During this pandemic, Health Insurance companies are making record profits while at the same time increasing our premiums and denying our claims. Here's how they did it: Delayed or Deferred Care When The pandemic lockdowns began, suddenly millions of people were staying home, avoiding or delaying their medical treatment. As we all know, this lasted for MONTHS, so while we all kept paying our monthly premiums, insurers simply didn’t need to pay out as much as they normally would, leading … [Read more...] about Pandemic Denials: State Of Denial
Community Health News
Insurance Companies Are Fighting to Keep Texas in a State of Denial.
Pre-authorization denials and delay tactics for necessary medical procedures has become another major profit center for health insurance companies. In fact, Texas health plans have systematically eroded the process of physician-recommended authorization. They regularly delay claims by using intentionally complicated administrative processes — requiring a lengthy review of your physician’s recommendations. And now, they are trying to oppose a bill that would prevent insurance … [Read more...] about Insurance Companies Are Fighting to Keep Texas in a State of Denial.
Caught Blue-Handed
Blue Cross Blue Shield of Texas Fined Millions For Denying & Deceiving Patients about Legitimate Emergency Care. by Kevin Herrington We’ve all been there. You pick-up your mail and see that there’s a statement from your health insurance company. Instantly, you feel a sense of dread. You had an emergency recently and you made the correct choice to find the nearest ER. You find out later that the facility or a physician wasn’t “in-network” with your plan. You’ve heard horror stories of … [Read more...] about Caught Blue-Handed
National Nurses Month 2021
2020 was designated by the World Health Organization as the Year of The Nurse, which coincided with one of the biggest epidemics humankind has ever experienced, the coronavirus pandemic. Our health and the strength of the nation's over 4 million registered nurses give us comfort and every year in May, we celebrate their unique place in America's health care system. While most nurses work in an acute-care system like hospitals, rehabs, treatment centers, and emergency rooms, their … [Read more...] about National Nurses Month 2021
Protect The Prudent Layperson Standard
What good is insurance if you can be denied when you seek emergency care? When you think you are having a medical emergency, you should never question your instincts. Based on your symptoms, if you, as a prudent layperson, feel it is necessary to visit an emergency room, your care should be covered by your health insurance plan. This concept is known as the Prudent Layperson Standard, and legally, health insurers are obligated to cover your care at any licensed emergency medical … [Read more...] about Protect The Prudent Layperson Standard
Inclusive Medicine: Treating the Whole Person
Medicine and healthcare means different things to different people. It’s as diverse as the people who come seeking professional diagnosis and treatment. Think about all those countless times individuals enter clinics and hospitals - they are more than just a medical history. These are people from different races, cultures, ages, sexual orientations, religions, social-economic backgrounds, etc. – a true melting pot of humanity. The expectation is on every medical professional is to understand … [Read more...] about Inclusive Medicine: Treating the Whole Person
State Representative Files Bill To Expand Health Care Options To Texans
(Austin, TX) - State Representative James White has filed House Bill (HB) 472 which seeks to expand health care options for Texans by allowing Freestanding Emergency Centers (FECs) to offer outpatient acute care services in addition to emergency medical services. “Texas must utilize every health care resource available as citizens throughout the state face hospital overcrowding and, in some parts, rationing of care,” said Representative White. HB 472 would expand FEC licensure to include … [Read more...] about State Representative Files Bill To Expand Health Care Options To Texans
HOW SERIOUS IS THIS HEADACHE PAIN?
HOW SERIOUS IS THIS HEADACHE PAIN? Headaches. They’ve been described as throbbing, blinding, pounding, and vise-like. They can disrupt your life for hours, days or even weeks. The World Health Organization estimates that almost half of all adults worldwide experience headache at least once a year. Headaches strike with varying degrees of severity, with the worst episodes causing painful, debilitating symptoms that impact the sufferer’s ability to function at home, work or … [Read more...] about HOW SERIOUS IS THIS HEADACHE PAIN?
September is Baby Safety Month
This year Elite Care and the Houston Police Department partnered to educate parents and caregivers on the importance of car seat safety by providing how-to videos on proper car seat installation. Our goal is to ensure that your babies are traveling as safe as possible in their car seats. We have provided videos in both English and in Spanish. Click below to learn the proper car seat installation. Child Safety Seats (English) Child Safety Seats (Spanish) … [Read more...] about September is Baby Safety Month
