Navigation Links
Consumer Watchdog to Congress: Put Patients' Bill of Rights Back on the Table
Date:6/4/2009

ted." Under the Employee Retirement Income Security Act (ERISA) and the Pilot Life decision, lawsuits are removed to federal court where victims can only recover the cost of the procedure or service denied in the first place -- no damages or penalties are allowed. As a result, HMOs and insurers are largely free to deny access to care without fear of reprisal or financial consequences. Any health care overhaul should overturn Pilot Life and restore the reach of state common law.
  • Refusing access to expensive doctor recommended medications and devices. HMOs and insurers often refuse to authorize and pay for "off-label" use of expensive medications used to save cancer patients even though there is substantial evidence of their efficacy. For example insurers have routinely denied the use of Avastin for ovarian cancer even though it has been proven highly effective. State-of-the-art prosthetic devices are routinely denied as not "medically necessary." The lack of financial consequences for HMOs that refuse to defer to doctors encourages these practices.
  • Balance billing and Network Restrictions. Many Americans have been surprised to receive a bill from an emergency room doctor after receiving emergency treatment. The problem is that physicians who are not part of the injured person's HMO or insurance network are unsatisfied by the insurance company's low payment for treatment. The practice of physicians sending an additional bill to the patient to make up the difference between what the insurer paid and what the doctor believed was the fair cost of the service -- known as "balance billing" -- is rooted in the problem that insurance companies refuse to pay fair rates. A recent lawsuit settled by New York Attorney General Andrew Cuomo found that health insurers grossly underestimate so-called "customary and reasonable" payments for PPO care, which leads physicians to send the large balance of the bill to patients.

  • '/>"/>
    SOURCE Consumer Watchdog
    Copyright©2009 PR Newswire.
    All rights reserved

    Page: 1 2 3 4 5 6 7 8

    Related medicine news :

