Articles On Health Insurance Denials
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Analysis: Health insurance claim denials are on the rise, …
(Just Now) WEBDespite the potentially dire impact that denials have on patients’ health or finances, data shows that people appeal only once in every 500 cases.
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Fighting Back Against Health Insurance Denials - NPR
(8 days ago) WEBNavigating the American healthcare system can be a challenge.Every year, insurance companies reject millions of claims by patients seeking many types of treatment — everything from MRIs and
https://www.npr.org/2023/02/02/1153888013/fighting-back-against-health-insurance-denials
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It’s Not Just You: Many People Confront Health …
(7 days ago) WEBA majority of Americans with health insurance said they had encountered obstacles to coverage, including denied medical care, higher bills and a dearth of doctors in their plans, according to a
https://www.nytimes.com/2023/06/15/health/health-insurance-medical-bills.html
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Inside UnitedHealth’s Effort to Deny Coverage for a Patient’s Care
(4 days ago) WEBAfter a college student finally found a treatment that worked, the insurance giant decided it wouldn’t pay for the costly drugs. His fight to get coverage exposed the …
https://www.propublica.org/article/unitedhealth-healthcare-insurance-denial-ulcerative-colitis
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Denials of health insurance claims are rising—and getting weirder
(1 days ago) WEBThe Department of Health and Human Services is tasked with monitoring denials both by Affordable Care Act health plans and those offered through employers and insurers. As …
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CMS data shows high rate of health plan claims denials
(4 days ago) WEBThe Kaiser Family Foundation today released an analysis of CMS data on claims denials and appeals by health plans sold on the federal health insurance …
https://www.aha.org/news/headline/2022-07-05-cms-data-shows-high-rate-claims-denials
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How Health Insurers Have Made Appealing Denials So …
(2 days ago) WEBI spoke with more than 50 insurance experts, patients, lawyers, physicians and consumer advocates about building a tool anyone could use to navigate insurance …
https://www.propublica.org/article/how-to-appeal-insurance-denials-too-complicated
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Coverage Denials: Government And Private Insurer - Health Affairs
(Just Now) WEBLittle is publicly known about coverage denials for medical services that do not meet medical necessity criteria. We characterized the extent of these denials and …
https://www.healthaffairs.org/doi/10.1377/hlthaff.2021.01054
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How algorithms are being used to deny health insurance claims in …
(3 days ago) WEBFederal data shows that health insurance companies denied more than 49 millions claims in 2021, but customers appealed less than 0.2 percent of them. …
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Health Insurers Deny Medical Care for the Poor at High Rates, …
(Just Now) WEBJuly 19, 2023. Private health insurance companies paid by Medicaid denied millions of requests for care for low-income Americans with little oversight from federal and state …
https://www.nytimes.com/2023/07/19/health/health-insurance-medicaid-denials.html
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How Cigna Saves Millions by Having Its Doctors Reject
(7 days ago) WEBBefore health insurers reject claims for medical reasons, company doctors must review them, according to insurance laws and regulations in many states.
https://www.propublica.org/article/cigna-pxdx-medical-health-insurance-rejection-claims
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Denials of health-insurance claims are rising - The Washington Post
(Just Now) WEBThe Department of Health and Human Services is supposed to keep data on how insurance companies handle claims, but it's dropping the ball.
https://www.washingtonpost.com/opinions/2023/05/17/health-insurance-denial-claims-reasons/
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Denials of health insurance claims are rising, and getting weirder
(6 days ago) WEBOne insurer denied 49% of claims in 2021; another's turndowns hit an astonishing 80% in 2020. Despite the potentially dire impact that denials have on …
https://medicalxpress.com/news/2023-06-denials-health-weirder.html
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Denials of Health Insurance Claims Are Rising - KFF Health News
(5 days ago) WEBThe Department of Health and Human Services is tasked with monitoring denials both by Obamacare health plans and those offered through employers and …
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Claims Denials: A Step-by-Step Approach to Resolution - Journal …
(3 days ago) WEBClaims Denials: A Step-by-Step Approach to Resolution. Wage inflation, rising costs, lagging patient and service volume, and pandemic-driven uncertainty …
https://journal.ahima.org/page/claims-denials-a-step-by-step-approach-to-resolution
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Claims Denials and Appeals in ACA Marketplace Plans in 2021 - KFF
(2 days ago) WEBIn this brief, we analyze transparency data released by the Centers for Medicare and Medicaid Services (CMS) on claims denials and appeals for non-group …
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Medicare Advantage Plans Often Deny Needed Care, Federal …
(8 days ago) WEBEvery year, tens of thousands of people enrolled in private Medicare Advantage plans are denied necessary care that should be covered under the program, …
https://www.nytimes.com/2022/04/28/health/medicare-advantage-plans-report.html
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The impact of claims denials on the financial health of healthcare
(1 days ago) WEBThe impact of claims denials on the financial health of healthcare. It might be tempting to think that things have settled just a bit in the volatile healthcare market. …
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The hazards of excessive insurance claim denials - STAT
(6 days ago) WEBAdding to this budgetary stranglehold are payment delays and insurance claim denials by payers, which compromise patients’ access to health care and …
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Reasons for Health Insurance Claim Denials
(8 days ago) WEBLearn what a health insurance denial is and why your health plan might deny a claim or pre-authorization request, plus what to do if it happens to you.
https://www.verywellhealth.com/what-is-a-health-insurance-claim-denial-1738690
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Health insurance claim denied? See what insurers said behind the …
(4 days ago) WEBLearn how to request your health insurance claim file, which can include details about what your insurer is saying about you and your case.
