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. […]
Although mental health parity claims have been proliferating in federal courts for more than a decade, it wasn’t until last year that a federal appeals court laid out pleading standards for mental health parity cases.[1] Another appellate decision has now joined the chorus. In Ryan S. v. UnitedHealth Group Inc.,[2] the U.S. Court of Appeals […]
Disabilities occur as the result of an accident or illness. When trauma results in disability, the date of disability can usually be related to the date when the employee suffered an accidental injury. Disability due to illness, especially chronic illness, is more complicated, though. Most employees struggle to remain employed for as long as they […]
This year has seen a veritable explosion of court rulings relating to insurance coverage for mental health claims. Nor are the courts finished with their work this year. […]
More than 15 years have passed since the Mental Health Parity and Addiction Equity Act imposed requirements on health insurers and health benefit plans to provide equal coverage for treatment of mental health conditions and substance-use disorders. […]