DeBofsky Law - ERISA & Disability Insurance Attorneys’ Post

Did you know that the average value of a larger health claim was £44,000? Take a look at our standout claims stats to find out more: https://lnkd.in/emSP26PK #ClaimsPaidDifferencesMade #healthinsurance

Navigating through the complexities of medical care can be daunting, especially for our elderly citizens. The paperwork, specialist visits and overwhelming time commitment can exhaust both physical and mental health. As insurance adjusters, we're in a unique position to understand and alleviate these hardships. By streamlining the claim process and advocating for care coordination and supportive services, we can optimize our clients' health outcomes and maybe even decrease claim frequency. How well does your firm understand these challenges? Are we doing enough to make healthcare easier for our aging clients? I welcome you to join me on this quest to improve healthcare experiences for our seniors. Let's discuss how we can make a difference. Because caring for people is what truly matters. #InsuranceAdjusting #Healthcare #ElderlyCare #StreamliningProcesses #CareCoordination

Insurers can continue to deny care for eligible services for only two reasons: neither the state regulators, nor the employers who are purchasing health benefits on behalf of their employees, are doing their jobs. It is time for political pressure on the (often elected) state insurance commissioners and legal action against employers who are failing in their responsibilities under ERISA. And to be clear, health care denied or even delayed poses, as much research shows, risks of increased mortality and morbidity to the patients who are affected. So this problem is not something either hypothetical or unimportant. #healthinsurance #wellbeing #health #benefitsadministration #healthcare #regulation

Mental health parity law as it relates to health insurace: Ensuring equal insurance coverage for all. This article (written by Brian Rankin) explores the laws requiring equal coverage for mental & physical health, how they came to be, and future changes. https://lnkd.in/gx3Ve3Te #lewisandellis #actuary #healthinsurance #mentalhealth

Tick-tock, the ⏰ is ticking on ACA enrollment! Don't miss out on securing your health coverage. Act now to avoid penalties and empower your healthcare journey. #ACADeadline #HealthInsurance #EnrollToday

'Digital tools for Health & Wellness in Insurance' paper reviews the digital tools developed by the #insuranceindustry to improve the #health and #wellness of policyholders. These tools are said to offer a win-win: better health for policyholders and reduced claims for insurers. Many tools apply lessons from behavioral economics by seeking to influence policyholder behavior and overcome short-term barriers to change. This paper identifies issues and challenges, such as #dataprivacy & #datasecurity, safety risks, #dataquality, overall effectiveness, and relevant policy and regulatory frameworks. #healthinsurance #healthcare #digitalhealth

🗞 C-HELP's NEWS CAPSULE 📢 Here's a snapshot of some of the latest news stories from the Health Law and Policy landscape in the last fortnight ➡ Read the full news stories here- 1. Interim Budget 2024: key takeaways for the healthcare sector https://t.co/iy7CCArY60 2. Existing laws have provisions to deal with violence against doctors: Mandaviya https://t.co/KEnFJ3XxcB 3. Inclusion of AYUSH treatments under health insurance cover mandated https://t.co/HA01OZiJmy 4. Uttarakhand Uniform Civil Code: governing live-in relationships https://t.co/eRacxDQnYp 5. Maternal mortality rate down from 384 to 103 in 20 yrs https://t.co/ZRh7HxpyN9 6. Law commission calls for major changes in Epidemic Diseases Act https://t.co/55YRScnuuG 7. PMJAY hit by unpaid bills worth ₹800 crore, pvt hospitals threaten walkout https://t.co/foF5xBaHZa

National health policy...a textbook example of the design thinking concept of a "wicked problem" (a problem that is chronically resistant to solutions). Every national health policy is a blend of push and pull, but there's a common theme to the most recent iterations: a guaranteed benefit floor, with the ability to augment coverage via private coverage (not unlike Medicare, supported by Medicare Plus coverage).

💉💊Health insurers face inquiry amid policy cancellations Congressman Aureo Ribeiro on Wednesday filed a motion to create a select committee to investigate Brazilian private health insurers, in the wake of a recent spate of companies unilaterally revoking thousands of contracts with patients with chronic conditions. The issue of insurers revoking contracts has risen to several recent headlines in Brazil, as these private health providers face mounting expenses, massive financial losses, and increasing consumer dissatisfaction. On May 20, federal agency ANS, which regulates health insurers, issued a statement reiterating that companies are banned from engaging in risk selection, which is when insurers avoid enrolling people who are in worse health. Insurers are allowed to revoke individual contracts only in cases of fraud or default. They can also revoke collective contracts at the option of the employer, or on their own initiative under a previously agreed notice period. 🔗Read more in our full article by Cedê Silva here 👇 https://lnkd.in/dvv_Yy3r #Congress #Health #Insurance

The United States Department of Health and Human Services (HHS or ‘‘Department’’) is issuing this final rule to modify its regulations to implement section 3221 of the Coronavirus Aid, Relief, and Economic Security (CARES) Act. The Department is issuing this final rule after careful consideration of all public comments received in response to the notice of proposed rulemaking (NPRM) for the Confidentiality of Substance Use Disorder (SUD) Patient Records. This final rule also makes certain other modifications to increase alignment with the Health Insurance Portability and Accountability Act of 1996 (HIPAA) Privacy Rule to improve workability and decrease burden on programs, covered entities, and business associates. https://lnkd.in/gPJnUzNb