Essential Steps to Report Insurance Billing Fraud Now
Direct answer If you notice suspicious charges on your Explanation of Benefits, you should first contact your insurance company’s fraud department directly to dispute the claim. If the company fails to address the discrepancy, you should file a report with your state’s insurance fraud bureau or the National Health Care Anti-Fraud Association. National Health Care […]
Essential Guide: Using HRA Funds for Premiums Securely
Direct answer Yes, you can use HRA funds for insurance premiums if your specific plan design allows it, though it depends on whether your employer has opted into the premium reimbursement feature. IRS Publication 969 governing Health Savings Accounts and other tax-favored health plans. For additional information about eligibility requirements and expense reimbursements, see the […]
CDC and FDA Fail to Protect Public Health: Expert Survey
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. Public confidence in the CDC and FDA has fallen to record lows, with just 26% and 25% of Americans, respectively, rating the agencies’ performance as excellent […]
Do HRA Funds Roll Over? A Practical Guide
Direct answer It depends on your employer’s plan document; while some HRAs allow unused funds to roll over, others are structured as ‘use-it-or-lose-it’ arrangements at the end of the plan year. Internal Revenue Service guidance on employer-funded health reimbursement arrangements. For additional information about the rules governing health reimbursement arrangements, see the Internal Revenue Service’s […]
Risant Health Is Now Acquiring Essential Integris Health
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. The acquisition is set to give Integris access to extra capital and technology at a time when many health systems are being hit by rising expenses. […]
Secure Your Privacy: Delivery Robots Exposed for Data Risks
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. The battle over Chicago’s food delivery robots has reached the courts, with two customers accusing the companies behind them of collecting their biometric data without consent. […]
Proven Ways Amazon and Google Back CMS Reform
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. Amazon, Axon Enterprise, Google, Meta and Oracle backed expanding electronic prior authorization to self-funded employer health plans. The post Amazon, Google and Other Major Employers Back […]
Essential Guide to Protect Your Health Insurance Plan
Direct answer A health insurance plan is likely a scam if it requires an immediate wire transfer for payment, offers ‘guaranteed’ coverage without asking for your health history, or uses a high-pressure sales tactic to force an instant decision. You should verify the agent’s license through your state’s Department of Insurance website before providing any […]
Protect Yourself: Is Surprise Billing Covered?
Direct answer Yes, you are protected from balance billing for non-emergency services provided by out-of-network clinicians, such as anesthesiologists or radiologists, while at an in-network facility, unless you provided informed written consent to waive these protections. Official regulatory summaries provided by the U.S. Department of Health and Human Services concerning healthcare consumer billing rights. For […]
Mass General Brigham Reveals Proven Plan to Fix Budget Shortfall
📰 Curated Industry Article This is a summary of a full article from a trusted healthcare and insurance publication. Click “Read Full Article” below to read the complete story. Somerville, Mass.-based Mass General Brigham has started a new round of layoffs, its second in less than two years, as the state’s largest health system aims […]