Navigation Links
Consumer Watchdog Warns HMO Regulator Not to Side With Insurers Over Illegal Coverage Cancellations
Date:5/14/2008

Big 5 Health Insurers Named In Cancellation Lawsuits Contributed $804,600 to Governor

SANTA MONICA, Calif., May 14 /PRNewswire-USNewswire/ -- Consumer Watchdog today said that according to industry insiders the state's top HMO regulator is considering a deal with Kaiser that would allow the company to avoid paying for past medical bills for some patients whose coverage was illegally cancelled when they got sick. The deal is also rumored to include provisions designed to limit Kaiser's legal liability.

After two years of high-profile media coverage of widespread coverage cancellations, the Department of Managed Health Care (DMHC) recently announced plans to require insurers to reinstate coverage, though no formal orders for reinstatement have yet been issued.

Download the letter at: http://www.ConsumerWatchdog.org/resources/KaiserSettlementLetter.pdf

In the letter, Consumer Watchdog wrote:

"We have heard disturbing rumors that the Department will soon announce a settlement with Kaiser regarding illegal retroactive cancellations of coverage that falls significantly short of your duty to protect patients by allowing Kaiser to continue to refuse to pay past medical bills. What's worse, we understand that the agreement is also aimed at limiting Kaiser's future legal liability to patients who were left uninsured when they got sick and needed coverage the most -- some of whom have lost their jobs and their homes because of Kaiser's malfeasance...

"[A]ll previous rescissions carried out without a showing of willful misrepresentation were premature at best, and therefore wrongful, and patients must be immediately put back in the position that they were in prior to losing coverage. Dragging patients through months of review before reinstatement and/or full payment of past medical bills is simply further unjust punishment.

"Your Department's failure to attend to the interest of the patients forced them to sue for relief. Now, the insurance company defendants that you regulate are counting on you to bail them out. This is an inappropriate role for an agency entrusted with the protection of patients.

"This latest action marks a disturbing trend. Promised regulations are now 18 months overdue. Several company surveys are long overdue. It is not too late for you to put the Department back on track, but you must personally ensure that patients come first -- even if that means upsetting some of the Governor's largest contributors."

The state's largest 5 health insurer's, all named in lawsuits and targeted by regulators for illegal policy cancellations, have contributed $804,600 to Governor Schwarzenegger since 2004:

Blue Cross: $256,000

Health Net: $155,500

Kaiser: $150,000

PacifiCare: $138,500

Blue Shield: $104,600


'/>"/>
SOURCE Consumer Watchdog
Copyright©2008 PR Newswire.
All rights reserved

Related medicine news :

1. LIFE Foundation Launches Lifehappens.org to Help Consumers Make Smart Insurance-Buying Decisions
2. Blue Cross and Blue Shield of Illinois Names New Vice President, Local and Consumer Markets
3. Smart Balance to Webcast Presentation at Goldman Sachs Consumer Products Symposium
4. Nations First of its Kind Consumer Medication Return Initiative Creates Momentum for Safe Drug Disposal in the U.S.
5. A Statement from GlaxoSmithKline Consumer Healthcare on 2008 Update to the U.S. Public Health Service Guideline on Treating Tobacco Use and Dependence
6. Consumer Reports: Some Drug Prices Can Vary By $100 or More for the Same Bottle of Pills
7. State House Passes Bill to Help Consumers Struggling With High Summer Electric Bills
8. Whats Natural When it Comes to Personal Care Products? Consumers Finally Get Help with New Seal and Standard From the Natural Products Association
9. Consumers, Businesses, Unions, and Medical Professionals: Time for Congress to Act on E-Prescribing Legislation
10. Engaging Health Care Consumers Online is Top Priority
11. The Leapfrog Group Releases 2008 Hospital Survey Offering Consumers Greater Assurance of Safety
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:5/6/2016)... ... May 06, 2016 , ... The National Association of Chain ... in Puerto Rico. Radio messages set to debut on Monday, May 9, and ... about ways to protect themselves and their unborn children from the effects of ...
(Date:5/6/2016)... ... May 06, 2016 , ... DrugDev President and CEO Ibraheem ... pharmaceutical industry conducts clinical trials. This month Ibs was named No. 20 on The ... he was honored as a Tech Disruptor by the Philadelphia Business Journal. , Stephanie ...
(Date:5/6/2016)... (PRWEB) , ... May 06, 2016 , ... ... Bluvault's Integration Service, their latest implementation service offering for global clients of Coupa ... Appterra ). , Bluvault’s Integration Service is a key component in the ...
(Date:5/6/2016)... ... 06, 2016 , ... From May 4 to 6, EarQ and ... opportunity to learn more about Signia’s technology and the successful business and marketing techniques ... priority to see practices succeed in this highly competitive industry,” said Ed Keller, president ...
(Date:5/6/2016)... ... May 06, 2016 , ... Multiple award winning plumbing ... operated for over 35 years. Maintaining core values of exceptional customer service, quality work ... made them a leading name in San Diego plumbing, and other services including heating ...
Breaking Medicine News(10 mins):
(Date:5/6/2016)... , May 6, 2016  Hill-Rom Holdings, Inc. (NYSE: ... of Directors declared a fiscal year 2016 third quarter ... percent increase over the amount paid a year ago. ... record as of the close of business on June 10, ...    Hill-Rom is a leading global medical technology ...
(Date:5/5/2016)... Ltd. today reported initial promising results in animal trials of its Zika vaccine candidates. ... ... ... ... Pubmed. The analysis identified the highest gene Replikin Counts in Zika history back to ...
(Date:5/5/2016)... , First quarter 2016 adjusted diluted earnings per share ... , First quarter reported diluted (GAAP) loss per share ... revises 2016 financial guidance; now expects 2016 revenues to range ... non-GAAP earnings per share to range from $4.50 to $4.80 ... and manufacturing facility restructuring , Company expands ...
Breaking Medicine Technology: