Blue Shield of California offers an expedited appeal process for members who have a serious health concern, which they define as imminent and serious threat to health of the member. What qualifies for an expedited appeal? Severe [...]
from jdsupra.com SB 1120 (the “Bill”), which takes effect on January 1, 2025, amends existing California law to adopt guardrails around the use of artificial intelligence tools for the purpose of utilization management.[1] As discussed in a prior Proskauer [...]
From theGuardian.com: New AI tool counters health insurance denials decided by automated algorithms Class-action lawsuits allege algorithms turn down claims in seconds and critics say reform is needed for lasting change Insurance coverage denials have [...]
To: Health Services Board, Fred Sanchez, Protect Our Benefits From Lois Scott, Protect Our Benefits These discrepancies were brought to my attention by a distinguished local Doctor of Oriental Medicine and Licensed Acupuncturist, who has been [...]
To: Members of the San Francisco Board of Supervisors Date: February 10, 2025 We are Protect Our Benefits, Inc., representing 19,100 retired San Francisco City and County employees who were impacted by the transition from United [...]
Interested in helping your fellow retirees make sure their benefits are fully funded? Protect Our Benefits is looking for a few new Board members to help direct the watchdog group, and make sure the city and [...]
