Navigation Links
National Health Care Reformers Should Pay Attention to Lawsuit Alleging that Nation's Largest Insurer Routinely Denies Liver Transplants
Date:10/7/2009

SANTA MONICA, Calif., Oct. 7 /PRNewswire-USNewswire/ -- A trial beginning next week targeting the nation's largest health insurer and its California subsidiary for allegedly automatically denying requests for out-of-network liver transplants will help shed light on the need for stronger health reform than is currently being considered, according to Consumer Watchdog. The group urged President Obama, White House representatives, and the national news media to follow the trial.

Download the lawsuit filed in the Los Angeles Superior Court against WellPoint and Anthem Blue Cross of California by attorneys Scott Glovsky and Jason Adams: http://www.consumerwatchdog.org/resources/lawsuit.pdf.

"This lawsuit is a perfect example of the type of health care that Americans can expect under legislation pending in the U.S. Senate that would make private health insurance compulsory for every U.S. resident," said Jerry Flanagan, Health Care Policy Director for Consumer Watchdog. "Denials of life-saving, medically necessary care, is the MO of an industry that puts profits before patients and yet another example of why Americans need a public option to the private insurance market. When the nation's largest PPO is alleged to have automatically denied liver transplants at out-of-network hospitals it is clear that Congress must require more transparency when insurance company bureaucrats override a doctor's prescription, and greater legal accountability when they deny access systematically."

According to the lawsuit, Blue Cross denied Ephram Nehme's time-sensitive liver transplant at Indiana University hospital even though Nehme's doctor told him that the medically necessary liver transplant would probably not be available in time in California. The transplant was necessary to save his life. As a result of Blue Cross' denial, Nehme paid more than $205,000 for the surgery. According to the lawsuit documents, Blue Cross denied the procedure without speaking with any of Nehme's doctors or reviewing all of Nehme's medical files. A Blue Cross transplant nurse recommended that Blue Cross cover the Indiana transplant before insurance company denied the claim.

Read today's LA Times story about Ehpram Nehme here: http://www.latimes.com/business/la-fi-transplant7-2009oct07,0,6616912.story.

Leading health care legislation pending in Congress would require all Americans to have health insurance, but does not provide additional legal accountability over the industry or limit what insurance companies can charge for coverage. The House version of the bill does provide a Medicare-style public alternative to private insurance, however the bill passed by the Senate Finance Committee last week does not.

Read Consumer Watchdog's letter to Congress demanding new legal accountability of the health insurance industry: http://www.ConsumerWatchdog.org/resources/PatientsBillofRightsHouseSenate.pdf.

Consumer Watchdog is a nonprofit, nonpartisan consumer advocacy organization with offices in Washington, D.C. and Santa Monica, CA. Find us online at: http://www.ConsumerWatchdog.org.

SOURCE Consumer Watchdog


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

Related medicine news :

1. International study strengthens case for daily calcium pill
2. Yakima Health Care Leader Tapped for Leadership Post at National Association
3. Virginia Tech Report Has National Importance
4. Donate Life America Dispels Myths About Organ & Tissue Donation Among Hispanics During National Hispanic Heritage Month
5. Us TOO Launches National SEA Blue Campaign for Prostate Cancer Awareness Month
6. Mettler-Toledo International Inc. Announces Webcast of Presentation at Thomas Weisel Partners 2007 Healthcare Conference
7. National Association of Subrogation Professionals (NASP), the Largest Insurance Subrogation Association in the World - Announced Today that Leslie Wiernik has Joined the Organization as Director of Education
8. 4-Star Gen. Barry McCaffrey, Former U.S. Drug Czar, to Address National Drug Crisis, Keynote Grand Opening of New Allenwood, PA National Model Detox Center
9. Australian-led international study shows blood pressure drugs cut death rate in type 2 diabetes
10. LCA Hails International Investigators Studying Lung Cancer
11. National Patient Safety Foundation Partners with Vocera Communications
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:9/25/2017)... ... September 25, 2017 , ... International Water Advocate ... Sharon Kleyne Hour Power of Water, Global Climate Change and Your Health on ... focus from a once-every-four-years series of events to a personal, daily Health Olympics. ...
(Date:9/25/2017)... ... , ... Bobbie Horowitz was hardly able to walk without excruciating pain in ... and theater producer, Horowitz would manage to get to rehearsals on time, but wasn’t ... so she had to take a cab everywhere. , It wasn’t until she ...
(Date:9/25/2017)... ... September 25, 2017 , ... ... technology-enabled services supporting clinical research, today announces that 30 of its domain ... the drug development lifecycle at upcoming industry conferences and webinars. Drawing on ...
(Date:9/25/2017)... ... September 25, 2017 , ... Physician Partners of America announces that Chad Gorman, ... as an interventional pain management specialist. , Dr. Gorman is a board-certified physician ... private practice In Brooksville, Fla. His orthopedic background puts him in a unique position ...
(Date:9/25/2017)... New York (PRWEB) , ... September 25, 2017 ... ... Laser & Microsurgery Institute is excited to announce the next generation for LASIK ... Contoura is one of the most technologically advanced laser systems available in the ...
Breaking Medicine News(10 mins):
(Date:9/9/2017)... 2017  Eli Lilly and Company (NYSE: ... data for lasmiditan, an investigational, oral, first-in-class molecule for ... improvements compared to placebo in the Phase 3 SPARTAN ... 18th Congress of the International Headache Society (IHC) in ... presented today demonstrate lasmiditan,s potential to reduce pain and ...
(Date:9/7/2017)... NuvoAir (formerly called Pond Healthcare Innovation), ... partnership with Novartis Pharma AG to distribute NuvoAir,s spirometry technology ... leading mobile spirometry platform and Novartis, commitment to address the ... ... ...
(Date:9/6/2017)... Sept. 6, 2017  Medical professionals are ... skills while treating their patients. Medical simulations ... without involving patients. Simulation provides a safe ... carry out procedures, refine techniques and build ... of new technology, such as augmented reality, ...
Breaking Medicine Technology: