For what it’s worth, some advocates of the public option claim it can actually save money by lowering reimbursement rates to doctors and hospitals. That could happen in theory, but exploding costs for Medicare, Medicaid, and Obamacare show that it doesn’t happen in reality. The bottom line...
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We contacted United Healthcare for comment on our story: Why were they denying his claim? And we got action. United Healthcare did a complete reversal and has now approved Kevin's claim, due to the "unique circumstances" of his case. So he's finally getting the drug. "I'm ecstatic ob...
Whether it be a question of better understanding your medical bills or health insurance, or seeking solutions to resolve contested situations, or wanting someone skilled to negotiate on your behalf, or don’t know how to respond when the hospital sent your claim to collections, We are here to ...
The latest research directly contradicts a recent claim by Rep. Raúl Labrador, a Republican from Idaho, who said at a town hall last month: "Nobody dies because they don't have access to health care." Video of Labrador's comments went viral, and the congressman latertried to clarify on...
Although they serve the same basic function as traditional health insurance, managed care plans differ because the plan sponsors play a greater role in administering and managing the services that the health care providers furnish. For this reason, advocates of managed care believe that it provides ...
The next time a doctor's office says you have to wait six months for an appointment, or your insurance company gives you the runaround on a big claim, check your corporate benefits plan. You might find you're eligible for a new perk designed to alleviate the stress of dealing with an ...
David Lipschutz, a lawyer who advocates for Medicare patients, said he's seen "more frequent" and "inappropriate" insurance claim denials this year. The changes coincide with the adoption of AI by health insurance companies to determine coverage for Medicare patients, he said. ...
Health insurance is an inflection point in our healthcare system, but we should also understand that everything we hate about health insurance is a result of the skyrocketing costs that underlie healthcare. If your premiums go up, you’re angry. If the insurance industry denies your claim, yo...
Request for Vacatur: ACLA advocates for complete vacatur of the Final Rule, citing its foundational legal deficiencies. 3. Association for Molecular Pathology (AMP) Closing Brief (November 25, 2024): Major Questions Doctrine: AMP argues that the Final Rule represents an unprecedented assertion ...