medical News

Viewpoint: Are We Drowning in Forms?

Claims adjudicators rely heavily on data to make informed decisions. It’s the nature of the work: assessing a claim correctly requires a sizable amount of information, such as policy coverage details, underwriting terms, data on the claimant’s past health, reason …

FBI Official Says Foreign Hackers Have Targeted COVID-19 Research

A senior cybersecurity official with the Federal Bureau of Investigation said on Thursday that foreign government hackers have broken into companies conducting research into treatments for COVID-19, the respiratory illness caused by the coronavirus. FBI Deputy Assistant Director Tonya Ugoretz …

A Framework of Adjusting Medical Claims Involving Possible Experimental Treatment

Modern health insurance policies and ERISA plans exclude coverage for experimental medical treatments. The question of what types of treatments qualify as experimental is problematic. Adjusting a claim for medical treatment which may be experimental can be a difficult exercise. …

Study: Only 1 in 5 Medical Malpractice Cases Pay

Only 1 in 5 malpractice claims against doctors leads to a settlement or other payout, according to the most comprehensive study of these claims in two decades. But while doctors and their insurers may be winning most of these challenges, …