Original source: https://www.jsonline.com/story/news/investigations/2019/08/07/biologic-drug-makers-pay-doctors-prescribe-risky-pricey-medications/1901753001/
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Milwaukee Journal Sentinel (WI) (08/07/19) Fauber, John
According to a lawsuit filed with the California Department of Insurance, AbbVie created a”Nurse Ambassador” software in 2012 that paid nurses nationwide to make home visits to individuals that were prescribed its rheumatoid arthritis and psoriasis medication Humira, however, the physicians were instructed to not mention the dangers of the drug, including acute cancer and disease risks. The lawsuit alleges that, through the application, physicians reportedly received kickbacks in the form of cash. “Kickbacks and much more complex schemes, such as those alleged in the AbbVie instance, are important drivers in the out-of-control cost of prescription medications that hurt customers,” said California Insurance Commissioner Ricardo Lara. His office quotes that private insurers in California alone paid out $1.2 billion in Humira asserts from 2013 to 2018, making it potentially the biggest insurance fraud case in the division’s history. The situation is pending. AbbVie denies wrongdoing…. Read More
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Original source: https://www.jsonline.com/story/news/investigations/2019/08/07/biologic-drug-makers-pay-doctors-prescribe-risky-pricey-medications/1901753001/
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Milwaukee Journal Sentinel (WI) (08/07/19) Fauber, John
According to a lawsuit filed with the California Department of Insurance, AbbVie created a”Nurse Ambassador” software in 2012 that paid nurses nationwide to make home visits to individuals that were prescribed its rheumatoid arthritis and psoriasis medication Humira, however, the physicians were instructed to not mention the dangers of the drug, including acute cancer and disease risks. The lawsuit alleges that, through the application, physicians reportedly received kickbacks in the form of cash. “Kickbacks and much more complex schemes, such as those alleged in the AbbVie instance, are important drivers in the out-of-control cost of prescription medications that hurt customers,” said California Insurance Commissioner Ricardo Lara. His office quotes that private insurers in California alone paid out $1.2 billion in Humira asserts from 2013 to 2018, making it potentially the biggest insurance fraud case in the division’s history. The situation is pending. AbbVie denies wrongdoing…. Read More
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Original source: https://www.scsuntimes.com/news/20190807/carney-signs-legislation-protecting-health-care-for-delawareans
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Smyrna/Clayton Sun-Times (08/07/19)
On Aug. 7, Delaware Gov. John Carney signed Senate Bill 35 and Senate Substitute 1 for Senate Bill 92, each of which will shield excellent healthcare coverage for residents. Senate Bill 35 codifies consumer protections of the Affordable Care Act into Delaware law, including protections for individuals with preexisting requirements, the guaranteed availability of coverage, and pragmatic evaluation variables. Senate Substitute 1 for Senate Bill 92 will offer care for all qualified Medicaid recipients. “Ensuring that Delawareans continue to receive the crucial health care they want and deserve is paramount to my mission as insurance commissioner,” explained Delaware Insurance Commissioner Trinidad Navarro. “Under this bill, Delaware ensures that the most exposed consumers will continue to obtain coverage” Associated Story: Delaware Public Media… Read More
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Original source: https://www.scsuntimes.com/news/20190807/carney-signs-legislation-protecting-health-care-for-delawareans
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Smyrna/Clayton Sun-Times (08/07/19)
On Aug. 7, Delaware Gov. John Carney signed Senate Bill 35 and Senate Substitute 1 for Senate Bill 92, each of which will shield excellent healthcare coverage for residents. Senate Bill 35 codifies consumer protections of the Affordable Care Act into Delaware law, including protections for individuals with preexisting requirements, the guaranteed availability of coverage, and pragmatic evaluation variables. Senate Substitute 1 for Senate Bill 92 will offer care for all qualified Medicaid recipients. “Ensuring that Delawareans continue to receive the crucial health care they want and deserve is paramount to my mission as insurance commissioner,” explained Delaware Insurance Commissioner Trinidad Navarro. “Under this bill, Delaware ensures that the most exposed consumers will continue to obtain coverage” Associated Story: Delaware Public Media… Read More
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Original source: https://www.nbc12.com/2019/08/07/state-regulatory-agency-may-tackle-surprise-medical-bills/
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Nbc12.com (Richmond, Va.) (08/07/19) DePompa, Rachel
