Denis Recendez

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

Proportion of Black physicians in U.S.  has changed little in 120 years, UCLA research finds Enrique Rivero | April 19, 2021 A new UCLA study finds that the proportion of physicians who are Black in the U.S.  has increased by only 4 percentage points over the past 120 years, and that the share of doctors who

The Problem With Trauma Culture The focus on all forms of trauma except economic exploitation has helped to disguise the problem at the heart of neoliberalism. Ibrahim Rayintakath for Noema Magazine ESSAYFUTURE OF CAPITALISM BY CATHERINE LIUFEBRUARY 16, 2023 As a species, human beings have always been vulnerable to the shock of an unforeseen violation

Groundbreaking study shows babies of rich Black women die at higher rates than those of poor white women The “landmark” study is noteworthy since it is the first to demonstrate how Black families, regardless of their financial condition, are disproportionately impacted by the dangers of childbirth. TheGrio Staff Feb 14, 2023 A groundbreaking new analysis

Employer-based health insurance was a failure during the pandemic. Here’s how single-payer healthcare could do better. Paul Constant Feb 5, 2022, 8:15 AM …and with roughly 30 million Americans uninsured, two-thirds of all family bankruptcies in America citing medical expenses as the primary reason for their financial ruin, and one in seven Americans reporting that they’d avoid seeking medical