They will not pursue an appeal that they’re entitled to. In this case, Nataline Sarkisyan's family did. Cigna still said no. So the company became a, the family became a very squeaky wheel and it became a huge PR nightmare for Cigna and the company eventually relented. Nataline Mary Sarkisyan…
What Every Provider and Innovator Must Know Going into 2025: The health insurance industry is facing a perfect storm characterized by rising healthcare costs, increased patient demand, and intense scrutiny from lawmakers. As we move into 2025, the challenges confronting Medicare Advantage plans, once considered the crown jewel of insurer…
At one point, the mother of three took to TikTok with her guitar, hoping someone might be able to help them. "Surgery was only $42,000. They put a price tag on my husband's life and they decided he wasn't worth $42 grand".
Discover how a major healthcare cartel, including MultiPlan and top insurers, faces allegations of "mafia-like" practices in suppressing out-of-network reimbursements. This episode of the VBCA Podcast explores the antitrust lawsuit, its impact on providers and patients, and the call for transparency
For instance, transportation, access at home. So if you have, you know, if you have a, if you have a step, a lip in order to get into your home with no ramp, well, you might be fought. And there was a patient with this story. She would hurl herself…
And that fee itself was $15,666, even though the baby wasn't actually treated for trauma because there was no trauma. He napped, had a bottle of formula, and was fine. Can you believe that? The incident involves a South Korean family whose 8-month-old son, Park Jeong Whan, fell off a…
She just found out. She just. She's 68 years old and she just found out about the wonderful world of Humana. I'm not going to do the little plug, but for her it works. But she wanted to lose some weight. She's carrying some extra pounds. But she found out…
What's important for you to know is lines of business. These are the flow of funds. So for you to know, okay, if I'm going to place my business in one, if you're going to position your business, you really have to know where in the spectrum are you going…
Life saving treatment apparently not necessary. Deidre O'Reilly's son had a life threatening allergic reaction and was rushed to the emergency room. Doctors saved him with epinephrine and steroids, but the family's insurance company denied the claim. Wait, but it was an emergency treatment and they denied the claim. How…
Imagine being on a family vacation only to face an $18,000 hospital bill for what seemed like a harmless check-up! In this shocking healthcare billing story, we dive into how a routine visit for a baby’s safety turned into a financial nightmare. Discover the challenges families face with unexpected hospital…
In this episode of VBCA Podcast, the host discusses the challenges faced by healthcare startups, particularly those focusing on value-based care. Key points include the necessity of building a solid patient base, leveraging community partnerships, and balancing patient volume with quality care. The episode also introduces a new segment, 'Tough…
At Health 2.0 2022 — this session looks at how digital health has the potential to revolutionize in-home care and improve the quality of life of the nation's senior population. Alex Yarijanian. Founder and CEO of Carenodes, speaks on the topic of digital care at home, the new frontier in…
Everyone should be able to walk out of this session feeling empowered by having learned the basic flow of funds (starting at the payer). About this Event Healthcare flow of funds explained. Managed Care 101 for healthcare entrepreneurs seeking to do business in the California market. Session led by Alex…
Join Carenodes for a one-hour virtual Provider Guidance Session on Thursday, August 13 at 2pm (PST) where Chris Esguerra, MD and Alex Yarijanian address mental health parity and what providers can do to hold health plans accountable. Chris Esguerra MD and Alex Yarijanian provide tools/tips/resources behavioral healthcare providers and startups…
Dr. Godwin Orkeh and Alex Yarijanian discuss Covid-19 and the discrepancies in access to mental health care among minority groups, including the disenfranchised, uninsured, and underinsured. Dr. Orkeh also sheds light on the difference between equity vs. equality, the providers' index of suspicion, health-seeking behavior among men, and the stigma…
Healthcare flow of funds explained. Managed Care 101 for healthcare entrepreneurs seeking to do business in the California market. Session led by Alex Yarijanian, CEO Carenodes. Agenda distributed: "Everyone should be able to walk out of this session feeling empowered by having learned basic flow of funds (starting at the…