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27 Matching News Items

1.  Edward G. Connette via the Health Administration Responsibility Project Link to more items from this source
July 27, 2000
"This paper will discuss procedures for challenging Long Term Disability ('LTD') and health benefits coverage denials under ERISA ... the majority of reported decisions arise from cases challenging health benefits denials for procedures or drugs deemed 'experimental,' 'investigative' or 'not medically necessary' ... the most commonly litigated issue today is coverage for various HDC/PSCR treatment protocols for breast, ovarian and brain cancer patients."
2.  Health Administration Responsibility Project Link to more items from this source
Aug. 2, 1999
"Both doctors and nurses see the growing influence of managed care as having primarily negative effects on health care. Doctors cited increases in paperwork and nurses cited decreasing quality of care as the prime downsides. But both also gave more positive marks to health plans for preventive care and for practice guidelines and disease management protocols they find helpful."
3.  William Shernoff via Health Administration Responsibility Project Link to more items from this source
July 21, 2000
"Legal tips to follow if your claim is denied."
4.  Health Administration Responsibility Project Link to more items from this source
July 5, 2000
"What is a Consumer Advocate? We use the term to refer to a person or organization, not a lawyer, who attempts to intervene with insurers, managed care organizations, and providers on behalf of patients. They don't bring lawsuits, or threaten legal action, but use mediation, negotiation, and 'jawboning'. Many charge a fee for their services."
5.  Dr. Linda Peeno in TRIAL Magazine via Health Administration Responsibility Project Link to more items from this source
May 26, 2004
Excerpt: Instead of one company doctor sitting in corporate headquarters making decisions about treatments and hospitalizations, several different people in many different locations manage patient care. In addition to health plans and insurance companies, care can be managed by external utilization-management companies; third-party administrators; benefit-management, disease-management, pharmacy-management, and mental-health-management companies; hospitals; employers; and government payers ...
6.  Health Administration Responsibility Project Link to more items from this source
Apr. 30, 2001
April 24, 2001 hearing on Patient Protections in Managed Care, Subcommittee on Health, Committee on Ways and Means, U.S. House of Representatives. Excerpt: I was chosen to represent ATLA in this hearing because I have extensive experience in litigating actions against health maintenance organizations and managed care entities.
7.  Prof. John A. Humbach via the Health Administration Responsibility Project Link to more items from this source
Oct. 1, 2003
Excerpt: When people deliberately do things that are almost certain to cause death, and someone dies as a result, prosecutions for homicide are normally appropriate. However, the administrative conduct of health maintenance organizations (HMOs) seems to be an exception.
8.  Health Administration Responsibility Project Link to more items from this source
Feb. 12, 2007
Excerpt: Linda Nee, the UNUM whistleblower, has listed the top five unconscionable claims practices used by disability insurers to deny claims. And they're used every bit as much by Health Insurers and HMOs.
9.  Health Administration Responsibility Project Link to more items from this source
Nov. 13, 2000
Corporate Health Insurance Inc. vs. Texas Department Of Insurance (5th Cir. 2000)
10.  Health Administration Responsibility Project Link to more items from this source
Nov. 13, 2000
Corporate Health Insurance Inc. vs. Texas Department Of Insurance (S.D. Tex. 1998)
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