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Weekly News Roundup: Apr 11, 2022

  Breaking News in Healthcare Reform “While the cap is an important stopgap measure, other reforms to improve the affordability of insulin are urgently needed.” The Winners and Losers of the Proposed Insulin Cost Cap MedPage Today | Kao-Ping Chua, MD, PhD; Rena M. Conti, […]

Record Fines Might Mean California Is Finally Serious About Improving Medi-Cal

  “A few weeks ago, state regulators imposed a record $55 million in fines on L.A. Care, California’s largest Medi-Cal managed-care plan, for failing to ensure adequate care and allowing treatment delays that threatened enrollees’ health. Patient advocates hope the move signals stricter enforcement against other Medi-Cal insurers, […]

Weekly News Roundup: Apr 4, 2022

  Breaking News in Healthcare Reform “CMS has the authority to request a corrective action plan if it finds that a hospital is not compliant….”  About 345 Hospitals Have Been Warned About Price Transparency, CMS Says Becker’s Hospital Review | Marissa Plescia | April 4, […]

Pharma Attacks Insurers

  A new Health Justice Monitor commentary on the intrigues of the medical lobbies.   “The pharmaceutical industry needs to come under control of our own public single payer, and the health insurance industry needs to be converted into public stewards serving all of us as […]

Weekly News Roundup: Mar 28, 2022

  Breaking News in Healthcare Reform “Charging individuals for Covid testing — a basic public health tool, is just willful stupidity.” ‘Utter Travesty’: Uninsured Americans Will Now Be Charged $125 for a Single PCR Covid-19 Test Common Dreams | Jon Queally | March 26, 2022 […]

The Case of the $489,000 Air Ambulance Ride

  “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 […]