Recent Posts in Health Insurance Category

  • Help Protect Access to Mental Health Treatment

    || 24-Jul-2017

    Today, Monday, July 24, it appears the US Senate plans to vote on one of two bills to repeal the Affordable Care Act (ACA) as early as tomorrow, Tuesday, July 25. The American Foundation for Suicide Prevention (AFSP) urges you to contact your US Senators to ask them to vote no on either health care reform option because – •Either option will mean fewer Americans with mental illness will ...
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  • Kantor & Kantor is happy to announce that it has won an important victory in New Jersey on behalf of a woman with bulimia nervosa. The woman, whose name is being kept anonymous to protect her privacy, began experiencing symptoms of her eating disorder when she was only eight years old. The eating disorder was left untreated for ten years. Over a two year period the woman cycled in and out of ...
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  • Written by Craig Kramer, Lisa Kantor, & Brian Flegg January 2017 The second annual U.S. leadership summit on eating disorders was held January 12-13, 2017, at the headquarters of Google's life science division, Verily, in South San Francisco, California. The summit is a meeting of top leaders from the U.S. eating disorder community with the goal of finding ways to unite forces in order to ...
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  • Why Insurance Companies Should Know About the Minnesota Starvation Study

    || 12-Jan-2017

    The Minnesota Starvation Study, conducted over 70 years ago, provides us with enlightening and important information about the power of starvation on the human body. While the findings of this study are not news to most of us in this field, it is an immediate reminder as to why weight restoration on its own is not the answer. It is a reminder of both the physical and emotional influences that ...
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  • Having Trouble Finding an Eating Disorder Therapist Who Takes Insurance? Here's Why

    || 15-Dec-2016

    Guest Post by Lauren Muhlheim, Psy.D., CEDS, and Alli Spotts-De Lazzer, LMFT, LPCC, CEDS In our previous article, " Consumer Beware: What You Should Know About In-Network Insurance Provider Lists," we described how parent advocate, James Cameron, had difficulty finding qualified eating disorder trained providers among the list of "eating disorder therapists" provided by his ...
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  • And remember – we call it the good fight not because it is the easy fight but because it is the right fight. - Cleo Wade Yesterday something big happened. Something huge. It's called The 21st Century Cures Act and it has been termed the most significant piece of mental health legislation since 2008. This bill, the first of its kind to be passed in both the House and the Senate, was a ...
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  • The tide is turning on coverage for nutritional counseling for eating disorder patients. Many eating disorder patients are wrongfully denied coverage for nutritional counseling despite evidence that such treatment is an effective component for the treatment of eating disorders. On August 22, 2016, New York Attorney General Eric T. Schneiderman announced a settlement with HealthNow, New York, Inc., ...
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  • On July 6, 2016, the U.S. House of Representatives took a huge step forward to improve the lives of Americans living with mental illness. The House passed H.R.2646, the "Helping Families in Mental Health Crisis Act," sponsored by Reps. Tim Murphy (R-Pa.) and Eddie Bernice Johnson (D-TX) with votes tallying an overwhelming 422 to 2. Although originally intended to inspire a massive ...
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  • In March 2016, the President signed a Presidential Memorandum creating a Mental Health and Substance Use Disorder Parity Task Force. The goal of the Task Force is to ensure that Americans receive the coverage and treatment that they need. In the eating disorder world, we simply cannot afford to sit around waiting for equality. Hoping for parity. Praying for access to life-saving treatment. Despite ...
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  • Kantor & Kantor Prevails on Behalf of Bulimia Patient

    || 16-Jun-2016

    Kantor & Kantor is happy to announce that it has won an important victory on behalf of a young woman with bulimia nervosa. The woman, whose name has been kept anonymous by the court due to her young age, entered residential treatment for her bulimia in 2012. She submitted a claim for benefits to her insurance company, Anthem Blue Cross and Blue Shield. Anthem paid for the first twenty days of ...
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  • Hello, My Name Is Depression

    || 19-May-2016

    Orignally written for the Huffington Post The National Alliance on Mental Illness ( NAMI ) has devoted the month of May as a time to promote awareness and education around mental health. Each year, the goal is to fight stigma, create stronger support systems, and advocate for equal mental health care. Every year, we need this month of commitment to mental health. We need it because there are ...
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  • An NBC news investigation has found that health plans improperly denied coverage of mental health services in 48 percent of all cases. The California Department of Managed Health Care ("DMHC") conducts independent medical reviews of insurance health claims denied based on lack of medical necessity. The DMHC reviews have resulted in overturning more mental health denials than any other ...
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  • May Is Mental Health Awareness Month

