse denied.

We also show just how bad the management of the Demo is when it comes to access to care, how DHA doesn’t have a clue where we live and how DHA and ISOS break their own rules when it is convenient for them. But if you do it, expect to be punished by non-payment of claims.

See Some Observations from Reviewing and Investigating Errors and Other Anomalies on the Approved and Certified Lists

Posted in Certified Provider List, Closed Network, Defense Health Agency (DHA), Demonstration, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines, Wisconsin Physician Services (WPS) | Leave a comment

DHA and ISOS Continue to Put Out False Information About the TRICARE Overseas Standard Benefit in the Philippines

Today we received an email from TRICARE Subject: TRICARE Overseas Program Standard Health Matters Newsletter: 2015—Issue 1. In the email there was a link to the subject newsletter.

We read through the newsletter and were amazed to see the following statements on page 7 under what they call the FAQ corner. These are two of the questions and answers and are so blatantly wrong that we felt we have an obligation to make sure no beneficiaries are taken in. Continue reading

Posted in Closed Network, CMAC Table, Defense Health Agency (DHA), Demonstration, Embassy, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines, Wisconsin Physician Services (WPS) | 2 Comments

1 May 15 List of Certified Providers Removed in Secret & ISOS Fraud

We are sorry we missed posting the 1 April 15 list; a number of personal issues that took priority. However we did gather the information and the databases we maintain were updated.

As of 1 April 2015 there were another twelve (12) providers that went missing under mysterious circumstances and were not added to the Not Seen in > 2 years list.

As of 1 May 2015 yet another thirteen (13) providers also went missing under mysterious circumstances and were also not added to the Not Seen in > 2 years list. One provider that was an approved provider in Iloilo was removed and replaced using their real name as it seems they screwed up her name previously. But that is not news as it routinely happens almost monthly. Continue reading

Posted in Certified Provider List, Defense Health Agency (DHA), Demonstration, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines, Wisconsin Physician Services (WPS) | 2 Comments

ISOS Still Declares Cebu Doctor’s Hospital is Not a Real or Legitimate Hospital But the VA Disagrees

In March 2013 International SOS (ISOS) quietly and secretly removed Cebu Doctor’s University Hospital from the Certified Provider List. Multiple attempts over most of a year proved futile in obtaining anything more than double talk and claims of a need for secrecy when dealing with Philippine providers.

One of their infamous claims has been the secrecy is required because their clerks conduct Quality Assurance Checks. Of course none of their clerks are trained to conduct such checks and the TRICARE Operations Manual clearly states that the TRICARE Overseas Contractor (TOP) is not required to conduct any quality assurance checks on overseas providers. In addition to do a proper quality assurance check on a hospital would take hundreds of man hours and the full cooperation of the hospital and staff physicians by releasing all their records. But as is typical of this contractor they prefer to lie and steadfastly proclaim photographing buildings and obtaining copies of licenses and tax documents constitutes quality assurance checks. This makes them the laughing stock of all those that really do conduct quality assurance checks but then what is new. Continue reading

Posted in Certified Provider List, Closed Network, Defense Health Agency (DHA), Demonstration, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines | 3 Comments

Tricare Philippines Newsletter 15002, TRICARE Knowingly and Blindly Pays for Fraudulent Care, Phase I Demonstration Survey Results are Secret

In our latest Newsletter we show how the Defense Health Agency (DHA) knew for years there were viable and industry wide used processes to root out fraud. And there was likely fraud at their door step that they also chose to ignore.

We also pass on the DHA decision to hide the results of the Phase I Demo survey from those most affected.

See TRICARE Philippines Newsletter 15002

Posted in Closed Network, Defense Health Agency (DHA), Demonstration, International SOS, Tricare Management Activity (TMA), Tricare Overseas Program Philippines | 1 Comment