latimes.com/business/la-fi-patients19-2009oct19,0,6224762.story
latimes.com
HEALTHCARE: ROADS TO REFORM
Healthcare bills lack protections against treatment denials, experts say
Measures pending in Congress push insurers to keep down costs and
cover all regardless of health. That leaves the firms with a big
cost-containment tool: refusing requests to cover treatments.

By Lisa Girion

October 19, 2009

Despite growing frustration with the way health insurers deny medical
treatments, major healthcare bills pending in Congress would give
patients little new power to challenge those sometimes life-and-death
decisions.

"Right now, the deck is stacked against patients," said Bryan Liang,
director of the Institute of Health Law Studies at California Western
Law School in San Diego. "Healthcare reform is not going to change the
ball game."

Yet a patient's ability to fight insurers' coverage decisions could be
more important than ever because Congress, in promoting cost
containment and price competition, may actually add to the pressure on
insurers to deny requests for treatment.

By requiring insurers to cover everyone, regardless of pre-existing
conditions, healthcare reform will make it more difficult for insurers
to control their costs, or "bend the cost curve," by avoiding sick
people.

That leaves insurers with the other big cost-containment tool: turning
down requests to cover treatments.

"There are going to be a lot of denials," said insurance industry
analyst Robert Laszewski, a former health insurance executive. "I am
not setting insurance companies up to be villains. But we are telling
them to bend the cost curve. How else are they going to bend the cost
curve?"

Experts said the legislation under consideration does not
significantly enhance patient protections against insurers refusing to
cover requests for treatment. Most people currently have no right to
challenge health insurers' treatment decisions by suing them for
damages.

more at: 
http://www.latimes.com/business/la-fi-patients19-2009oct19,0,4630224,full.story

BTW, there's a great scene in Michael Moore's "Capitalism: A Love
Story" about pre-existing conditions.
-- 
Jim Devine / "Segui il tuo corso, e lascia dir le genti." (Go your own
way and let people talk.) -- Karl, paraphrasing Dante.
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