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Category: Health Insurance

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Judge orders Medicaid to cover autism therapy for kids in need

Fri Mar 30th, 2012 on     Health Insurance,    

Commercial insurance providers cover a critical therapy program for children with autism. It’s called applied behavioral analysis and autistic children who go through the program usually experience dramatically positive effects on their condition, bolstering their language and cognitive abilities as well as improving their social interaction and behavioral skills. The program comes at a financial cost though, leaving impoverished families with little chance of sending a child with autism through ABA.

Health insurance is costly, but not dependable: Why?

Thu Feb 16th, 2012 on     Health Insurance,    

Tell anyone in Miami that health care insurance is expensive and he or she will respond “Tell me something I don’t know.” That’s why it is extremely frustrating for people when they experience problems with their insurance, like a denied claim. Understandably, they feel they have been paying a lot for this protection and do not understand why it is not there for them when they need it.

Don’t take “No” from your insurance company

Tue Mar 22nd, 2011 on     Health Insurance,    

When a health insurer denies a claim, health care providers typically suffer the consequences. In some cases, the policyholder may pay the bill themselves. If not, doctors and hospitals end up losing revenue they are owed for services they provided. However, recent data collected by the Government Accountability Office (GAO) suggests that a denial of a claim for health insurance is not necessarily the end of the road. The report discovered that nearly 50 percent of rejected claims are actually reversed on appeal.

Florida politicians to battle mandatory health insurance law

Mon Feb 28th, 2011 on     Health Insurance,    

It is usually policyholders and health-care providers that must go to battle over health insurance. But many Florida lawmakers have been busy fighting within the health insurance arena, by attacking the federal law requiring health insurance coverage for all Americans. Many politicians, including Governor Rick Scott, have found the health-insurance mandate to overstep the role of government in the lives of Floridians.

Study: Up to 50% of Americans Have Pre-Existing Conditions

Fri Jan 21st, 2011 on     Health Insurance,    

If nothing else, the health care debate has produced some interesting studies. The most recent, released this week, zeroes in on pre-existing conditions. A pre-existing condition is defined as a health condition that exists before a person submits an application for health insurance. In truth, it is one of a list of health problems that require elevated levels of care, either acute or chronic. Insurers are notorious for denying or limiting coverage because of a pre-existing condition — and, of course, because of the costs associated with the condition.

197 Privacy Breaches and Counting

Wed Dec 29th, 2010 on     Health Insurance,    

The year isn’t over quite yet, but 2010 has already logged a remarkable number of privacy breaches. As of November 30, the Office for Civil Rights of the U.S. Department of Health and Human Services had received reports of 197 health insurance companies, health care providers and health data clearinghouses failing to protect individually identifiable health information as required under HIPAA and HITECH regulations. Nearly half of those reports have been made since July.

Victims of Privacy Breach File Class Action Lawsuit

Mon Dec 20th, 2010 on     Health Insurance,    

Customers of Florida-based AvMed Health Plans have filed a class action lawsuit against the insurance company in connection with a breach of privacy that occurred in December 2009. Seeking unspecified damages, the plaintiffs claim that, in addition to failing to safeguard the private medical data, the company vastly underreported the number of customers affected by the breach.

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