John Curry: I know...this is from a law firm and they want to make money but....
.....think about why they are able to make money (huh?).
From John Curry, January 26, 2009
Well, I'll answer that...or at least give my point of view. They make THEIR money by reversing healthcare insurance company claims decisions that were unfair, against medical necessity, and/or just downright fraudulent. It should come as no surprise that healthcare insurance companies pay their employees bonuses or give rewards for those "special employees" who have a record of denying the most claims. Of course, they don't advertise this fact, do they? I wouldn't either...but it does happen on a regular basis. If you don't think that happens just ask and I'll send you a few statements from individuals who were formerly in the employ of healthcare insurance companies who will verify this.One MD, Linda Peeno, testified before Congress to this effect and to her causing a patient's death due to denial of medically necessary procedures. If you get a chance, check out her testimony to Congress at this link:
If you don't have time for her Congressional testimony, then please read the short "ad" below and know that these attorneys can and do profit from a healthcare companies' denial of coverage...after all...most retirees won't fight...they will just comply. This usually means taking out a loan to pay medical bills or...going the bankruptcy route. Close to one half of all bankruptcies are now due to inability to pay medical bills. Having healthcare insurance is no guarantee that one won't get "socked" with a unaffordable hospital and doctor bills.
John
Doctors: Starting to Figure it Out?
Posted by David Mittleman, January 26, 2009
InjuryBoard.com
InjuryBoard.com
It’s not the trial lawyers they have to fear and hate - it’s the insurance industry. A pediatrician has filed a federal class-action lawsuit against Hometown Health Plan and Renown Health, claiming they bilked thousands of Nevada doctors out of tens of millions of dollars by failing to pay claims, manipulating payment codes, and forcing the doctors into one-sided contracts. Dr. Kevin Windisch of Sparks Pediatric & Adolescent Medicine says, "Those behaviors drive doctors out of business, and other doctors won’t come to this community because of it." According to Dr. Windisch, the loss of good doctors ultimately hurts the patients, some of whom may lose longtime family physicians because of the insurance companies’ behavior. In addition to seeking compensatory and punitive damages, the suit asks the court for an injunction preventing the companies from engaging in these improper practices that adversely affect the doctors and their patients.
Recently,UnitedHealthcare agreed to pay $350 million in a settlement between the company and 40 states. UnitedHealth is the biggest U.S. health insurer. The payment is as a result of the healthcare giant defrauding its members by underpaying and manipulating reimbursements made to doctors and patients. Under the terms of the agreement, UnitedHealth has agreed to set up an independent database to reduce the likelihood of a repeat offense.
If you or someone you know has been a victim of insurance abuse, contact us. Our firm has been fighting insurance companies for over 50 years. Know your rights, let us protect them.
posted by Kathie Bracy at 3:29 PM
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