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When Your Medical Claim Is Denied

New York Legal Assistance Group | Posted 04.07.2016 | New York
New York Legal Assistance Group

By Debra J. Wolf, Supervising Attorney, New York Legal Assistance Group I work with low-income patients living with cancer, vulnerable people whose...

Beyond the ACO: Building a Better Health Care Reimbursement Model

Dr. Stephen Ondra | Posted 01.12.2017 | Healthy Living
Dr. Stephen Ondra

Our aim is to improve the value of care the health system provides. As an industry, we should not be so wed to any one particular model that we fail to see how they must evolve to achieve higher quality, better patient experience and lower costs.

Why Health Insurers May Be Destined to Follow Blockbuster Into Irrelevance

Wendell Potter | Posted 05.04.2016 | Politics
Wendell Potter

Remember Blockbuster? In its heyday -- which wasn't so long ago -- Blockbuster had 60,000 employees and 9,000 locations. For most Americans, for a minute anyway, it was the place to rent a movie.

Dispatch: 'Growing a New America: Detox Diet, the Future of Food, and How to Be Happy and Healthy'

Miriam Ava | Posted 05.19.2015 | Healthy Living
Miriam Ava

I'm Miriam Ava, the ambassador of good taste. I share messages that matter, one Dispatch at a time. The launch of Dr. Mark Hyman's latest book The Bl...

It's Clear Now the Public Option Really Was Needed to Keep Insurers Honest

Wendell Potter | Posted 04.18.2015 | Politics
Wendell Potter

When members of Congress caved to demands from the insurance industry and ditched their plan to establish a "public option" health plan, the lawmakers also ditched one of their favorite talking points, that a government-run plan was necessary to "keep insurers honest."

Insurers Spending Cash, Spreading Fear In High-Stakes California Showdown

Wendell Potter | Posted 01.03.2015 | Politics
Wendell Potter

As I predicted two months ago, California voters have been bombarded by a group with a consumer-friendly name warning that a vote for a ballot initiative tomorrow would allow "one politician" to "interfere" with their health care treatment options.

Other States Should Follow California's Lead in Providing Health Plan Ratings

Wendell Potter | Posted 12.21.2014 | Politics
Wendell Potter

Regardless of where you live, you should check out those rankings before selecting your insurance carrier for 2015. You'll find that, just as in California, the nonprofits lead the pack and the for-profits are eating their dust.

The Real Reasons Insurers Are Canceling Policies

Wendell Potter | Posted 01.23.2014 | Politics
Wendell Potter

If you relied on the Washington media for your news and information about health care, you'd think that insurance companies would never have considered sending policy discontinuation notices to their policyholders until forced to do so by Obamacare.

If Medicaid Is 'Broken' in Florida, Who Broke It?

Gary Stein | Posted 01.23.2014 | Miami
Gary Stein

The federal government may have established Medicaid, but it gave the states the job of running it. Each state has its own individualized program, with different rules and regulations, making federal oversight difficult, if not impossible.

Trickery in Missouri Shows How Insurers Enhance Their Profits

Wendell Potter | Posted 08.24.2013 | Politics
Wendell Potter

Missouri Gov. Jay Nixon is facing a dilemma. Should he sign a bill that was intended to help many state residents get coverage for cost-effective health care that insurers often refuse to pay for? Or veto the bill because it is loaded with amendments that will benefit insurers?

10 Things I Know About Doctors Now That I'm In My 60s

The Huffington Post | Ann Brenoff | Posted 10.09.2012 | Fifty

For my 16th birthday, my reluctant mother finally agreed to let me get my ears pierced. Back then, it was a procedure performed at a doctor's office, ...

Catherine Pearson

Imaging, Radiation Exposure Up, Even At HMOs | Catherine Pearson | Posted 06.12.2012 | Healthy Living

Money may not be the driving force behind increased medical imaging, according to new research that finds imaging, even when provided through HMOs whi...

Health Care Company Makes Billions In Profits While Overburdening Its Staff: Report

The Huffington Post | Alexander Eichler | Posted 11.14.2011 | Business

Kaiser Permanente, one of the country's largest health care organizations, is providing rushed and sloppy mental health treatment in California by an ...

"Obamacare" Hater Rick Scott, Now Florida's Governor, Is Doing Exactly What He Falsely Claimed Federal Reform Would Do

Wendell Potter | Posted 10.11.2011 | Politics
Wendell Potter

So much for health care choice and competition vanishing with "Obamacare". It seems as if one of the leaders of the anti-reform crowd, Rick Scott, wasn't a true believer in the value of choice and competition after all.

Insurers' Bait and Switch

Wendell Potter | Posted 08.30.2011 | Business
Wendell Potter

The health insurance industry's long-term strategy is to move all Americans into high-deductible plans, and they're well on their way to achieving that goal. Once there, you can bet the rates will be hiked up.

The Insurance Industry's Scheme to Circumvent Reform and Make You Pay More Than Ever for Health Care

Wendell Potter | Posted 08.28.2011 | Business
Wendell Potter

If the health insurance industry gets its way, not only will it be able to gut important provisions of the health care reform law, it will put all of us in a forced march into inadequate plans, and, at the same time, into the swelling ranks of the underinsured.

Insurance Industry Flack Screws Up, Points Us to Report We Really Should Read

Wendell Potter | Posted 07.19.2011 | Business
Wendell Potter

Successful flacks know how to use a variety of public relations tricks to obscure the truth -- being selective in the disclosure of information, for instance, or using statistics in misleading ways. But sometimes that can backfire.

Dear Mr. President, I Wish I Had Known...

Wendell Potter | Posted 07.12.2011 | Business
Wendell Potter

Like many others, I've heard President Obama talk about his mother's insurance problems during her final months in 1995. But I didn't realize until now that the company she was pleading with was CIGNA, the one I used to work for.

'Narrow Network' HMOs Offer Savings, But Fewer Providers

Los Angeles Times | Posted 06.03.2011 | Home

Thousands of employers in California and across the country are slashing expensive doctors and hospitals from their insurance rosters in a move to hol...

Winning and Losing Companies Under the New Health Care Bill

Damien Hoffman | Posted 05.25.2011 | Business
Damien Hoffman

In the simplest of words, the health care reform bill has become a Cash for Clunkers program for HMOs. Let's take a look at some of the bigger winners and losers.

The Next March To Freedom

Lila Nordstrom | Posted 05.25.2011 | Politics
Lila Nordstrom

America has a new group among the marginalized. I'm not talking about people of any particular race, creed, sexual orientation, or gender. I'm speaking of the victims of corporate intolerance.

The Ugly Face of Corporate Health Insurance

Bill Baker | Posted 05.25.2011 | Politics
Bill Baker

Polls say that a slight majority of Americans like their health insurance and don't want to be part of a government system. But Medicare recipients love its free care.

What Do You Mean My Doctor Is Dead?

Alex Berliner | Posted 05.25.2011 | Los Angeles
Alex Berliner

Despite its faults, the federal government at least knows when you're dead. That's more than can be said for Blue Cross in Los Angeles, who assigns deceased doctors to customers as 'in network practitioners.'

Wal-Mart Can Be Our Surprise Salvation: A Two-Part Discussion of the Retail Giant's Health Care Potential

Patricia Yarberry Allen | Posted 05.25.2011 | Politics
Patricia Yarberry Allen

Ultimately, the political infighting about our health care crisis isn't the point. The possibility of solving it is. I am as surprised as you might be to believe that the best hope lies with Wal-Mart.

Martha Coakley in trouble? Pharma and HMO lobbyists to the rescue

Washington Examiner | Timothy P. Carney | Posted 05.25.2011 | Politics

With Democrat Martha Coakley in trouble in the Massachusetts special election to fill Ted Kennedy's seat, Democrats could lose vote No. 60 for Preside...