Insurance

Humana, Among Other Insurers, Using AI to Deny Medically Necessary Care to Medicare Advantage Members – Despite What Appears to Be a 90% Error Rate

https://arstechnica.com/science/2023/12/humana-also-using-ai-tool-with-90-error-rate-to-deny-care-lawsuit-claims/ https://www.homecaremag.com/news/lawsuit-accuses-humana-using-ai-deny-post-acute-care For five years, I provided back office operations supports to mental health therapists. A large part of what I did consisted of trying to get insurance companies to pay for medically necessary therapy visits. Those visits included the mom… Read More ›

Maine Bureau of Insurance Cautions Consumers to Look Carefully Before Buying Health Insurance On-Line

You are subscribed to Maine Bureau of Insurance. This information has recently been updated, and is now available. FOR IMMEDIATE RELEASE                           Contact:   Karma LombardNovember 27, 2023                                   karma.y.lombard@maine.gov                                                                                                      (207) 624-8540                                                                       TTY:  Please Call Maine Relay 711 AUGUSTA – The Maine… Read More ›

From Maine Public Radio: She talked about depression at a checkup — and got billed for two visits

Kaiser Health News | By Julie Appleby,  Stephanie O’Neill Published October 30, 2023 at 5:01 AM EDT https://www.mainepublic.org/npr-news/2023-10-30/she-talked-about-depression-at-a-checkup-and-got-billed-for-two-visits Christine Rogers of Wake Forest, North Carolina, was asked to complete a mental health questionnaire as part of her annual physical. A brief conversation… Read More ›

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