Congress to probe LTC insurance practices

Share this article:

A House committee has started to investigate long-term care insurance policy sellers as a result of their high number of denials for nursing home claims.

The House Energy and Commerce Committee is focusing on Conseco Inc. and Penn Treaty American Corp. Committee members sent letters to the CEOs of the companies requesting documents, including complaints, grievances, and appeals/reconsideration requests from long-term care policyholders.

Committee leaders said they would look into allegations of unfair and deceptive business practices by LTC insurers. The probe also will spotlight the impact of improper claims denials on the Medicare and Medicaid programs. Penn Treaty said it would cooperate with the investigation.

See the letters to the companies at http://energycommerce.house.gov/Press_110/Conseco.052307.Prieur.ltr.Long%20Term%20Care.pdf and http://energycommerce.house.gov/Press_110/Penn%20Treaty.052307.Hunt.ltr.Long%20Term%20Care.pdf.
Share this article:

More in News

Medicare rates could be adjusted for start and end of hospice care ...

Medicare payments could be adjusted to reflect how hospice services tend to be more intensive at the beginning and end, according to findings recently published by the Centers for Medicare & Medicaid Services Office of Information Products & Data Analytics.

Nursing home resident dies after allegedly being smothered by son

A terminally ill nursing home resident in Ohio has died after his son is alleged to have smothered him, according to police.

Medicare should pay for skilled nursing services without a qualifying hospital stay, experts tell Senators

Medicare should pay for skilled nursing services without ...

The time has come to eliminate hospital stay requirements for beneficiaries to qualify for Medicare coverage of skilled nursing services, experts told a Senate committee Wednesday.