“Long-standing tension between the state, which oversees Medi-Cal, and county officials who do the nitty-gritty work of determining eligibility and enrolling those who qualify doesn’t help. And, sometimes, people applying for coverage unwittingly answer questions in a way that causes eligibility officers to switch […]
“California’s five-year initiative, known as CalAIM, will test whether Democratic Gov. Gavin Newsom can slow public spending on Medi-Cal, the state’s Medicaid program for people with low incomes, which skyrocketed to $124 billion this fiscal year, up nearly threefold from a decade ago. Medi-Cal managed-care […]
Breaking News in Healthcare Reform “…the AMA questions whether the health insurance industry can be relied upon to voluntarily expedite comprehensive reform to the cumbersome prior authorization process that delays and disrupts patient-centric care.” AMA Says Health Insurance Industry Failing on Prior Auth […]
“Private equity, known for making a profit on quick-turnaround investments in struggling businesses across many industries, has taken an increasingly active interest in health care in the past decade. It has invested in gastroenterology practices in recent years to tap into the revenue potential […]
“In Montana, the opioid overdose death rate for Indigenous people was twice that of white people from 2019 to 2021….“The reason, in part, is that Native Americans have relatively less access to health care resources, Friedman said. ‘With the drug supply becoming so dangerous […]
Breaking News in Healthcare Reform “The association cited a recent report showing that 18% of payment denials actually met Medicare Advantage coverage rules and should have been granted.” AHA Calls For Task Force to Investigate Payment Denials Benefits Pro | Alan Goforth | […]
A new Health Justice Monitor commentary on the “great replacement theory.” Fighting Racism with Health Reform By James G. Kahn, MD/MPH Summary The “Great Replacement Theory” is a deeply racist philosophy pushed by the US right wing in a bid […]
“Health plans say that prior authorization requirements help them protect patients’ safety and improve the quality of care, in addition to rooting out waste and error. Doctors disagree. They say that the process too often leads to delays in patient care and that those delays can sometimes […]
