Tag: health insurance claims

California health insurance regulators launches investigation into Aetna

G. Turner
Short Term Health Insurance - Regulators

The insurer’s coverage practices will be examined by the two different state departments. Two California health insurance regulators have stated their intentions to investigate Aetna’s coverage decision processes. This examination of the insurer is a result of a lawsuit filed by a Californian man. The man filed the lawsuit against the country’s third largest insurance company, alleging improper care denial. The two California health insurance regulators will conduct the investigation in order to help determine whether or not Aetna’s decision processes are acceptable. The opening arguments in the case were…

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Health insurance consumers face confusion over mental illness coverage

Health Insurance policies

Many people are struggling to understand what type of protection they have against mental conditions. Health insurance has been a prime news topic over the last while, as the changes to the Affordable Care Act are implemented, but what many people are still struggling to discover is how they are covered against mental illness. Standard policies will soon provide more protection against that type of condition. However, while it is truly helpful to have a policy that will provide mental illness coverage, all too many practitioners are not accepting that…

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Health insurance industry shows improved claims processing capabilities

Marc
Health Care Reform

Report targets the health insurance industry The American Medical Association (AMA) has released its fifth annual National Health Insurer Report Card. The report aims to rank the country’s health insurance companies based on their ability to serve customers and provides ratings based on issues such as transparency and business practices. According to this year’s report, the health insurance industry has made radical improvements to its operations. The report details these improvements and how they may be affecting consumers and highlights an issue that has garnered a great deal of interest…

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The insurance company’s strategy for finding fraud

Nordstrom

Data from the Insurance Research Council has indicated that there is about $5 to $7 billion in inflated auto insurance claims made every year, though the overall cost that would occur if insurance companies in any sector did not make efforts to detect scams would be significantly higher. Every time fraudulent claims get past the insurers, the end result is that the cost will trickle down to the clients and lead to higher premiums. Therefore, insurance companies have put extensive efforts into place to help prevent scams from occurring in…

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Self-Insurance Institute of America takes aim at Michigan law that would establish a new Medicare tax

Nordstrom

The Self-Insurance Institute of America (SIIA) is challenging a new law in Michigan that would impose a 1% tax on paid health insurance claims beginning January, 2012. According to the law, the money collected from the tax will go to the state’s Medicaid program. The program would use part of the money to help cover the cost of claims and administrative fees stemming from participating insurance companies. The tax would generate $400 million in annual revenue for the state, but the Self-Insurance Institute claims that it violates federal law. According…

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