A $421 million verdict against Blue Cross exposes how insurers try to control doctors

A $421 million verdict against Blue Cross exposes how insurers try to control doctors

Reporting HighlightsShortchanged: Blue Cross Louisiana OK’d mastectomies and breast reconstructions for women with cancer but refused to pay a hospital’s full bills. For some claims, it paid nothing.Exceptions: Blue Cross denied payments for thousands of procedures involved in breast reconstruction. But it approved special deals for treatment for executives’ wives.Verdict: A jury found Blue Cross liable for fraud and awarded the hospital $421 mi…

The Club America goes through a difficult moment in the tournament. The goalless draw against Cruz Azul, in the Ciudad de los Deportes stadium, marked the fourth consecutive match without victory for the Eagles. To this follower there are three draws in Young Classics and a defeat in front of Pachuca, in a stage that begins to disturb both the fans and the surroundings of the team.The encounter on Saturday night closed a series of clashes before…

TheVoiceOfJoyce Insurers provide their own guidelines to pay claims.

“Slow Pay, Low Pay or No Pay” by T. Christian Miller ProPublica is a Pulitzer Prize-winning investigative newsroom. Sign up for The Big Story newsletter to receive stories like this one in your inbox. Insurers have too much power. They control our level of care, control patient lives and physician and hospital payments. They have become morally bankrupt. Series: Uncovered:How the Insurance Industry Denies Coverage to Patients More in this series…