Should the government require everyone to have health insurance? It's a question Sens. Barack Obama and Hillary Clinton have used to mark a defining difference between them in taking on the nation's biggest domestic issue. In reality, they almost completely agree. Both Clinton and Obama reject a nationalized, single-payer health plan. They both believe, however, that insurers must accept everyone regardless of pre-existing conditions. Thought of as a right to buy insurance, or guaranteed issue, the law is something most Americans typically support, but experts say it creates unintended ... Read More
Software Helps Insurers Profit from Denials
March 21, 2008 • By • 1 Comment
For the past couple years, Martin Jensen has been sounding an alarm, shouting to doctors and hospitals about the biggest danger they probably don't know about. As an independent information technology consultant to hospitals, Jensen warns that health insurers are increasingly devising more sophisticated means of denying services either upfront or sniffing out money they believe to have "mistakenly doled out." Busting crooks is one thing, but Jensen says the computer programs used to review claims often wrongfully deny doctors for legitimate services, leaving patients in many cases to pick ... Read More
