Appealing An Insurer’s Denial Is Often A Good Strategy
GAO finds most claims problems come from billing and eligibility issues, and beneficiaries often win when they appeal.
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GAO finds most claims problems come from billing and eligibility issues, and beneficiaries often win when they appeal.
Experts thought simple steps, such as marking the surgical site and taking a timeout to confirm the details, would end the problem. But it turns out to be more complicated to change the culture of hospitals and doctors.
PBS Newshour's David Chalian talks with Jackie Judd about the latest developments in the budget negotiations being led by Vice President Joe Biden and the role of Medicaid and Medicare in those talks.
PBS Newshour's David Chalian talks with Jackie Judd about the latest developments in the budget negotiations being led by Vice President Joe Biden and the role of Medicaid and Medicare in those talks.
For health reform to truly take root, we should take our cue from the millions of low-income Californians who have the most at stake
Many hospitals are performing unusually large numbers of a type of CT scan experts say should be done sparingly.
The provision could help cover the hundreds of people diagnosed with the condition, but Republican efforts to repeal the law raise concerns for patients.
KHN's Mary Agnes Carey talks to Sen. Rockefeller about his efforts to defend the Medicaid program.
W.Va. senator is working to raise defenses against efforts in the deficit reduction talks to reduce funding for the health care program that covers the poor and disabled.
Dr. Andy Bindman says educators at the University of California, San Francisco, are seeing a "pretty significant uptick" in applicants for primary care residencies.
The House of Representatives voted last month to repeal funding for the state health-insurance exchanges. The vote reflects a grassroots revolt. But a better approach might be to rally around the original tenets of the health exchange model.
There's been a lot of talk among state policymakers, industry stakeholders and the media about whether exchanges should be "active" or "passive" purchasers of health insurance.
Utah senator says he wants to "modernize" the system following the model of the 1996 welfare reform.
Congressional advisory group recommends that doctors who order a lot of MRIs, CT scans and other such procedures be forced to get prior approval.
Republicans used Medicare as their weapon in the midterm elections last fall, and now Democrats are turning the tables on them. They've taken aim at the budget plan House Republicans voted for in April.
KHN's Mary Agnes Carey is joined by Politico Pro's David Nather to discuss Monday's GOP presidential debate that featured the candidates talking Medicare reforms proposed by Rep. Paul Ryan and repeal of Obama's health law.
KHN's Mary Agnes Carey is joined by Politico Pro's David Nather to discuss Monday's GOP presidential debate that featured the candidates talking about repeal of the health law as well as Medicare reforms proposed by Rep. Paul Ryan.
KHN provides a full transcript of video excerpts from the June 13 debate in which the candidates took on key health policy issues.
The Republican presidential nomination debate featured a question about the new health law. The candidates pledged to repeal it and Mitt Romney defended the health reform law he signed while governor of Massachusetts. Former Minn. Gov. Tim Pawlenty made news when he backed away from confronting Romney on the Massachusetts plan.
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