A proposed rule under consideration in the Virginia State Corporation Commission (SCC) would limit surprise medical bills by requiring physicians to tell all emergency patients when suppliers involved in their maintenance will bill separately for fees outside of what insurance covers. Will be liable for paying the remainder of the patient’s bills. Based on SCC spokesperson Ken Schrad,”The [Bureau of Insurance] has experienced a rising number of complaints about balanced billing. What started as a handful of complaints has expanded to as many as 50 annually, but the bureau can simply be certain that its responsibilities have been met by the insurer under the policy’s terms. That is almost always the case. The commission is now taking comments on a proposed law prepared by the agency that attempts to increase advance notice to your patient every time there is a probability that services may be offered through an insurer.” SCC is accepting comments on the proposal through Aug. 9. If accepted, the rule change goes into effect on Oct. 1…. Read More
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Original source: https://www.nbc12.com/2019/08/07/state-regulatory-agency-may-tackle-surprise-medical-bills/
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Nbc12.com (Richmond, Va.) (08/07/19) DePompa, Rachel
A proposed rule under consideration in the Virginia State Corporation Commission (SCC) would limit surprise medical bills by requiring physicians to tell all emergency patients when suppliers involved in their maintenance will bill separately for fees outside of what insurance covers. Will be liable for paying the remainder of the patient’s bills. Based on SCC spokesperson Ken Schrad,”The [Bureau of Insurance] has experienced a rising number of complaints about balanced billing. What started as a handful of complaints has expanded to as many as 50 annually, but the bureau can simply be certain that its responsibilities have been met by the insurer under the policy’s terms. That is almost always the case. The commission is now taking comments on a proposed law prepared by the agency that attempts to increase advance notice to your patient every time there is a probability that services may be offered through an insurer.” SCC is accepting comments on the proposal through Aug. 9. If accepted, the rule change goes into effect on Oct. 1…. Read More
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Original source: https://www.insurancejournal.com/news/southcentral/2019/08/06/535100.htm
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Insurance Journal (08/07/19)
According to the Texas Windstorm Insurance Association (TWIA), the state’s provider of last resort for wind and hail insurance for coastal lands , the board of directors voted in its Aug. 6 quarterly assembly not to raise residential and commercial property rates. As a result, TWIA will submit a 0 percent yearly fee filing for 2020 policies together with the Texas Department of Insurance from Aug. 15. This includes despite TWIA reporting past month that its Rate Adequacy Evaluation for 2019 found present rates are inadequate by 41.7percent for residential properties and 50% for business properties, as well as a speed inadequacy of 32% and 37%, respectively, in June 2018. This season marked the first time that TWIA approved people comment in reaction to its yearly Rate Adequacy Analysis. In making its choice the board believed both public comment from stakeholders and the 2019 Rate Adequacy Analysis…. Read More
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Original source: https://www.insurancejournal.com/news/southcentral/2019/08/06/535100.htm
I run around the internet nonstop to make you to relate to the betterment of keeping a Public Adjuster on your side. Take a minute to read this web post we ran across.
Insurance Journal (08/07/19)
According to the Texas Windstorm Insurance Association (TWIA), the state’s provider of last resort for wind and hail insurance for coastal lands , the board of directors voted in its Aug. 6 quarterly assembly not to raise residential and commercial property rates. As a result, TWIA will submit a 0 percent yearly fee filing for 2020 policies together with the Texas Department of Insurance from Aug. 15. This includes despite TWIA reporting past month that its Rate Adequacy Evaluation for 2019 found present rates are inadequate by 41.7percent for residential properties and 50% for business properties, as well as a speed inadequacy of 32% and 37%, respectively, in June 2018. This season marked the first time that TWIA approved people comment in reaction to its yearly Rate Adequacy Analysis. In making its choice the board believed both public comment from stakeholders and the 2019 Rate Adequacy Analysis…. Read More
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Original source: http://feeds.lexblog.com/~r/propertyinsurancecoveragelaw/YZft/~3/LZBrt5OT7No/
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This article will describe the difference between case motions and motions that affect the admissibility of evidence. I found in a previous post that (1) motions to dismiss and also (2) moves for summary judgment are case dispositive motions. Meaning that when either party finally wins the movement, the assert…… Continue Reading
… Read More
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Original source: http://feeds.lexblog.com/~r/propertyinsurancecoveragelaw/YZft/~3/LZBrt5OT7No/
All of the time we access the net each day to guide you to realize to the need of keeping a Property Damage Adjustment Consultant on your team. Read this web post we located.
.