    1. Health Plans Prepare for Health Care Reform: Comparative Effectiveness, Consumerism Drive Future Changes, According to Deloitte Study
    2. New Health Monitoring and Health Tracking Website, VitalsTracker.com, Helps Health Consumers Organize Important Medical Data
    3. Consumer Watchdog Praises Insurance Commissioner Poizner for Health Insurance Rescission Rules, Pans Schwarzenegger Administration for Failure to Regulate HMOs
    4. GlaxoSmithKline Consumer Healthcare Makes Agency Changes to Support Growth on Global Brands
    5. Healthcarebluebook.com: DC Area Consumers Must Stop Overpaying for Tests and Treatments
    6. Consumer Reports: Hearing Aid Shoppers Pay High Prices, Get Mediocre Fittings
    7. Caldwell Consumer Health Becomes Revive Personal Products, Inc., with OPTIONS(TM) Line of Womens Sexual Health Products & Oral Health Brands; See Us at NACDS Booth 533 (The Emerson Group)
    8. MyOutcomes Urges Government Leaders to Employ Consumer-Driven Outcomes Management in Reforming Behavioral Health System
    9. Nurse Response Partners With Healthwise to Help Consumers Make Informed Decisions on Health
    10. Nursing Home Consumer, Workforce Satisfaction Reaches New Highs
    11. Joint Replacement Consumer Awareness Campaign Endorsed by Prominent Orthopaedic Scientist
    Post Your Comments:
    *Name:
    *Comment:
    *Email:
    (Date:9/17/2014)... Vegas, NV (PRWEB) September 17, 2014 ... Dr. Dan Ritchie and Dr. Cody Sipe that is helping ... of life and longevity has caught the attention of Shane ... most people in their 50s, 60s, or even 70s what ... of life on a day-to-day basis, they would probably answer ...
    (Date:9/17/2014)... these sound like the ideas of a science ... of an exciting new approach to imaging local ... metastatic prostate cancer, scientists at Virginia Commonwealth University ... and Johns Hopkins Medical Institutions have provided proof-of-principle ... revolutionize doctors, ability to see tumors that have ...
    (Date:9/17/2014)... Tidewater Physical Therapy and ... for football players and their parents at its Newport ... open at 6:30 p.m. for athletes and parents to ... and physical therapists. The workshop will start at 7 ... News Tidewater Performance Center, which features sports performance and ...
    (Date:9/17/2014)... University] As Congress adjourns this month for the ... step over on their way out the chamber door ... Medicare Provider Payment Modernization Act of 2014. In a ... Dr. Eli Adashi recounts what he and other advocates ... The perennial trouble with how Medicare pays doctors will ...
    (Date:9/17/2014)... Toledo, Ohio (PRWEB) September 17, 2014 ... hearing for today, September 17, 2014, to consider: , ... Testosterone Replacement Therapy (TRT), and, 2. ... of TRT. , With the TRT litigation ongoing, an ... FDA on the dangers of testosterone replacement therapy. Among ...
    Breaking Medicine News(10 mins):Health News:Functional Fitness Solution: Review Exposes Dr. Dan Ritchie and Dr. Cody Sipe’s Guide to Everyday Fitness for Longevity 2Health News:New non-invasive technique could revolutionize the imaging of metastatic cancer 2Health News:New non-invasive technique could revolutionize the imaging of metastatic cancer 3Health News:Tidewater Physical Therapy and Performance Services and recruit757 To Host Football Scholarship Seminar 2Health News:Tidewater Physical Therapy and Performance Services and recruit757 To Host Football Scholarship Seminar 3Health News:Failed Medicare payments law remains relevant 2Health News:Failed Medicare payments law remains relevant 3Health News:FDA Advisory Committee Holds Hearing on Testosterone Safety 2
    ... to Meet HRPA,s Stringent Pricing ... and Transparency Requirements, INDIANAPOLIS, ... benefit management (PBM) subsidiary, has,received Transparency in Pharmaceutical Purchasing Solutions ... the certification will enable WellPoint NextRx to offer PBM services,to ...
    ... Stand for Safe ... Patient Care, OAKLAND, Calif., Oct. 10 ... begin a two-day,strike at 15 Northern California hospitals this morning in California,s,largest strike ... of the big Sutter health chain and include some of the,largest hospitals in ...
    ... YORK, Oct. 10 On Oct. 23rd, the fashion ... Sadove, Chairman,and CEO of Saks Fifth Avenue, at "Fresh ... Youth and Families, which will take place at,The Pierre ... will,feature a performance by Judy Collins. The event, which ...
    ... Corporation, an,orthopedic implants company focused on silicon nitride ... on the in-vitro,testing and evaluation of its silicon ... HAP Paul Award from the International Society for,Technology ... which,was presented to Amedica at ISTA,s 20th Annual ...
    ... Oct. 10 Synova Healthcare Group,Inc. (OTC Bulletin ... in,the National Association of Nurse Practitioners in Women,s ... the New Millennium." The,NPWH is the leading association ... will take place October 10 - 13, in ...
    ... VANCOUVER, Oct. 10 /PRNewswire-FirstCall/ - CRH Medical Corporation,(CRM:TSX-V) ... Center for,Colorectal Health in Chicago. The new Clinic ... The additional clinic increases CRH,s overall,patient appointment capacity ... protocol. Commenting on the Chicago expansion, Edward ...
    Cached Medicine News:Health News:Wellpoint NextRx Receives TIPPS Certification from the HR Policy Association 2Health News:Wellpoint NextRx Receives TIPPS Certification from the HR Policy Association 3Health News:Two-Day Nurses Strike Begins Today 2Health News:Hazelden Honors Stephen I. Sadove, Chairman and CEO of Saks Fifth Avenue at its New York Awards Dinner to Benefit Youth and Families 2Health News:Hazelden Honors Stephen I. Sadove, Chairman and CEO of Saks Fifth Avenue at its New York Awards Dinner to Benefit Youth and Families 3Health News:Amedica's Silicon Nitride Ceramic Bearing Technology Receives Prestigious HAP Paul Award for Use in Total Hip Arthroplasty 2Health News:Synova Healthcare to Participate in 'Women's Health Care in the New Millennium Conference,' as Retail Distribution for the Fem-V(R) Test Kit Expands 2Health News:Synova Healthcare to Participate in 'Women's Health Care in the New Millennium Conference,' as Retail Distribution for the Fem-V(R) Test Kit Expands 3Health News:Synova Healthcare to Participate in 'Women's Health Care in the New Millennium Conference,' as Retail Distribution for the Fem-V(R) Test Kit Expands 4Health News:CRH Medical Corporation opens second clinic in Chicago 2
    (Date:9/17/2014)... TAMPA, Fla. , Sept. 17, 2014   ... announced today that Business Insurance magazine has ... Insurance" distinction for the third year in a row. ... joint effort of Business Insurance  and the Best ... evaluation, is open to all publicly or privately-held insurance ...
    (Date:9/17/2014)... ANGELES and LEIPZIG, Germany ... today announced that it has entered into an ... the development of antibody-based imaging agents to image ... "Our collaboration with Novotectid expands ImaginAb,s capability to precisely ... immune-oncology and autoimmune disease areas. The ability to ...
    (Date:9/17/2014)... PALO ALTO, Calif. , Sept. 17, 2014 /PRNewswire/ ... of the Company,s Phase 2 clinical program of NP001 ... Lou Gehrig,s disease) are being highlighted today ... of the ALS Research Group , being held in ... According to a  post hoc  analysis, administration of a ...
    Breaking Medicine Technology:myMatrixx Honored with "Best Places to Work in Insurance" Award 2ImaginAb Expands ImmunoPET Pipeline to Include CD4+ T-Cell Imaging 2Neuraltus Pharmaceuticals' ALS Treatment Candidate, NP001, Highlighted at ALS Research Group Summit 2Neuraltus Pharmaceuticals' ALS Treatment Candidate, NP001, Highlighted at ALS Research Group Summit 3
    ... Reportlinker.com announces that a new market research report ... Drug Delivery in Central Nervous System Diseases - ... The delivery of drugs ... in the treatment of neurological disorders. Drugs may ...
    ... Robbins & Myers, Inc. (NYSE: ... its Romaco businesses to a group of funds led ... investment firm.  Total consideration was approximately euro 65 million ... and euro 4 million of assumed liabilities and is ...
    Cached Medicine Technology:Reportlinker Adds Drug Delivery in Central Nervous System Diseases - Technologies, Markets and Companies 2Reportlinker Adds Drug Delivery in Central Nervous System Diseases - Technologies, Markets and Companies 3Reportlinker Adds Drug Delivery in Central Nervous System Diseases - Technologies, Markets and Companies 4
    ... The Eppendorf Reference Series 2000 Pipette ... smooth stroke, a compact and robust design, ... button is used to operate the measuring ... the tip. Product features:Eppendorf "pipette/tip" system ensures ...
    50L...
    ... precision, ergonomics, and value!, Comfortable ... soft non-slip, contoured handle , Finer ... plunger spring action , Completely autoclavable ... the need for recalibration , Easy-to-read ...
    ... Series 2000 Pipette is a synonym for ... and robust design, and superior operating comfort. ... operate the measuring stroke and blow-out as ... "pipette/tip" system ensures utmost accuracy and precision. ...
    Medicine Products: