Navigation Links
PacifiCare 'Rescission' Settlement Gives Lip Service to Patient Losses But Stacks Legal Deck in Favor of Insurers
Date:6/19/2008

"Reform" Legislation Given Green Light by Insurers

SANTA MONICA, Calif., June 19 /PRNewswire-USNewswire/ -- A settlement announced today by California health regulators acknowledged that patients should be able to recover unpaid medical bills following illegal cancellations of their health coverage. Yet the details of the settlement stack the legal deck in favor of health insurers, said Consumer Watchdog, allowing them in many cases to evade any payment.

Under the settlement, insurers could use closed-door arbitration proceedings, where patients would likely not be able to afford legal representation, to avoid paying the medical bills racked up by patients both before and after the policy rescission.

"Instead of weak regulatory capitulations to insurance companies we need criminal prosecutions of insurance executives whose companies boost profits by putting a patient's health at risk," said Jerry Flanagan, Health Care Policy Director for Consumer Watchdog. "Today's announcement gives lip-service to giving patients the ability to recover unpaid medical bills and other damages caused by illegal policy cancellations like the loss of a home, but foists an unfair burden on patients to prove that that care was necessary."

Consumer Watchdog said that health insurers and health plans are pushing regulators and the state legislature for "reforms" that favor them in legal proceedings.

"Regulators are saying the right words," said Flanagan, "but they're giving insurers the fine-print exceptions that they seek, and making it easier for the companies to evade their clear legal obligations to patients whose coverage was illegally canceled. In fact, under the settlement, as with those previously announced for Kaiser and Health Net, patients must act as their own attorneys in closed door arbitration proceedings where insurers can overwhelm them with a cadre of their lawyers."

Patients would have to interpret and even try to make complex legal arguments, said Consumer Watchdog. The patients would also be fighting the insurer about the necessity of their medical care in front of arbitration judges with financial ties to the health insurers, not before doctors or medical experts.

A bill before the state Legislature, AB 1945 by Assemblyman Hector De La Torre, would also allow private companies to decide if policy cancellations are warranted, even though such companies operate under financial incentives that favor health insurers. Yesterday, all health insurers and health plans removed their opposition to the bill following industry-friendly amendments and the Senate Health Committee approved the measure.

Consumer Watchdog has urged members of the Senate Judiciary Committee to oppose the measure when it is voted on next Tuesday.

http://www.ConsumerWatchdog.org


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

Related medicine news :

1. AHIP Releases Individual Market Guarantee Access Proposal, Announces Support for Third Party Review of Rescission Decisions
2. Blue Cross of California Responds to Recent Media Coverage of Rescission
3. Dana Corporation, Inc. Enters Into Settlement Agreement With Dana Retiree Committee
4. MaxLife Fund Corp. purchases a portfolio of Life Settlement Policies with a face value of $4,000,000
5. Statement of Eli Lilly and Company on Dr. David Egilman Settlement:
6. $52.5 Million Settlement Against Sepracor Inc. Approved
7. Class Settlement Could Result in Considerable Savings for Certain Consumers of Prescription Pharmaceuticals
8. Bristol-Myers Squibb Finalizes Settlement of Previously Disclosed Federal Investigation into Pricing, Sales and Marketing Practices
9. UGA study: Youth exposed to smokeless tobacco ads despite settlement
10. AARP Calls on State Regulators to Reject Proposed Settlement of TXU Buyout
11. AK Steel Reaches VEBA Health Care Settlement With Middletown Works Retirees
Post Your Comments:
*Name:
*Comment:
*Email:
(Date:8/22/2017)... (PRWEB) , ... August 22, 2017 , ... ... luxurious collection of unique masks and serums that perfectly fuse the beauty of ... advancements, at the 2017 Indie Beauty Expo on August 23rd & 24th in ...
(Date:8/22/2017)... ... 2017 , ... The old adage “you are what you ... healthy foods. But this well-known piece of nutrition advice ignores that an individual’s ... not only on properties of the food but also on properties of the ...
(Date:8/22/2017)... , ... August 22, 2017 , ... ... pleased to announce the addition of Zack Tisch as the firm’s new Consulting ... KLAS-ranked healthcare IT consulting firm’s national accounts, from assisting clients with initial vendor ...
(Date:8/22/2017)... CA (PRWEB) , ... August 22, 2017 , ... ... cycle management (RCM) solutions, announced recently the availability of a new professional fee ... in appreciation for their service to the healthcare industry. E/M coding is complex ...
(Date:8/22/2017)... DFW Metroplex, TX (PRWEB) , ... August 22, 2017 , ... Five Star Glass is ... They provide repair and replacement of auto glass for most makes and models, in ... area in the USA. , They have been a family owned business for the ...
Breaking Medicine News(10 mins):
(Date:8/4/2017)... , Aug. 3, 2017  Agragen, LLC, ... company active in the biopharmaceutical, nutraceutical, and aquacultural ... development of its lead drug candidates, AGR131.  This ... proinflammatory cytokine from the blood of patients suffering ... and inflammatory bowel disease. ...
(Date:8/2/2017)... -- CaryRx, a next-generation full-service pharmacy, has announced the launch ... the Washington D.C. metropolitan area. CaryRx ... of medications through the convenience of its patient-friendly mobile app. ... one hour to any location in D.C. ... service to Washington D.C. ," says Areo ...
(Date:7/28/2017)... CHICAGO, July 28, 2017 Hill-Rom Holdings, Inc. ... fiscal third quarter ended June 30, 2017, and updated ... For the fiscal third quarter, ... to $0.68 per diluted share in the prior-year period. ... of $0.39 per diluted share primarily related to the ...
Breaking Medicine Technology: