Excerpt: “This district court opinion holds interest for health care providers and benefit fiduciaries alike. As against a motion to dismiss, the district court holds that the plaintiffs have stated a cause of action against the health care provider for balance billing, i.e., billing the balance ‘owed’ after their health plan paid the PPO discounted rate.” (Attorney Roy F Harmon III in the Health Plan Law blog)
Continue Reading October 27th, 2009
Legislation to scuttle the SGR methodology and freeze rates for 10 years fell on a procedural vote.
Continue Reading October 26th, 2009
Doctors say there aren’t enough hours in the day — or patient demand — to reverse the trend.
Continue Reading October 26th, 2009
Some see health insurance cooperatives as a good alternative to the public plan option, but others are skeptical about the model’s viability.
Continue Reading October 26th, 2009
Thirty-four states offer no protection against higher individual market premiums for women, but some say medical lawsuits are to blame, too.
Continue Reading October 26th, 2009
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