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Weekly News Roundup: May 2, 2022

  Breaking News in Healthcare Reform “…if Gov. Gavin Newsom gets his way … California could allow all remaining low-income unauthorized immigrants — an estimated 700,000 people — to join Medi-Cal by 2024, or sooner.” California Opens Medicaid to Older Unauthorized Immigrants Kaiser Health News […]

California Commission Affirms Unified Financing

    A new Health Justice Monitor commentary on the Healthy California for All Commission.     California Commission Affirms Unified Financing   By James G. Kahn, MD/MPH   Summary The Healthy California for All Commission issued a final report laying out the huge benefits to […]

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 […]

Is My Drug Copay Coupon a Form of Charity — Or a Bribe?

  “This copay coupon scheme is both common and lucrative for pharmaceutical companies that sell expensive drugs. Here’s how it works: Drug manufacturers, directly or through nonprofit foundations, disburse money to subsidize patient copays as a form of what they seek to characterize as charity. […]

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 […]