    || 21-Apr-2016

    Mental Health Awareness Month has been observed in May in the United States since 1949 by Presidential proclamation. Each year millions of Americans face the reality of living with a mental condition. According to the National Institute for Mental Health, an estimated 26.2 percent of Americans ages 18 and older—about one in four adults—suffer from a diagnosable mental illness in any ...
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  • Consumer Beware: What you should know about in-network insurance provider lists

    || 10-Mar-2016

    Lauren Muhlheim, Psy.D., CEDS and Alli Spotts-De Lazzer, LMFT, LPCC, CEDS This guest post was written for Kantor & Kantor as the first of a series examining insurance and outpatient treatment providers. Check back soon for more. If you found out that that your in-network oncologist checked a box that he/she treats cancer, and the insurance company required no further verification of this ...
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  • US Representative Joe Kennedy III recently introduced an important bill, a bill that would force transparency guidelines upon insurance companies, a bill that would require insurance companies to disclose to federal regulators how often they deny mental health or substance abuse claims - as well as cite specific reasons for their denials, a bill that will finally provide confused and frustrated ...
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  • 10 Things You Might Not Know About Eating Disorder Legal Assistance

    || 21-Jan-2016

    1. Did you know that we work on contingency? We are here to help you and relieve stress, not cause you more stress or financial worry as you work to recover. For this reason, we work on a contingency-fee basis. So, what does that really mean? It means that you do not pay us a fee unless we win your case and get your claim paid. It's simple: you win, we get paid. 2. Did you know that we write ...
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  • Why We Need the Mental Health & Autism Insurance Project

    || 17-Dec-2015

    You may have heard about - or directly experienced - an insurance denial for some type of medical care (i.e. you need a medical treatment or service, and your insurance company thinks otherwise). You may have even experienced an outright lack of coverage for specific medical needs (i.e. you need a medical treatment or service, and your insurance company simply doesn't cover it). These things ...
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  • We Will Not Go On In Silent Desperation Anymore

    || 8-Oct-2015

    My father went on in silent desperation for much of his life. After breaking free from a lifetime of being held hostage to the Kennedy "family code," former Congressman Patrick J. Kennedy reveals the devastating realities of living a life of conspiracy and silence, of living quietly in the center of a family disease; of being infected by the pathology of silence. In his honest and ...
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  • CALL TO ACTION: We need your help!

    || 3-Sep-2015

    Dear Friends, I am writing to encourage you to support California Bill AB 17x2. The intent of this Bill is to stop the practice of regulator shopping by health plans, specifically Blue Cross and Blue Shield, and ensure that the cost of medically necessary treatment to California patients struggling to cope with mental illnesses will be covered by their health plans. I have attached a letter which ...
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  • The Growing Debate Over Orthorexia

    || 30-Jul-2015

    In 1997, Dr. Steven Bratman coined the term orthorexia to help his patients realize that instead of being healthy, their eating habits were disordered. Then in 2004, Dr. Bratman expanded his theory of orthorexia in his book, Health Food Junkies. The only problem is that unlike anorexia nervosa and bulimia nervosa, orthorexia nervosa is not an official disorder. Orthorexia nervosa, as originally ...
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  • What You Should Know Before You Call Your Insurance Company

    || 9-Jul-2015

    Let's face it; calling your insurance company about a health related claim is probably NOT on your list of things you want to try. In fact, calling your health-insurance provider is right up on the Most Dreaded List with getting a colonoscopy. So, what can you do to make this process a little less painful? Prevention Magazine reveals a few secrets that might help you master the unpleasant task ...
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  • Decoding the Language of Insurance Denials

    || 18-Jun-2015

    Making sense of your insurance denial can be very tedious, overwhelming, and stressful — and even more so when you do not understand the "language." Sifting through confusing legalese (and what seems to be bizarre and unreasonable logic from insurance companies) can make advocating for your health feel unmanageable. Not only are you fighting for your health and wellbeing, but you ...
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  • There are countless barriers and obstacles to beginning and completing an eating disorder recovery journey. For some, the recovery process can be a constant and unfinished work. A continuous motion. A conscious effort. Our friend and colleague Shannon Cutts spoke on this concept beautifully, “If we want to win the war against Ed, we need to know two things: 1) we are in a war, and 2) we can ...
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  • 1. They utilize internal guidelines. Many insurances companies will make decisions based upon their own internal guidelines. They will deny or approve claims for eating disorder treatment, or deny a specific level of treatment, without providing transparency for how these decisions are being made. For a clear and simple description of what insurers should be using ( American Psychiatric ...
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  • On May 13, 2015, the Missouri State House of Representatives passed Senate Bill 145 (SB 145) requiring insurance companies to provide proper diagnosis and treatment for eating disorders. After seven years of much effort, dedication, and advocacy, the legislation finally passed and remains in the hands of Governor Jay Nixon for approval. The new legislation would require insurance companies to make ...
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