“Insurers generally get to decide what care is ‘medically necessary’ and therefore covered. And that is often in the eye of the beholder.” The Case of the $489,000 Air Ambulance Ride Sean Deines and his wife, Rebekah, were road-tripping […]
Author: Mark Wrede
“Elizabeth O. Stern, 69, of Stonington, Connecticut, was unable to see her 91-year-old mother for eight months after her mother’s nursing home shut its doors on March 10, 2020. Before the pandemic, Stern visited nearly every day with her mother, who had a stroke […]
Breaking News in Healthcare Reform “…we must continue the fight to establish healthcare as a human right, not a privilege.” As Biden Continues Privatization Ploy, Sanders Vows to Reintroduce Medicare for All Common Dreams | Jake Johnson | March 21, 2022 “Today, the […]
A new Health Justice Monitor commentary on the insertion of a private pharmacy benefits plan into Medi-Cal. “This policy looks like a classic but especially heinous example of corporate profit over all other considerations — notably health of public beneficiaries, and responsibly managing public […]
“…the law’s protections against the infuriating, expensive scourge of surprise medical bills may be only as good as a patient’s knowledge — and ability to make sure those protections are enforced…. Out-of-network providers may present patients with a form addressing their protections from unexpected […]
Breaking News in Healthcare Reform “One in every three dollars spent on prescription drugs in this country is spent on a person with diabetes, so this community experiences an outsized impact of increasing drug costs….” When Will Americans with Diabetes Get Relief from […]
“Michelle Hackman, a blind Wall Street Journal reporter in Washington, D.C., tried to get her rapid covid tests reimbursed via her Aetna health care flexible spending account. But Aetna insisted she print out and mail or fax the receipts, even after she called and […]
A new Health Justice Monitor commentary comparing two common healthcare payment methodologies and how they impact cost and patient care. Fee-for-Service vs. Capitation By James G. Kahn, MD/MPH Summary Today we take a step back to consider a pivotal […]