Surcharge are becoming more well known for spouses and when the numbers are crunched, risk assessments
are performed along with any other type of risk numbers such as mortality rates, etc. and the results must be saying “dump the spouse” according to this article in Market Watch. This is pretty much talking about employer provided insurance. There are people out there that marry for this, well almost but it certainly is a big consideration, and maybe they really do. A couple years ago we had this story on the web.
Will Marry For Health Insurance Web Site – Nobody Cares, Responds, The Reality of A 30 Second Attention Span
Some companies have policies that discourage spouses and some just make it too expensive to add them. The problem too is that some individuals can’t get insurance otherwise. The surcharges can be as much 
as $100 a month and depending on income that can be a big issue or an inconvenience. In 2014 we shall how this works as there will be exchanges for spouses to get insurance outside the company with the next provisions of the healthcare reform kick in. Some companies will only allow the spouse added on if they already have their own insurance. If plans are different and cover different doctors then both can’t see the same doctor. Risk assessments and costs are working on all budgets today. In some cases with Medicaid as this link below states, people get divorced to get coverage and it all comes back to income and how the numbers work out. This sure doesn’t do much for keep the American tradition of family together. BD
Divorce for Medicaid and Marry for Insurance – The American Healthcare System
By denying coverage to spouses, employers not only save the annual premiums, but also the new fees that went into effect as part of the Affordable Care Act. This year, companies have to pay $1 or $2 “per life” covered on their plans, a sum that jumps to $65 in 2014. And health law guidelines proposed recently mandate coverage of employees’ dependent children (up to age 26), but husbands and wives are optional. “The question about whether it’s obligatory to cover the family of the employee is being thought through more than ever before,” says Helen Darling, president of the National Business Group on Health
Such exclusions barely existed three years ago, but experts expect an increasing number of employers to adopt them: “That’s the next step,” Darling says. HMS, a company that audits plans for employers, estimates that nearly a third of companies might have such policies now. Holdouts say they feel under pressure to follow suit. “We’re the last domino,” says Duke Bennett, mayor of Terre Haute, Ind., which is instituting a spousal carve-out for the city’s health plan, effective July 2013, after nearly all major employers in the area dropped spouses.
About a fifth of companies had policies to discourage spouses from joining their health plan in 2012, according to Mercer, though most just charged extra—$100 a month, on average—to cover spouses who could get insurance elsewhere, rather than deny coverage entirely. Indeed, large firms including generics maker Teva and supply chain manager Intermec have spousal surcharges costing $100 a month, or $1,200 annually, while Xerox charges $1,000 for the year
Some companies drive spouses away using other tactics, such as making spousal coverage prohibitively expensive through higher surcharges or by making reimbursement rates so low that spouses can’t afford the plans.
http://www.marketwatch.com/story/why-your-boss-is-dumping-your-wife-2013-02-22?link=sfmw
With the improvements, even single cancer cells can be accurately detected and safely isolated from patient blood samples for continuous analysis. 
out there, but having been a former software writer, hopefully some of this will explain in layman’s terms how some of this works behind the scenes it may offer some answers. It’s not going to make you happy but it will open your eyes as to how the world of technology functions today with decision making and perhaps give you an idea of where it’s headed too. 
but as with everything today, there’s the dark side of how formulas and math are used for profit with some very intelligent and crafty programmers and developers out there and we get fooled. Everything in here is all public knowledge so there was no digging for any exclusive interviews and so forth, just stuff you can find on the web as well and I’m just connecting some “big dots” to where you may not see this otherwise. 
Math–This Could be a Subject for Michael Moore to Explore and Document In a Movie
Screenings Too–Killer Algorithms Part 12–Medical Billing Codes Style
Assessing Consumer Credit Scores–Attack of the Killer Algorithms Chapter 21 With Flawed Data
Duping” Society Combined With A World of Rogue Algorithms & Flawed Data Continues In Markets As Seen With Knight Capital This Week-Attack of the Killer Algorithms Chapter 36
Study Fraud With EHR Technologies, Namely Medical Records/Billing Software Used by Hospitals– HHS And SEC Continue Getting Their Non-Algorithmic Fannies Kicked–Attack of the Killer Algorithms Chapter 46
SilverScript Senior Drug Program Sanctioned by Medicare Until the Payment And Billing Algorithms are Cleaned Up-Killer Algorithms Chapter 53
stated that 80% of power chairs were paid for in error, going to people who don’t need them. $108 Million dollars is the amount stated in question. One former employee stated they ranked doctors and has a persistent marketing format that “wore doctors down”. This one will be interesting to follow. 150 Agents, that’s a lot of people to to seize the evidence. Nobody has been arrested and no charges have been filed. You can see the boxes of evidence being carried out. The company did send back $19 million to Medicare last year, and that sound like a lot of chairs. BD 
Why don’t they just give this up? When I see this I loudly think “digital illiteracy” as they don’t know what to do and they go off into areas of insanity like this. I do like the nick name “Governor UltraSound” as this fits. I mean I can’t for the life of me understand why adult men are so into this topic and can’t leave abortions alone. This is is so ridiculous I can’t even laugh! 
friend/client and worked 16 years promoting Omar in his spare time (and how much of that do cardiologists get this day and age). It was a good thing he got started a number of years ago before we all tied rockets to our feet. Also the music is nice and relaxing to the ear from Omar. Who doesn’t need that today too, otherwise I wouldn’t have all these folks looking for the FDA approved non invasive 
I like technology and what it offers and how it makes me more intelligent and aware but there’s an epidemic of folks looking for the algorithm for the perfect butt, the happiness algorithm (watch this video to understand how you get fooled in thinking there is such a thing) and we forget that we are humans and how to balance our lives. I introduced Dr. Mike to tablet computers a few years back and exposed him to social and other healthcare elements out there. Below is the text of his acceptance speech and in healthcare we need to invest in humans as that’s what the business of healthcare is so when Dr. Mike is not in the cath lab his human investments are out there working too. 
of investing in a human being?’”. 
with expectant mothers as an app and has grown from there with the IPhone and IPad. Their platform is vendor neutral so it can sit on top of any medical records system and bring decision making and other important information to a cell phone. As you can read from the back links the apps did seek and receive FDA approval. I mention this as apps have been somewhat of a gray area with what does need FDA approval and what does not. Obviously the information through the apps relate directly to patient care and safety so that answers their case. Airstrip Cardiology was the second to get approval following the OBGN app. 
healthcare interoperability, AirStrip ONE enables more timely and collaborative clinical decision-making, and allows health systems to better track critical quality metrics, empower a mobile workforce, expand their networks, and ultimately achieve true clinical transformation.