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Complaints and Disputes
Complaints and Disputes in Health Insurance: the news, the names and what changed.
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National Comp 2026: What Group Health Can Learn From Comp - Risk & Insurance
2+ day, 20+ hour ago (1641+ words) Picture a patient with a torn rotator cuff and major depression. Hurt on the job, she gets a claim number, a stack of authorizations and possibly a nurse case manager focused on getting her back to work. Hurt at home,…...
Why claim denials are rising — and why most practices are fixing the wrong problem
2+ day, 22+ hour ago (655+ words) A new Kodiak report shows prior authorization and medical necessity denials accounted for nearly all of the 25% jump in revenue leakage. Here are four steps practices can take now to fix that. Twenty years ago, I was the clinician justifying…...
Grant County to pay nearly $92,000 for second straight year of excess insurance
5+ day, 21+ hour ago (133+ words) EPHRATA â Grant County will spend $91,984 on an excess insurance policy extension through the end of 2026, the second consecutive year the county has faced the late-year expense. EPHRATA â Grant County will spend $91,984 on an excess insurance policy extension…...
Workers’ comp’s pricing correction has a patient zero: California
1+ week, 1+ day ago (584+ words) California is starting to look like the patient zero of a workers’ compensation pricing correction, with rates moving higher after years of declines while much of the country remains locked in intense competition for the line. That is a markedly…...
Warren, Hawley Press Insurers Over Claims Closed Without Payment
1+ week, 2+ day ago (211+ words) (Bloomberg) -- US Senators Elizabeth Warren and Josh Hawley are questioning six insurers, including State Farm Mutual Automobile Insurance Co. and Allstate Corp., over concerns about a growing number of claims that are closed without payment to policyholders. “The growing share…...
How property insurance softness is spilling into workers’ comp competition
1+ week, 3+ day ago (499+ words) Workers’ compensation brokers are still seeing aggressive pricing as 2026 moves toward its close, even as some of the underlying economics of the line become less supportive of further reductions. One factor potentially prolonging that competition is coming from outside workers…...
Connecticut Reviews Proposed 4.9% Workers’ Comp Loss Cost Decrease for 2027 - ProgramBusiness | Where insurance industry clicks
1+ week, 6+ day ago (503+ words) Published on October 2, 2026 The Connecticut Insurance Department is reviewing a proposal to reduce workers’ compensation voluntary loss costs by an overall average of 4.9% for 2027. The National Council on Compensation Insurance submitted the filing on behalf of insurers. It also proposes…...
Insurers File Suit, Say Fungi, Bacteria, Pollution Exclusions Bar Coverage
3+ week, 2+ day ago (28+ words) Mealey's Insurers File Suit, Say Fungi, Bacteria, Pollution Exclusions Bar Coverage To view the full article, register now....
Report: Medical Service Costs in California Comp Rising With Payments, Utilization
3+ week, 3+ day ago (251+ words) Medical service costs in California workers’ compensation rose 5% last year on the back of growth in both average payments and utilization, a new report shows. The Workers’ Compensation Insurance Rating Bureau of California released its Medical Service Cost Trends report,…...