High Rate of Care Denials in California Overturned by the CA Department of Managed Health Care

On March 14th, the California Chronic Care Coalition released a new report titled “Standing Up For Your Rights Creates Results.” This report brings attention to the staggering rate at which insurers in California are denying access to care for patients. Fortunately, the California Department of Managed Health Care (DMHC) has overturned 60 percent of these care denials. In doing so, DMHC has levied millions of dollars in fines against insurers for depriving patients of their right to medical care. CCCC believes that many more Californians have been denied care but they don’t know that they can appeal the decision to DMHC, which suggests that these statistics underrepresent the scope of the problem. See more details...
Posted on Mar 21, 2019

Aimed Alliance Discusses Copay Accumulators in March Issue of HR News

Employers are under constant pressure to reduce the health costs incurred by their employees. Recently, employers have opted to pursue this goal by implementing copay accumulator policies that restrict how payments made on behalf of enrollees count towards their cost-sharing responsibilities such as deductibles and maximum out-of-pocket costs. Aimed Alliance Counsel Stacey L. Worthy has authored an article published in the March issue of HR News discussing this issue and the dangers that copay accumulator policies could create for both employees and employers. You can read the article here:...
Posted on Mar 05, 2019
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