Author: Mark Wrede

Weekly News Roundup: Apr 25, 2022

  Breaking News in Healthcare Reform “‘Healthcare is not just about mending bones or dispensing pills. It’s about giving people peace of mind…’ said Department of Health and Human Services Secretary Xavier Becerra.” CMS Aims to Eliminate Delays in New Medicare Coverage, Expand Special Enrollment […]

Weekly News Roundup: Apr 18, 2022

  Breaking News in Healthcare Reform “The deal … would allow Kaiser Permanente to operate Medi-Cal plans in at least 32 counties without having to bid for the contracts. … It’s a significant policy change that hasn’t been vetted as a policy change.” Battle Lines […]

Medicare Advantage Costly Diagnostic Upcoding

    A new Health Justice Monitor commentary on fraudulent diagnostic upcoding and risk adjustments by Medicare Advantage insurers.      Medicare Advantage Costly Diagnostic Upcoding   By James G. Kahn, MD/MPH   Summary Investigative reporting by Bloomberg highlights the work of whistleblowers and the federal […]