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To explain the rate increases, some which were four times the rate of medical inflation, Anthem said the company had experienced a death spiral: the company claimed that with increased unemployment and declining wages, healthy customers dropped their insurance policies. Consequently, the remaining risk pool became sicker and thus more expensive ...
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Congress passed EMTALA to eliminate the practice of "patient dumping"—that is, refusal to treat people because of inability to pay or insufficient insurance or transferring or discharging emergency patients on the basis of high anticipated diagnosis and treatment costs. The law applies when an individual seeks treatment for a medical ...
Employers may use a stop-loss, meaning they pay the insurance company a premium to cover very expensive individual claims (e.g., the firm is self-insured up to a threshold for individual workers). Workers pay a share of their costs to their employers for coverage, basically a premium deducted from their paychecks.
A surgeon in Austin, Texas, was in the operating room with a patient when a call came in from the patient’s insurance provider, UnitedHealthcare. She returned the call and shared the story.
In Alliant's response to the Georgia insurance commissioner's inquiry, the company said an Aurora representative called Alliant at 4:04 p.m. the day of Mike Meier's appointment.
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