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Insurance Disputes

All articles tagged with #insurance disputes

Scorpion Peppers Led to Pain and a Surprise ER Bill
health2 months ago

Scorpion Peppers Led to Pain and a Surprise ER Bill

Maxwell Kruzic experienced severe stomach pain after eating extremely hot scorpion peppers, leading to an ER visit that cost over $8,000. Due to billing disputes and administrative delays, he received a bill two years later, highlighting issues with medical billing practices and the lack of uniform rules for timely billing. The hospital eventually adjusted his bill to zero after intervention, illustrating the complexities of healthcare billing and insurance interactions.

The Growing Divide: Seniors Embrace Medicare Advantage, While Hospitals and Doctors Remain Skeptical
healthcare2 years ago

The Growing Divide: Seniors Embrace Medicare Advantage, While Hospitals and Doctors Remain Skeptical

Health care providers, including hospitals and doctors, are increasingly refusing to accept Medicare Advantage plans, despite the growing popularity of these plans among Medicare beneficiaries. The friction between insurers and providers arises from payment rates imposed by Medicare Advantage plans and the perceived burdensome requirements for preapproval and claims denials. Patients may be forced to switch plans or revert to traditional Medicare, which can be challenging. The conflicts between insurers and providers may be the beginning of a trend as the Medicare market becomes more concentrated among a few insurers. Studies show that Medicare Advantage costs taxpayers more per beneficiary than the traditional program, but the plans enjoy political support due to their popularity.