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Senators Michael Bennet and Roger Marshall introduced the No Surprises Act Enforcement Act to enforce protections against surprise medical bills by increasing penalties, ensuring fair payment dispute resolution, and improving transparency.
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Anthem denied coverage for a $60,000 life-saving air ambulance for a 5-year-old, exposing a broader issue of insurers rejecting critical medical transport claims.
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UnitedHealth uses algorithms to limit mental health coverage, exploiting regulatory gaps despite legal challenges, risking care for vulnerable patients
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Health insurers use RFI requests to delay payments, straining providers with $6 billion in delayed claims in early 2024, despite most being eventually paid.
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Congress's bipartisan healthcare package strengthens access to care with telehealth extensions, delayed Medicaid DSH cuts, physician pay increases, and PBM reforms but faces criticism for excluding prior authorization reforms.
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Health insurers frequently deny claims—often without clear reasons—leaving patients with unexpected bills and burdensome appeals processes that disproportionately affect low-income and minority groups, further eroding trust and access to care.
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