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:10/12/2017)... ... October 12, 2017 , ... IsoComforter, Inc. ( ... today the introduction of an innovative new design of the shoulder pad. The ... get maximum comfort while controlling your pain while using cold therapy. By utilizing ice ...
(Date:10/12/2017)... Rockville, Maryland (PRWEB) , ... October 12, 2017 ... ... a magnetic drug delivery system that we intend to develop to enable prevention ... regimens can lead to severe hearing loss, especially in pediatric patients. For cisplatin, ...
(Date:10/12/2017)... ... 12, 2017 , ... Leading pediatric oncology experts at Children’s National Health ... Congress of the International Society of Paediatric Oncology (SIOP) Oct. 12-15. Chaired ... Cancer and Blood Disorders at Children’s National, and Stephen P. Hunger, M.D., Chief ...
(Date:10/12/2017)... ... October 12, 2017 , ... ... first interactive health literacy software tool, and the Cancer Patient Education Network (CPEN), ... patient education, today announce a new strategic alliance. , As CPEN’s strategic ...
(Date:10/12/2017)... ... October 12, 2017 , ... ... the University of California Berkeley, and other leading institutions in announcing the launch ... of institutions to change the way animals are raised for food. , Founding ...
Breaking Medicine News(10 mins):
(Date:9/27/2017)... for their devotion to personalized service, SMP Pharmacy Solutions announces ... the South Florida Business Journal,s 50 Fastest-Growing Companies, and listed ... national specialty pharmacy has found its niche.  To that end, ... honored by SFBJ as the 2017 Power Leader in Health ... his award in October, Bardisa said of the three achievements, ...
(Date:9/23/2017)... , Sept. 22, 2017 Janssen Biotech, ... complete response letter from the U.S. Food and Drug ... approval of sirukumab for the treatment of moderately to ... indicates additional clinical data are needed to further evaluate ... to severely active RA. ...
(Date:9/19/2017)... Sept. 19, 2017   ZirMed Inc ., a recognized ... announced that it has been ranked #1 by its users ... Rankings 2017 User Survey. ZirMed was recognized as the ... hospitals and medical centers over 200 beds and holds one ... technology user survey history. ...
Breaking Medicine Technology: