加利福尼亚州提出一项法案,对经常被拒绝索赔的健康保险人处以最高达1百万加元的罚款。 California proposes a bill to fine health insurers up to $1M for frequent claim denials.

加利福尼亚州立法者正在提出一项法案,对经常拒绝索赔的健康保险人进行处罚。 California lawmakers are proposing a bill that would penalize health insurers for frequently denying claims. 该法案由参议员Scott Wiener提出,要求保险公司对驳回索赔作出详细解释,并公布驳回费率。 The bill, introduced by Senator Scott Wiener, would require insurers to provide detailed explanations for claim denials and publish denial rates. 如果半数以上的上诉被推翻,保险人可能会面临最高达100万美元的罚款。 If more than half of the appeals are overturned, insurers could face fines of up to $1 million per case. 这项建议的目的是提高透明度,确保保险人公平处理索赔,因为2023年72%的上诉导致驳回申请被推翻。 This proposal aims to increase transparency and ensure insurers process claims fairly, as 72% of appeals in 2023 resulted in overturned denials.