Lavish Bonus? Luxury Trip? Health Benefits Brokers Will Have to Disclose What They Receive From the Insurance Industry
Employers trust brokers to guide them to the best value, but conflicts of interest abound. Tucked into the coronavirus relief bill, a new federal requirement will mandate more transparency.
The bipartisan proposal comes in response to a ProPublica story that showed how a personal trainer posed as a doctor to defraud prominent health insurers.
Según Dignity Health, la enfermera de emergencias no cumplió con la fecha límite para agregar a su recién nacida prematura a su plan de salud, lo que la hacía responsable de las facturas médicas. La empresa rechazó las apelaciones de su empleada durante un año hasta que ProPublica se puso en contacto con ellos.
Dignity Health said its employee, an ER nurse, failed to meet the deadline to add her premature newborn to its health plan, so she was responsible for the medical bills. It rejected her appeals for a year until ProPublica called.
In response to a story by ProPublica and Vox that detailed how a Texas personal trainer was able to bilk private insurers for millions, six Democratic lawmakers are asking federal regulators to take action.
A ProPublica story in February documented the hidden cash and gifts health insurers pay to influence independent brokers. In new proposed legislation, lawmakers say such fees should be revealed to employers.