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Humana has agreed to pay $90 million to the federal government to settle a whistleblower lawsuit under the False Claims Acts.. The lawsuit, filed by Phillips & Cohen LLP on behalf of whistleblower ...
Some 31 million Americans have Medicare Advantage plans. But because they routinely deny coverage for necessary care, they threaten rural hospitals, say some CEOS.
Last week, Humana Inc (NYSE:HUM) agreed to pay $90 million to the federal government to settle a whistleblower lawsuit alleging fraudulent Medicare Part D bids. The lawsuit, filed by Phillips ...
Stormont Vail Health is suing Humana, alleging that the insurance company owes the Topeka hospital more than $850,000 in underpayments. The alleged underpayments stem from a contractual Medicare ...
The Patient Advocate Foundation estimates that in 2018, case managers would have to initiate an average of 16 phone calls or emails to resolve a claim. That number is now up to 27. That number is ...
Delay, Deny, Defend is a critical exploration of the property and casualty insurance industry, examining how its practices affect policyholders.Feinman, a law professor specializing in consumer rights and insurance law, argues that the industry prioritizes profits over policyholders' needs, often using tactics like delaying or denying legitimate claims to bolster financial performance.
Health care providers sometimes allude to three Ds, “delay, deny, and don’t pay,” to critique the insurance industry, Grover said. The idea is that insurers try to get out of paying claims.
A Senate committee concluded earlier this year that three major companies – UnitedHealthcare, Humana and CVS, which owns Aetna – were intentionally denying claims for nursing care to patients ...