Recent Posts in Parity Category

  • On October 5, 2017, Kantor & Kantor, LLP joined over 100 advocates on Capitol Hill for The Eating Disorders Coalition for Research, Policy & Action’s (EDC) Advocacy Day. Advocacy Day kicked off with welcome-speeches given by long-time EDC champion, Senator Amy Klobuchar (D-MN) and Kitty Westin, one of the founding members of the EDC who lost her daughter Anna Westin to anorexia in ...
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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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  • 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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  • Why Are We Still Making A Mockery Of Mental Illness?

    || 13-Oct-2016

    Originally written for The Huffington Post With the emergence of fall comes the promise of Halloween and all things pumpkin spice, festive, and spooky. It’s no surprise that the people behind the scenes of Knott’s Berry Farm carefully curated a new attraction to cater to this season; an attraction to entertain a crowd of consumers who enjoy being spooked. An attraction that, in its ...
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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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  • 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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  • Why We Need Anna's Law

    || 21-May-2015

    It is excruciatingly painful to remember how much she suffered and how helpless we felt when we were fighting for her life at the same time we were fighting her insurance company. The pain of having a child die does not go away. It does become bearable over time and I have found a way to live without Anna much like people find a way to live without a limb. ~Kitty Westin No parent should ever have ...
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  • Founding Partner Lisa S. Kantor has been nominated for the 2015 "Women in Business" award by the San Fernando Valley Business Journal. The 14 th Annual Women in Business Award identifies and spotlights the very best women in business in the San Fernando Valley region. It is a great honor for Kantor to be recognized by the SFVBJ, as well as the community, for her tireless dedication and ...
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  • Who Denied Your Insurance Claim?

    || 16-Mar-2015

    It is your right to know who denied your insurance claim. Unfortunately, insurance companies often do not explain who is making the decision to your claim. For example, Anthem Blue Cross of California's denial letters reference a "medical reviewer" although the letter is signed by an Anthem Medical Director. It can be unclear whether it was the medical reviewer or the Anthem Medical ...
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  • Just Eat

    || 24-Feb-2015

    Lisa Kantor of Kantor & Kantor will soon be featured in "Just Eat," a movie produced and directed by Laura Dyan Kezman which explores the deadly world of eating disorders. Just Eat examines the havoc that eating disorders wreak on the millions of lives of Americans and their families each year. It offers an in depth interview with Lisa Kantor who shares her expertise and experience ...
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