When a whistleblower suit is brought against a company or practice, there are usually many warnings that were ignored or not dealt with appropriately. Many times, wrongdoings are brought to light internally first and properly addressing concerns can prevent a lawsuit.
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Often, the employee who becomes the whistleblower tries to raise the issue internally before going outside the company.
There are also fears of retaliation by many whistleblowers. Fear of retaliation…
which health insurance company is the best?
Opinions | I’m a doctor. My decisions are overruled by health insurance denials
Elisabeth Rosenthal’s May 18 Thursday Opinion essay, “Denials of health-insurance claims are rising — and getting weirder,” hit the nail on the head. As a rheumatologist, I see many patients who struggle to keep up with their daily activities and depend on access to necessary treatments to manage their chronic pain. Insurers’ prior-authorization policies amplify my patients’ struggle by building ineffective hurdles and delaying access to medications I know are best for my patients. More than 54 million Americans live with a rheumatic disease, and delays in their care can mean irreversible disease progression and permanent loss of bodily functions.…
Institute examines government’s interest in portable health benefits plans
By Kate McCaffery
|
May 19, 2023, 4:39 pm
Researchers propose Ontario to make use of industry’s administrative expertise.
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GoHealth Confirms Receipt of Unsolicited Acquisition Proposal From Centerbridge Partners and NVX Holdings
CHICAGO, May 19, 2023 /PRNewswire/ — GoHealth, Inc. (GoHealth) (NASDAQ: GOCO), a leading health insurance marketplace and Medicare-focused digital health company, as noted in a recent 13D filing, has received a proposal from its two largest shareholders to acquire all of the outstanding Class A Common Stock and LLC Interests that these shareholders do not already own. Independent members of GoHealth’s Board will review the proposal in due course. The Company remains committed to serving Medicare Advantage beneficiaries, working with health plans, and generating value for all stakeholders.
About GoHealth, Inc.
GoHealth is a leading health insurance marketplace and Medicare-focused…
Op-Ed: PurpleCARE mental health coverage must be increased to meet the urgent needs of students | opinion
A group of students walk by the Weldon Library, Sept. 18, 2017.
Max Mao / GAZETTE
Access to mental health resources is key to ensuring students receive a quality experience, achieve academic success and improve their overall well-being. The USC’s PurpleCARE health benefits plan strives to provide these necessary resources for undergraduate students.
Every Western University undergraduate student is automatically enrolled in PurpleCARE, which offers insurance coverage for various health-related needs. This includes $750 insured for mental health-related expenses such as seeing a therapist or social worker.
However, as elected University Students’ Council Councilors, we have heard from students repeatedly…
US health care system benefits insurers, not patients
Could this be the year when America starts to shift away from the employer-sponsored health insurance model?
To be sure, health care is an issue that concerns most people. Whether it is accessing care or paying for health care services, few people are free of the anxiety that comes when they or a loved one must undergo treatment for an acute life-threatening or debilitating chronic condition.
In spite of the $4 trillion spent in 2021 on health care in the United States, the highest per capita spending in the world, life expectancy in our nation continues to languish in comparison…
Kaiser Permanente Acquires Geisinger Health in $5B Mega-Deal
In one of the largest healthcare deals to date, Kaiser Permanente is acquiring Pennsylvania-based Geisinger Health and investing $5 billion to fold it into a new nonprofit subsidiary called Risant Health, which is set to purchase additional medical groups in coming years.
While regulators still must review this initial acquisition, the marriage of Kaiser and Geisinger would create a behemoth with more than $100 billion in annual revenue — 95% of it coming from the Kaiser side of the equation.
Like Kaiser, Geisinger both owns hospitals — 10 of them — and operates its own health insurance program. Unlike California-based…
State alleges Health Partners illegally denied mental health coverage, says the company is cooperating
Updated: 2:00 p.m
Minnesota officials hit Bloomington-based insurance and health care company Health Partners with a consent order for allegedly violating laws related to mental health parity.
State and federal laws prohibit health insurance companies from evaluating mental health diagnoses or treatments more stringently than they do for other forms of care.
“This is one example of our commitment to enforcing mental health parity laws and making sure that Minnesotans can get access to the coverage that they’ve paid for,” said Commerce Commissioner Grace Arnold. “We want to make sure that people have fewer barriers, and this is a way…