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Why Cyber-Liability Coverage Is Essential for Medical Review Organizations

As ransomware and other types of cyber crime grow increasingly prevalent, it is paramount that organizations in the medical review and utilization review space know how to best protect their business and client operations with adequate levels of cyber-liability insurance.

A growing area of coverage – yet one that can prove challenging to obtain or afford – cyber-liability insurance doesn’t prevent ransomware attacks and data breaches from occurring, but it provides a high level of defense against downstream risks. Most cyber-liability policies provide network security and privacy liability, limited protections against network business interruptions, media liability provisions and limited coverage of legal expenses.

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President Calls for Strengthened Mental Health Parity in Annual Address

A federal effort to confront escalating mental health issues – including a refocus on mental health coverage parity – was a central part of President Biden’s State of the Union address that he delivered to lawmakers March 2.

The United States is facing what the White House calls an “unprecedented mental health crisis.” Accelerated by the COVID-19 pandemic and the resulting worry, isolation and depression, mental health issues today impact every two out of five adults and an increasing number of children and adolescents.

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Mental Health Parity Law in Calif. Signals Shift in Review Industry

A mental health parity law that took effect in California on January 1, 2021, means that independent review organizations (IRO) and utilization review organizations (URO) can expect to work with new care guidelines when assessing coverage standards.

Senate Bill (SB) 855 is one of several pieces of legislation to appear in recent months aimed at improving mental health coverage and addressing perceived disparities in the breadth and extent of coverage. Similar laws, including Illinois House Bill 2595, require that health insurers adhere to standards of care developed by nonprofit organizations, rather than the more traditional commercial standards.

The Illinois bill, for instance, requires that “an insurer shall exclusively apply the criteria and guidelines set forth in the most recent versions of the treatment criteria developed by the nonprofit professional association for the relevant clinical specialty.”

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