Medical insurance fraud is no small issue. It's like a virus, threatening the health of insurance funds. To keep the system balanced and fair, we must tackle this problem head-on. This means looking at what causes fraud, how it happens, and what results from it. In China, researchers took a hard lo
Ever wondered who's calling the shots in the U. S. health insurance market? It's not a secret that a few big players have been gobbling up smaller companies. Take CVS Health, for instance. In 2018, they scooped up Aetna. That same year, Cigna bought Express Scripts. Fast forward to 2023, Kaiser Perm
Health insurance denials can be a nightmare for many people. Recently in California, over a quarter of health insurance claims were rejected. This is a common problem across the nation, making people angry with health care companies. Now, a new law ensures that AI can't be the sole reason for denyin
Did you know that the window to bag affordable health insurance through the Affordable Care Act (ACA) is closing soon? Yep, open enrollment is wrapping up, and if you miss it, you'll have to wait until life throws you a curveball – like a new job or baby. So, let's dive into what's happening and why
When the Covid public health emergency ended, the U. S. government required states to re-evaluate Medicaid eligibility. This led to a massive shake-up, with over 25 million people losing coverage. Many kids, like Isabella Quintana, were dropped due to paperwork issues. Isabella's family had to pay $
Welcome to the New Year in Illinois! The state's lawmakers have been busy, passing a bunch of new laws that will affect how we live and work. Let's dive in and see what's changed. First up, there's a big deal with health insurance. The state has banned so-called "junk insurance" plans that don't co
The recent murder of a top health insurance executive, Brian Thompson, has sparked a wave of anger among Americans. They're furious about high insurance costs and denied coverage. But why did it take such a dramatic event for people to pay attention? At a conference, leaders from Pfizer and Amazon d
As we enter 2025, many people are wondering how to manage their health care costs effectively. One important fact to keep in mind is that most of the basics of health insurance won't change. This might seem like a good thing, but it also means that the risk of unexpected bills remains, especially wi
Imagine finding out your cancer treatment isn't covered by insurance. That's what happened to Tracy Pike. Diagnosed with Stage 4 stomach cancer, his doctor recommended a combination of surgery and intense chemotherapy. But the night before his first treatment, he got the bad news: insurance denied c
Have you ever wondered why insurance companies make it so hard for cancer patients to get the care they need? Many doctors and patients are frustrated because insurance companies often deny or delay treatments and tests. This can be life-threatening for people fighting cancer. Dr. Debra Patt, a can
