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Insurer denies out-of-network liver transplants, lawsuit filed

Published on October 8, 2009 at 6:13 AM · No Comments

A trial beginning next week targeting the nation's largest health insurer and its California subsidiary for allegedly automatically denying requests for out-of-network liver transplants will help shed light on the need for stronger health reform than is currently being considered, according to Consumer Watchdog. The group urged President Obama, White House representatives, and the national news media to follow the trial.

Download the lawsuit filed in the Los Angeles Superior Court against WellPoint and Anthem Blue Cross of California by attorneys Scott Glovsky and Jason Adams: http://www.consumerwatchdog.org/resources/lawsuit.pdf.

"This lawsuit is a perfect example of the type of health care that Americans can expect under legislation pending in the U.S. Senate that would make private health insurance compulsory for every U.S. resident," said Jerry Flanagan, Health Care Policy Director for Consumer Watchdog. "Denials of life-saving, medically necessary care, is the MO of an industry that puts profits before patients and yet another example of why Americans need a public option to the private insurance market. When the nation's largest PPO is alleged to have automatically denied liver transplants at out-of-network hospitals it is clear that Congress must require more transparency when insurance company bureaucrats override a doctor's prescription, and greater legal accountability when they deny access systematically."

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