Healthcare Archives - Page 26 of 26 - Insurance & Reinsurance

Iowa Seeks Reforms to Long-Term Care Insurance

Oct 11, 2007 | Healthcare, Regulatory | United States

At the request of Governor Culver in June of this year, the Iowa Division of Insurance conducted a three-month review of issues relating to long-term care insurance. The Governor’s request grew out of concerns at both the state and national level regarding long-term care insurance policies and increasing complaints about pricing, rate increases, denial of claims and questionable market practices.

Senator Clinton Proposes the American Health Choices Plan

Oct 5, 2007 | Healthcare | United States

On September 17, 2007 Presidential candidate Senator Hillary Clinton weighed in with her proposal, “the American Health Choices Plan” (“the Plan”), which according to Senator Clinton “expands personal choice, but keeps costs down.”

U.S. Senator Seeks Information From Long-Term Care Insurance Providers Regarding Claims Processing

Oct 5, 2007 | Federal Legislative Developments, Healthcare, Regulatory | United States

Senator Grassley, the top republican on the senate finance committee, sent a letter to the nation’s largest providers of long-term care insurance requesting information on claim processing.

New York Enacts Managed Care Law Reforms

Aug 28, 2007 | Healthcare, New York Developments, Regulatory | United States

On August 1, 2007, New York’s Governor Spitzer signed into law S.3986-A, a bill intended to decrease friction between managed care plans and their participating providers on certain sensitive issues. Most significantly, if a health plan requires that certain health care services be preauthorized in order to be covered, then once a service has been preauthorized and performed, the plan may not thereafter deny coverage for the service.

Important National Health Care Reform Bills Awaiting Action By Congress

Aug 14, 2007 | Federal Legislative Developments, Healthcare, Regulatory | United States

On January 17, 2007, lawmakers in the House and Senate introduced identical bills (H.R. 506 and S. 325) aimed at funding innovative State initiatives that expand coverage and access to the uninsured and improve quality and efficiency in the health care system.

Massachusetts Mandatory Health Insurance

Aug 8, 2007 | Healthcare, Massachusetts Developments, Regulatory | United States

On April 12, 2006, Massachusetts Governor Mitt Romney signed a health care bill, known as “An Act Providing Access to Affordable, Quality, Accountable Health Care (the “Act”)”, into law.

Blues, Physicians Reach Settlement in Love Case

Jul 17, 2007 | Healthcare | United States

The Blue Cross and Blue Shield Association, along with a majority of its nationwide affiliated “Blues plans,” has reached settlement with a class of approximately 900,000 physicians, to resolve a class action suit brought in the Southern District of Florida.

Connecticut Outlaws Post-Claim Underwriting by Health Insurers

Jul 11, 2007 | Connecticut Developments, Healthcare, Regulatory | United States

The Connecticut General Assembly recently enacted legislation (Public Act 07-113), signed into law by Governor M. Jodi Rell on June 12, to prohibit health insurers or HMOs (termed “health care centers” under Connecticut law) from engaging in the practice of “post-claim underwriting.”

NCOIL to Review Potential Long Term Care Abuses

Jun 20, 2007 | Healthcare, Life Insurance & Annuities, Regulatory | United States

The National Conference of Insurance Legislators’ (NCOIL) Long Term Care and Health Retirement Issues Committee announced that it will discuss and review potential abuses in the long term care (LTC) insurance market at the upcoming NCOIL meeting in Seattle.

Group Health Incorporated Spots Insurance Fraud in Alleged Brain Surgery Scam

Jun 8, 2007 | Healthcare | United States

Given the escalating costs of covering legitimate health care services, the last thing the health insurance industry needs is to be paying for services that were never rendered. Fortunately, state and federal laws provide harsh penalties for this sort of fraud.

Topic: Healthcare

Iowa Seeks Reforms to Long-Term Care Insurance

Senator Clinton Proposes the American Health Choices Plan

U.S. Senator Seeks Information From Long-Term Care Insurance Providers Regarding Claims Processing

New York Enacts Managed Care Law Reforms

Important National Health Care Reform Bills Awaiting Action By Congress

Massachusetts Mandatory Health Insurance

Blues, Physicians Reach Settlement in Love Case

Connecticut Outlaws Post-Claim Underwriting by Health Insurers

NCOIL to Review Potential Long Term Care Abuses

Group Health Incorporated Spots Insurance Fraud in Alleged Brain Surgery Scam

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