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Cigna sued (again) for allegedly using software that ‘automatically’ denies claims
The lawsuit alleges Cigna’s “procedure-to-diagnosis,” or PxDx software, reviewed and denied customer claims in batches without a medical professional reviewing those decisions.
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The Consumer Financial Protection Bureau is developing rules to bar unpaid medical bills from affecting patients’ credit scores, however, industry leaders are questioning why medical providers are being singled out in their billing.
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A newer digital health model is bridging the gap between 100% virtual programs and on-call doctors by utilizing dedicated care teams who work one-on-one with individuals on an ongoing basis via chat, phone or video.
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Is It Time To Change Your Team's Wellness Plan?
If your health & wellness plans aren’t cohesive, don’t include costly aspects of wellness like chronic conditions, or don’t feel tailored to the specific needs of your people, it’s time to consider another solution. Download this white paper to learn how to check all the right boxes and deliver value--for both your people and your bottom line.
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What Type of Employer Should Brokers and Consultants Be Introducing to TPAs?
This checklist will help you determine which of your clients will benefit most from a TPA and acts as a helpful resource for them to ensure a successful transition from a fully funded model to a self-funded plan.
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4 Business Problems Solved With Health Benefits
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