“Complaints about Anthem extend ‘from sea to shining sea, from New Hampshire to California,’ AHA CEO Rick Pollack told KHN.“Substantial payment delays can be seen on Anthem’s books. On June 30, 2019, before the pandemic, 43% of the insurer’s medical bills for that […]
“Black women are about 1.6 times as likely as whites to give birth more than three weeks before the due date. That statistic bears alarming and costly health consequences, as infants born prematurely are at higher risk for breathing, heart and brain abnormalities, […]
The week in healthcare reform “‘Upcoding’ is the name of the game. The secret to high profits is to exploit the diagnostic coding system set up to adjust for differences in clinical severity (and costs) between traditional fee-for-service Medicare and Medicare Advantage.” […]
“Throughout the pandemic, stories of shockingly high prices for covid tests have abounded. A recent report from an insurance trade association noted that ‘price gouging by certain providers continues to be a widespread problem.’” A Covid Test Costing More Than a […]
“…PhRMA, the powerful pharmaceutical industry trade group, announced Sept. 15 it would be launching a seven-figure ad campaign against the drug pricing proposals, according to The Hill.” An Ad’s Charge That Price Haggling Would ‘Swipe $500 Billion From Medicare’ Is Incorrect […]
The week in healthcare reform “I want to make sure we are stabilizing what we have before we start going down this expansion role,” Manchin said. Manchin Fires Warning Shot on Plan to Expand Medicare The Hill | Jordain Carney | September […]
A new Health Justice Monitor commentary on the government’s monetary power to provide health care. Allowing For-Profit Hospice: The Worst Health Policy Idea Ever? By David Himmelstein and Steffie Woolhandler Summary For-profit ownership has reached two-thirds of hospice agencies. Yet […]
“Medi-Cal managed-care plans often earn poor to mediocre marks for the quality of their care. Meanwhile, the largest commercial plans have profited handsomely from the program…. Collectively, the commercial plans have generated $2.9 billion in net profits from Medi-Cal since fiscal year 2014….” […]
