Fraud and Waste

Medicare Advantage Plans Often Deny Needed Care, Federal Report Finds

By Reed Abelson April 28, 2022 Investigators urged increased oversight of the program, saying that insurers deny tens of thousands of authorization requests annually. Retired municipal workers at City Hall Park in Manhattan protested in February against being switched to a Medicare Advantage plan.Credit…Lev Radin/Pacific Press/ZUMA Press Wire, via Alamy Every year, tens of thousands …

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Single-payer plan is great idea; can California pull it off?

by Michael Hiltzick California, which has shown the determination to go it alone in areas such as environmental protection, scientific research and workers’ rights when its values conflict with policies at the federal level, is moving forward with its most audacious effort yet. That’s a plan to create a universal single-payer healthcare system. Called CalCare, …

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Assembly Health Committee on AB1400 Single-Payer Calcare Passes.

This is the Assembly Health Committee with debate about AB1400 with Ash Kalra presenting the Bill and Ady Barken chiming in about Single-Payer Healthcare. The public comment sections is really interesting and loaded with arguments for and against AB1400. Also an outstanding part is with Assembly woman Aguilar. I learned so much from this and …

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California’s Separate and Unequal Healthcare System and How Sacramento May Only Be Making It Worse.

Article by Paul Y. Song, MD Over the past two years, there have been countless tragic stories about the separate and unequal nature of Medi-Cal (California’s Medicaid system). These reports have highlighted numerous disadvantages, overall difficulties, financial hardships, and outrageous delays that far too many Californians and especially those from communites of color face. From …

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Shining a light on murky hospital markups

By: DAVID LAZARUS Ridiculous, seemingly arbitrary price markups are a defining characteristic of the $4-trillion U.S. healthcare system — and a key reason Americans pay more for treatment than anyone else in the world. But to see price hikes of as much as 675% being imposed in real time, automatically, by a hospital’s computer system …

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She was billed $809 for a boot for her broken foot. Amazon charges $80

BY DAVID LAZARUSBUSINESS COLUMNIST NOV. 16, 2021 6 AM PT Stephanie Noonan Drachkovitch recently broke her foot while horseback riding. She got treated at a UCLA-affiliated orthopedic facility in Thousand Oaks and has no complaints about the quality of care. “My doctors were fantastic,” Drachkovitch told me. “This isn’t about them.” What this is about, …

She was billed $809 for a boot for her broken foot. Amazon charges $80 Read More »