Deny and Delay? California Seeks Penalties for Insurers That Repeatedly Get It Wrong - KFF Health News
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A state lawmaker wants health insurers to disclose denial rates and explain those denials as anger grows over rising costs and uncovered medical care. If the bill is signed into law, health experts say, it could be one of the boldest attempts in the nation to rein in denials.

When Colleen Henderson’s 3-year-old daughter complained of pain while using the bathroom, doctors brushed it off as a urinary tract infection or constipation, common maladies in the potty-training years.

After being told her health insurance wouldn’t cover an ultrasound, Henderson charged the $6,000 procedure to her credit card. Then came the news: There was a grapefruit-sized tumor in her toddler’s bladder.

  • Ebby@lemmy.ssba.com
    29·
    5 days ago

    Any denial needs to be backed with a Dr’s name and medical license.

    Something dumb can be challenged and put on record.

    Also, inappropriately denied use of medical benefits should be theft with damages of 3x.

    • KoboldCoterieEnglish
      25·
      5 days ago

      Also, inappropriately denied medical benefits should be theft with damages of 3x.

      If they deny coverage on a necessary procedure and the patient dies because they didn’t receive it, it should be involuntary manslaughter at the very least.