This article will describe the difference between case motions and motions that affect the admissibility of evidence. I found in a previous post that (1) motions to dismiss and also (2) moves for summary judgment are case dispositive motions. Meaning that when either party finally wins the movement, the assert…… Continue Reading
… Read More
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Original source: http://feeds.lexblog.com/~r/propertyinsurancecoveragelaw/YZft/~3/TyOewgeXYy8/
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The Senate Bill 2401 of california is making its way through the legislature and will bring a few vital adjustments to how insurance businesses train. The bill, also Called the Insurance Adjuster Act of 2019,” Was Made by Senator Bill Dodd to eliminate confusion…… Continue Reading
… Read More
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Original source: http://feeds.lexblog.com/~r/propertyinsurancecoveragelaw/YZft/~3/TyOewgeXYy8/
All of the time we access the world wide web effortlessly to guide you to understand to the idea of keeping a Public Adjuster on your side. Take a few seconds to read this story we located.
.
The Senate Bill 2401 of california is making its way through the legislature and will bring a few vital adjustments to how insurance businesses train. The bill, also Called the Insurance Adjuster Act of 2019,” Was Made by Senator Bill Dodd to eliminate confusion…… Continue Reading
… Read More
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Original source: https://www.modernhealthcare.com/insurance/short-term-health-plans-spend-little-medical-care
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Modern Healthcare (08/06/19) Livingston, Shelby
The National Association of Insurance Commissioners (NAIC) recently released its 2018 Accident and Health Policy Report, that impacts medical-loss ratios, or even the proportion of premiums spent on medial asserts. Of the five medical insurance companies that collect the premiums from short term insurance policies, the typical loss percentage was 39.2 percent, meaning 39 pennies of ever $1 collected in premiums was spent on healthcare and the remainder on administrative expenditures or kept as profit. In contrast, the loss ratio was 73% one of comprehensive major medical plans last year, purchased by individuals. The reduction ratios for short-term wellness plans are lower because they do not offer as many advantages as Affordable Care Act-compliant plans, which, unlike short-term plans, must satisfy a minimum medical-loss ratio of 80% or pay enrollees refunds. The NAIC’s report demonstrates that about 86,600 people were enrolled in plans in 2018, because most short-term plans are sold through institutions exempt from 35, but this figure is higher…. Read More
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Original source: https://www.modernhealthcare.com/insurance/short-term-health-plans-spend-little-medical-care
I search the net each day to guide you to realize to the importance of getting a Property Damage Adjustment Consultant on your side. Look at this web post we ran across.
Modern Healthcare (08/06/19) Livingston, Shelby
The National Association of Insurance Commissioners (NAIC) recently released its 2018 Accident and Health Policy Report, that impacts medical-loss ratios, or even the proportion of premiums spent on medial asserts. Of the five medical insurance companies that collect the premiums from short term insurance policies, the typical loss percentage was 39.2 percent, meaning 39 pennies of ever $1 collected in premiums was spent on healthcare and the remainder on administrative expenditures or kept as profit. In contrast, the loss ratio was 73% one of comprehensive major medical plans last year, purchased by individuals. The reduction ratios for short-term wellness plans are lower because they do not offer as many advantages as Affordable Care Act-compliant plans, which, unlike short-term plans, must satisfy a minimum medical-loss ratio of 80% or pay enrollees refunds. The NAIC’s report demonstrates that about 86,600 people were enrolled in plans in 2018, because most short-term plans are sold through institutions exempt from 35, but this figure is higher…. Read More
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Original source: https://lasvegassun.com/news/2019/jul/10/las-vegas-homeowners-earthquake-insurance/
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Las Vegas Sun (07/10/19) Horwath, Bryan
Tom Edington, co-owner the Western Pacific Insurance bureau at Henderson, Nevada, says many policyholders reached out in today since the new Southern California earthquakes wanting to know whether their current policy included earthquake policy. Almost do not, he states, adding that”most of the insurance carriers that we do business with today have a moratorium on new earthquake policies in many regions of Southern Nevada before things settle down a bit.” Moratoriums can last from 30 days to 60 days, according to the Nevada Division of Insurance (DOI). David Cassetty, DOI’s deputy commissioner, states,”I think that the important issue is that this has contributed a lot of people more consciousness that we do live in an earthquake zone. That is a good thing since people should be looking into whether or not (earthquake insurance) is a product they need to get.”… Read More
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Original source: https://lasvegassun.com/news/2019/jul/10/las-vegas-homeowners-earthquake-insurance/
We browse the world wide web everyday to guide you to understand to the importance of keeping a Property Damage Adjustment Consultant on your team. Look at this website post we found.
