insurer

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    Hospitals Focus On Forming ACOs, Resolving Insurer Disputes

    News outlets report on hospital issues, including forming accountable care organizations and disputes with insurers. Montefiore Medical Center in the Bronx "is pioneering a new model of healthcare delivery, endorsed by the architects of health reform, that promises to radically change the...
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    I hit a pedestrian with my bike. No injury. Should I tell my insurer?

    I was filtering through traffic and whilst doing 10mph a pedestrian stepped in front of me from behind a lorry. I had just time to avoid full impact but caught his elbow. He didn't sustain any injury at all, but my bike's indicator and brake lever broke. I felt with my bike. The guy wasn't...
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    I hit a pedestrian with my bike. No injury. Should I tell my insurer?

    I was filtering through traffic and whilst doing 10mph a pedestrian stepped in front of me from behind a lorry. I had just time to avoid full impact but caught his elbow. He didn't sustain any injury at all, but my bike's indicator and brake lever broke. I felt with my bike. The guy wasn't...
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    Vermont Regulator Demands $3 Million Payback From Insurer

    Burlington Free Press: "Blue Cross and Blue Shield of Vermont overpaid its former chief executive officer by $3 million over an eight-year period and has been ordered to pay the money back to its subscribers by 2012 in the form of reduced premiums, a top state regulator said Wednesday. The...
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    Lawsuit Shows Insurer Targeted HIV Patients For 'Rescission'

    A court case has revealed that the insurer Fortis, now called Assurant Health, automatically targeted customers diagnosed with HIV for fraud investigations geared toward finding reasons to revoke their coverage, Reuters reports. After a computer algorithm initiated the investigations, "their...
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    California Jury Rules Insurer Should Pay For Out-Of-State Operation; Mass. Probe Show

    The Los Angeles Times: "A Los Angeles jury concluded Monday that Anthem Blue Cross should cover the cost of an out-of-state liver transplant that a California man paid for after the insurer balked. In addition, the jury ordered Blue Cross to pay plaintiff Ephram Nehme's legal expenses, which...
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    California Jury Rules Insurer Should Pay For Out-Of-State Operation; Mass. Probe Show

    The Los Angeles Times: "A Los Angeles jury concluded Monday that Anthem Blue Cross should cover the cost of an out-of-state liver transplant that a California man paid for after the insurer balked. In addition, the jury ordered Blue Cross to pay plaintiff Ephram Nehme's legal expenses, which...
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