�
Health Net has in agreement to pay $26 million in restitution and interest and $15 million in fines and other charges to settle allegations that it underpaid out-of-network claims for 88,000 New Jersey members between 1996 and 2005, the New Jersey Department of Banking and Insurance announced Tuesday, the Bergen Record reports. The $26 million payment is in addition to the more than than $800,000 that the insurance company agreed to pay in 2002 to more than 4,700 state customers for similar underpayments.
As part of the settlement, Health Net volition pay the affected members $14 million in add up underpaid claims, with an additional $12 million in interest, for out-of network medical services from 1996 through 2005 and dental, mental health and chiropractic services from 1999 through 2006. The settlement also includes $13 million in state fines and charges (Newman, Bergen Record, 8/27). In addition, the penalties include $2 million to cover the cost of the state's 21-month investigation (Bloomberg/Philadelphia Inquirer, 8/27). The reimbursement and penalties concord is the largest e'er administered by the department, department spokesperson Paul Penna said.
Alice Ferreira, a spokesperson for Health Net, said, "There were out-of-network claims that were not paid accurately," adding that the company has modified its reimbursement calculation system. Ferreira aforementioned that more than 55,000 reimbursement checks ranging from "a few dollars to several thousand dollars" already own been mail-clad out in the utmost two months and that most of the 88,000 members affected bear been contacted (Bergen Record, 8/27).
Reprinted with genial permission from http://www.kaisernetwork.org. You pot view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at http://www.kaisernetwork.
Saturday 30 August 2008
Sunday 10 August 2008
Tuesday 1 July 2008
Concrete Blonde - Johnette Napolitano
Artist: Concrete Blonde - Johnette Napolitano
Genre(s):
Rock
Discography:
Pretty and Twisted
Year: 1995
Tracks: 13
Michael Jackson voted worlds worst dad
Wednesday 18 June 2008
SAG Members Divided Over Strike Talks
Screen Actors Guild President Alan Rosenberg has expressed frustration over dissension within his union over bargaining strategy with the Alliance of Motion Picture and Television Producers. In an interview with Broadcasting & Cable, Rosenberg said that he wished the members of his union stood behind their negotiators the way the members of the Writers Guild of America did theirs. The WGA, he said, "didn't get the kind of resistance from their members that we get from ours." The dissension, he indicated, is the reason that the union leadership has not called for a strike authorization vote -- despite the fact that the current contract with the AMPTP expires in two weeks. Asked when he might decided to ask SAG members to authorize a strike, Rosenberg replied, "I really don't know. ... It depends on our assessment of whether we can get it or not. I think we'd get it." In fact, the AMPTP noted Friday that if a contract is not locked in by June 30, the current "de facto strike" will simply be extended with TV and movie producers delaying production on new films and television shows until an agreement is reached.
See Also
See Also
Monday 9 June 2008
Dunst depressed or chemically dependant?
An insider has revealed that Cirque Lodge doesn�t treat patients suffering from depression alone, casting doubts on actress Kirsten Dunst having claimed she went there to seek treatment for the condition, starmagazine.com reports.
Dunst had also denied she was being treated for a drug or alcohol problem.
�I went there for depression ... I was struggling, and I had the opportunity to go somewhere and take care of myself,� Dunst said.
According to the insider, however, patients at the Sundance, Utah, facility, must have some kind of chemical dependency.
�They would refer you somewhere else if it�s just depression,� the insider explained.
See Also
Tuesday 3 June 2008
Shamall
Artist: Shamall
Genre(s):
New Age
Discography:
Who Do They Think They Are
Year: 2004
Tracks: 31
The Book: Genesis
Year: 2001
Tracks: 25
Influences
Year: 1999
Tracks: 27
This Island Earth
Year: 1997
Tracks: 8
In Search Of Precision
Year: 1994
Tracks: 11
Mirror To Eternity
Year: 1993
Tracks: 9
Moments Of Illusion
Year: 1990
Tracks: 9
Journey To A Nightmare
Year: 1989
Tracks: 7
Control - 6/3/2008
Wednesday 28 May 2008
LiveDaily News Break, May 21: Janet Jackson, Toby Keith, Amos Lee and more
Today's edition features news and tour information about Janet Jackson [ tickets ], Toby Keith [ tickets ], Amos Lee [ tickets ], Brian Wilson [ tickets ], and Dr. Dog [ tickets ].* * *Janet Jackson is planning to mount her first tour in seven years to support her latest hit album, "Discipline.� The superstar will launch her "Rock With U" world tour in September, starting with a North American run that kicks off in Vancouver with stops planned so far in New York and Washington, DC. * * *Toby Keith continues to expand his "Biggest & Baddest Tour" ahead of next month's launch. The trek, which is set to kick off June 19 in Birmingham, AL, now spans more than 30 dates across the US through mid-June. Since last check, three more shows have been added in California and two were tacked on in Washington. * * *Singer/songwriter Amos Lee will head out on the road in July to support his forthcoming third album, "Last Days at the Lodge," which is due in stores next month. The Philadelphia native will kick off the outing July 8 in Kitchener, Ontario. The extensive tour stretches into late August and will hit more than 30 cities.* * *Brian Wilson kicks into touring mode this summer with a round of dates supporting his forthcoming album, �That Lucky Old Sun.� The perpetual Beach Boy's outing, which kicks off July 8 in Niagara Falls, Ontario, is highlighted by a three-night engagement at the Hollywood Bowl in Los Angeles following the album's Sept. 2 release. * * * Indie-rockers Dr. Dog have mapped out a huge tour schedule for the next few months behind their forthcoming album, "Fate." The group will kick off the push behind the new disc July 18 in Pittsburgh with a few appearances slotted before the start of the headlining tour, including a May 28 show in their hometown of Philadelphia.
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