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:5/3/2016)... ... 03, 2016 , ... The new web-based solution HIPAA ... practices, to better grasp and implement HIPAA’s privacy, security, and data breach requirements. ... well-defined, expert-created path to compliance. HIPAA Institute has positioned itself to be an ...
(Date:5/2/2016)... ... May 03, 2016 , ... RNK ... sSOIP telemedicine stethoscope software that enables the stethoscope stream to go over the ... works with RNK’s flagship PCP-USB stethoscope. , Remote auscultation involves two software elements ...
(Date:5/2/2016)... ... May 02, 2016 , ... The Beryl Institute announces ... (PXJ), an international, open access, peer-reviewed journal focused on research and proven practices ... (non-US) based authors, the third volume of PXJ continues to expand PXJ's reach ...
(Date:5/2/2016)... ... May 02, 2016 , ... The Civilian Corps of the ... the civilian nurses that care for its uniformed service members, the retired service members, ... 1974 designating May 6th through May 12th National Nurses Week. It acknowledges the hard ...
(Date:5/2/2016)... WACO, Texas (PRWEB) , ... May 02, 2016 , ... ... Corporation will offer an incentive to people who share their fitness journey on ... footwear and premium first aid products, will award a $100 product voucher each week ...
Breaking Medicine News(10 mins):
(Date:5/2/2016)... May 2, 2016 Kalorama Information noted the ... Records) market in a recent white paper.  The healthcare ... physician usage, a growing market are among the top ... Kalorama,s report EMR 2016: The Market for ... seventh complete study of the EMR industry, and the ...
(Date:5/2/2016)... , May 2, 2016  Deerfield announced ... financing of Graybug Vision, Inc. Graybug Vision is ... therapies that may transform care for ocular diseases ... Graybug Vision,s technology was first developed at Johns ... a startup venture. Graybug Vision ...
(Date:5/2/2016)... , May 2, 2016  Celsion Corporation (NASDAQ: ... today announced data from the first cohort of ... trial (the OVATION Study) combining GEN-1, the Company,s ... the treatment of newly-diagnosed patients with advanced ovarian ... interval debulking surgery.  In the first three patients ...
Breaking Medicine Technology: