Author: Mark Debofsky

Podcast Episode Featuring Mark DeBofsky on Insurance Claims Denials for Substance Use Treatment

In December 2023, Mark DeBofsky appeared on the Hopestream Community podcast in an episode titled, “Exposing the Hard Truths: Insurance Claims Denials for Substance Use Treatment.” This insightful discussion highlights the numerous challenges families encounter when seeking insurance coverage for substance use treatment. […]

Ignoring Request for Documents Can Be Costly for Health Insurer

Under the best of circumstances, plaintiffs face a difficult challenge when they seek to overturn health benefit claim denials. But recent developments in litigation involving health benefits — specifically benefits for mental health treatment — have sent a message to health insurers that they need to be more transparent in adjudicating claims. […]

Air Ambulance Ruling Severely Undermines No Surprises Act

Acting in response to consumer complaints about surprise medical bills, Congress enacted a law known as the No Surprises Act,[1] which went into effect on Jan. 1, 2022.[2] The law’s intent was to prevent surprise billing by requiring nonnetwork health providers to provide patients with an advanced explanation of benefits containing a good faith estimate of anticipated charges. […]