Several hospitals in the Sunshine State, including six in Central Florida, are suing UnitedHealthcare for underpaying for emergency services provided. The suit alleges that the healthcare company failed to pay the amount required by Florida law for the services the hospitals offered. "United has unilaterally and consistently decided to underpay the Hospitals these claims at only a fraction of the billed charges, at amounts well below the level of payment required by Florida statute," according to the lawsuit.
Luigi Mangione, the man accused of gunning down the CEO of UnitedHealthcare in New York City, is breaking his silence on the outpouring of support since his arrest in Pennsylvania on murder and terrorism charges last month. Mangione is currently awaiting trial at the Metropolitan Detention Center in Brooklyn. "I am overwhelmed by — and grateful for — everyone who has written me to share their stories and express their support," Mangione wrote in a statement published on his website, which was launched by the 26-year-old's legal defense team in New York.
Health insurers process more than five billion payment claims annually, federal figures show. About 850 million are denied, according to health-policy nonprofit KFF. Less than 1% of patients appeal. Few people realize how worthwhile those labors can be: Up to three-quarters of claim appeals are granted, studies show. Patients who fight denied claims must marshal evidence from medical studies, navigate dense paperwork and spend hours on the phone during what is often one of the most difficult times of their lives.
Republican leaders on Tuesday downplayed the possibility of cuts to Medicaid benefits as they seek a reconciliation bill with up to $2 trillion in savings. Speaker Mike Johnson (R-La.) and Majority Leader Steve Scalise (R-La.) sought to reassure the public — and potential jittery members of their own caucus — that the Medicaid changes under discussion include work requirements and fraud reduction, not drastic cuts like lowering the federal match for Medicaid expansion states or instituting a per capita cap.
A bill that makes it harder for insurance companies to deny coverage for mental healthcare passed in the Colorado House on Monday. Under federal law, insurers are required to treat physical and mental health care in the same way, but state Sen. Judy Amabile, the sponsor of the bill, says that many insurers are refusing to cover mental health care based on what their definition of what's medically necessary. The Democrat from Boulder County's bill would establish a standard definition of medical necessity based on criteria developed by mental health professionals.
A free cruise turned into a financial nightmare for Mike Cameron, a Minnesota truck driver of 25 years, and his girlfriend, Tamra. The couple won a free cruise with Norwegian Cruise Line and were excited to celebrate Tamra's recent lung cancer recovery. The pair set sail for the week-long trip in early January, but shortly into the week, Cameron got sick. He said he went to the ship's medical center and was diagnosed with the flu. ... But when it came time to pay the bill, Cameron was shocked to learn that the total cost of his care was more than $47,000.