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The quiet way health insurance companies have made it harder to …
(9 days ago) WEBThe quiet way health insurance companies have made it harder to get medical necessities covered. Researchers have documented a "dramatic shift" in how health insurance …
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UnitedHealth argues against case alleging wrongful AI care denials …
(8 days ago) WEBBob Herman covers health insurance, government programs, hospitals, physicians, and other providers — reporting on how money influences those businesses …
https://www.statnews.com/2024/05/22/unitedhealth-class-action-lawsuit-algorithm-motion-to-dismiss/
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17 Health Insurance Mistakes to Avoid If You Want Your Claims Paid
(Just Now) WEBDon’t panic when you get a denial letter from your insurance company. Here’s why it may have been sent — and what to do about it.
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When Health Insurers Break State Laws — ProPublica
(9 days ago) WEBHealth Insurers Have Been Breaking State Laws for Years. States have passed hundreds of laws to protect people from wrongful insurance denials. Yet from …
https://www.propublica.org/article/health-insurance-denials-breaking-state-laws
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Dental care and insurance costs too much. ACA rule could change …
(2 days ago) WEBMillions of Americans can't afford or get routine dental care. A Biden rule will let states cover adult dental care under the Affordable Care Act.
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Medigap Coverage: When Do You Need It? U.S. News
(Just Now) WEBThe best time to buy a Medigap plan is during the six-month open enrollment period when you turn 65 and have Medicare Part B. During this time, coverage cannot …
https://health.usnews.com/medicare/articles/when-do-you-need-medicare-supplemental-insurance-medigap
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Why Medicaid expansion in the South failed - NPR
(4 days ago) WEBSeveral Southern legislatures seriously considered full Medicaid expansion this year to get health insurance for hundreds of thousands of low income residents, …
https://www.npr.org/2024/05/20/1252537889/why-medicaid-expansion-in-the-south-failed
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New Health Insurance Suit Could Affect DOL Fiduciary Rule Litigation
(9 days ago) WEBThe Labor Department has imposed new notice rules on fixed indemnity health insurance issuers. The department recently set new sales standards for …
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South Africa's National Health Insurance (NHI) Bill: Why it is
(6 days ago) WEBThe National Health Insurance (NHI) scheme advocates the creation of a state fund to cover the medical costs of all South Africans - most of whom are not …
https://www.bbc.com/news/articles/c1030v3p1r8o
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Pet insurance is booming. It's also mostly worthless.
(7 days ago) WEBPet insurance is now a $4 billion market. But as the industry grows, it's becoming as confusing and messy as health insurance for humans.
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How Often Do Health Insurers Say No to Patients? No One Knows.
(4 days ago) WEBInsurers’ denial rates — a critical measure of how reliably they pay for customers’ care — remain mostly secret to the public. Federal and state regulators have …
https://www.propublica.org/article/how-often-do-health-insurers-deny-patients-claims
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Florida’s 125% Surge in Property-Insurance Bills Sows Havoc
(6 days ago) WEBWhile climate change has pushed commercial-property insurance premiums up nationwide, few places have been hit harder than Florida. In the five-year …
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South Africa’s ANC makes billion-dollar pledges ahead of
(3 days ago) WEBPresident Cyril Ramaphosa this month signed into law a health insurance bill that aims to create a state fund to cover medical costs for all citizens — many of …
https://www.ft.com/content/1630c87b-6aef-452c-b0c2-437a26faaf9a
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Why Is Car Insurance So Expensive? - The New York Times
(7 days ago) WEBAccording to calculations by the Insurance Information Institute, a trade group, the average 12-month premium for car insurance was $1,280 in 2023, the …
https://www.nytimes.com/2024/05/15/business/car-insurance-cost-inflation.html
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Health Insurance Claim Denied? See What Insurers Said
(7 days ago) WEBLearn how to request your health insurance claim file, which can include details about what your insurer is saying about you and your case.
https://www.propublica.org/article/find-out-why-health-insurance-claim-denied
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Help! Our Cruise Operator Went Bankrupt and We Are Out $17,905.
(1 days ago) WEBA couple purchased an Arabian Sea voyage, but Vantage, the cruise company, went under. Their travel insurance was supposed to cover financial default, …
https://www.nytimes.com/2024/05/16/travel/travel-insurance-bankruptcy-cruise.html
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