Why is private sector health insurance MODA pushing some of the costs of a disabled kid to taxpayers?

HAPPY VALLEY, Ore. — An insurance company (MODA) paid for a disabled kid’s nursing care in Happy Valley until it realized Medicaid – essentially taxpayers – covers that type of care and could pick up the tab. Then, the insurance stopped. That tab to taxpayers now totals $117,000. Why is private sector health insurance MODA pushing some of the costs of a disabled kid to taxpayers?
Eleven-year-old Javad Mashinchi has had a muscular disorder since birth. He eats through a tube and needs help from a nurse to get ready for school. His family needs that help because both parents work full-time. The Mashinchis are double insured in health coverage, so they cover Javad’s healthcare under mom Shannon’s plan. She’s a middle school math teacher.
The insurance provider, ODS, now known as Moda Health, decided a year and a half ago that it wasn’t going to cover Javad’s nurse anymore. Moda Health officials said they wanted Medicaid, through the Oregon Health Plan, to start footing the bill. When KATU investigators first intervened last year, Moda Health relented and said the care could continue. But it only lasted six more months – until the company decided again to cancel it.”What burned me is when they renamed the Rose Garden,” Shannon Mashinchi said.”You can’t cover my nursing benefits for the year, but you can spend $40 million to have your name on the outside of the Rose Garden?
www.katu.com/news/investigators/Insurance-stops-fo….html

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