Denis Recendez

How Medicare Advantage Could Kill Medicare By Ady Barkan MAY 17, 2023   Today, Senator Bernie Sanders, Representative Pramila Jayapal, and Representative Debbie Dingell introduced the Medicare for All Act in the Senate and House. They are part of a long tradition.   For nearly a century, elected officials, pushed by progressive reformers, have tried

We Don’t Just Need Medicare for All — We Need a National Health System May 2, 2023 An Interview With Steffie Woolhandler David U. Himmelstein      Physicians for a National Health Program (PNHP) emerged thirty-five years ago amid the austerity cuts of the Reagan administration, which threatened to hollow out critical social safety-net programs

Is California giving reparations for slavery? (CA slavery reparations task force recommends among other policies for restitution for and non-repetition of harms of chattel slavery of African Americans: “Adopt universal single-payer healthcare coverage and a healthcare cost control system.”) By Taryn Luna (Staff Writer) MAY 6, 2023 7:37 PM PT Amos C. Brown Jr., vice

Health Insurers Get Government Cash, Then Jack Up Prices Oct 11, 2022 by David Sirota Despite the Affordable Care Act’s promises, publicly subsidized insurers are jacking up prices while Americans lose coverage. Health Insurers Get Government Cash, Then Jack Up Prices (AP Photo/Richard Drew)   Back in 2010, Democrats sold the Affordable Care Act (ACA)

Humana to Exit Employer Insurance Business to Focus on Government Plans February 23, 2023 by Sriparna Roy Editing by Savio D’Souza and Sriraj Kalluvila   Feb 23 (Reuters) – Humana Inc (HUM.N) will exit the employer-based insurance business over the next 18 to 24 months, it said on Thursday, to focus primarily on government-backed programs

Medicare Advantage Enrollees face Higher Likelihood of Hospital Care Denials February 21, 2023 by Diane Archer   Paige Minemyer reports for Fierce Healthcare that hospitals treating Medicare Advantage enrollees faced a higher likelihood of claim denials last year than the year before. Medicare Advantage plans, administered by private health insurers, use tools that limit coverage

Medicare Advantage Plans Denied Two Million Prior Authorization Requests in 2021 February 8, 2023 by Diane Archer   Imagine that you were given a wad of cash to deliver a service when necessary. And, it was in your discretion to determine when the service was necessary. That’s effectively the way Medicare Advantage works, with the

Life and Dollars: A Health Care Insider’s Account of how Prior Authorization Really Works By: Wendell Potter (Substack) February 7, 2023   Prior authorization started out as a means by the “payers” of health care goods and services to provide patients the assurance that what their doctors order is medically necessary and appropriate. A strong

Opinion: How has American healthcare gone so wrong? It shouldn’t be so hard to get the right treatments to the people who need them. But money gets in the way. (Elise Amendola / Associated Press) By Daniel J. Stone March 4, 2023 3 AM PT   We all have bad weeks. Mine recently made me