Las Vegas Sun (07/10/19) Horwath, Bryan
Tom Edington, co-owner the Western Pacific Insurance bureau at Henderson, Nevada, says many policyholders reached out in today since the new Southern California earthquakes wanting to know whether their current policy included earthquake policy. Almost do not, he states, adding that”most of the insurance carriers that we do business with today have a moratorium on new earthquake policies in many regions of Southern Nevada before things settle down a bit.” Moratoriums can last from 30 days to 60 days, according to the Nevada Division of Insurance (DOI). David Cassetty, DOI’s deputy commissioner, states,”I think that the important issue is that this has contributed a lot of people more consciousness that we do live in an earthquake zone. That is a good thing since people should be looking into whether or not (earthquake insurance) is a product they need to get.”… Read More
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Original source: https://www.nytimes.com/2019/07/09/health/obamacare-appeals-court.html
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Even the New York Times (07/09/19) Goodnough, Abby
On July 9, the U.S. Court of Appeals for the Fifth Circuit will hear arguments Regarding whether the decision from Judge Reed O’Connor of the Federal District Court at Fort Worth was Right in striking the Affordable Care Act (ACA).
The scenario, which might make its way into the U.S. Supreme Court ahead of this 2020 elections,” threatens insurance protections to individuals with preexisting medical conditions and several other sweeping changes the 2010 legislation has made throughout the healthcare system. A question at the core of the case is if the ACA’s mandate requiring many Americans to purchase health insurance or pay a tax penalty remained constitutional after Congress eliminated the penalty as part of their tax overhaul. If the identification is indeed unconstitutional, the next question is if the remaining part of the ACA can function without it. The appeals court could take months to decide, however the Trump administration has stated it will continue to apply the numerous provisions of this law before a final ruling is issued. Related Stories: Kaiser Health News; Associated Press… Read More
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Original source: https://www.nytimes.com/2019/07/09/health/obamacare-appeals-court.html
I run around the internet effortlessly to reach out to you to understand to the importance of getting a Public Adjuster on your side. Take a minute to read this article we ran across.
Even the New York Times (07/09/19) Goodnough, Abby
On July 9, the U.S. Court of Appeals for the Fifth Circuit will hear arguments Regarding whether the decision from Judge Reed O’Connor of the Federal District Court at Fort Worth was Right in striking the Affordable Care Act (ACA).
The scenario, which might make its way into the U.S. Supreme Court ahead of this 2020 elections,” threatens insurance protections to individuals with preexisting medical conditions and several other sweeping changes the 2010 legislation has made throughout the healthcare system. A question at the core of the case is if the ACA’s mandate requiring many Americans to purchase health insurance or pay a tax penalty remained constitutional after Congress eliminated the penalty as part of their tax overhaul. If the identification is indeed unconstitutional, the next question is if the remaining part of the ACA can function without it. The appeals court could take months to decide, however the Trump administration has stated it will continue to apply the numerous provisions of this law before a final ruling is issued. Related Stories: Kaiser Health News; Associated Press… Read More
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Original source: http://www.ncdoi.com/media/news2/year/2019/070819a.asp
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North Carolina Department of Insurance (07/08/19)
With the 2019 hurricane season upon us, North Carolina Insurance Commissioner Mike Causey encourages citizens to be prepared this year to avoid the discomfort that followed a season’s Hurricane Florence around the coast and mudflows in the western portion of the country. Causey is scheduling crisis relief town hall meetings across the state, to get this done. These meetings will talk about what to do prior to, during, and after the storm that taxpayers’ possessions are guarded and/or covered in case of mudslides or storm damage. If you are someone like hurricanes or mudflows, Department of Insurance representatives will be on hand to help with your queries and claims. Dr. Michelle Osborne, chief deputy commissioner of insurance, will conduct upcoming public town hall meetings at the following locations: July 9 in Yadkinville, July 10 at Boone, July 11 at Dobson, July 24 in Lumberton, and July 25 in Jacksonville…. Read More
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Original source: http://www.ncdoi.com/media/news2/year/2019/070819a.asp
Our intent is to search the web each day to help you to realize to the need of keeping a Property Damage Adjustment Consultant in your corner. Take a minute to read this story we just found.
North Carolina Department of Insurance (07/08/19)
With the 2019 hurricane season upon us, North Carolina Insurance Commissioner Mike Causey encourages citizens to be prepared this year to avoid the discomfort that followed a season’s Hurricane Florence around the coast and mudflows in the western portion of the country. Causey is scheduling crisis relief town hall meetings across the state, to get this done. These meetings will talk about what to do prior to, during, and after the storm that taxpayers’ possessions are guarded and/or covered in case of mudslides or storm damage. If you are someone like hurricanes or mudflows, Department of Insurance representatives will be on hand to help with your queries and claims. Dr. Michelle Osborne, chief deputy commissioner of insurance, will conduct upcoming public town hall meetings at the following locations: July 9 in Yadkinville, July 10 at Boone, July 11 at Dobson, July 24 in Lumberton, and July 25 in Jacksonville…. Read More
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