Weekly News Roundup: May 23, 2022

 

Breaking News in Healthcare Reform

 

“The association cited a recent report showing that 18% of payment denials actually met Medicare Advantage coverage rules and should have been granted.”

AHA Calls For Task Force to Investigate Payment Denials

Benefits Pro | Alan Goforth | May 23, 2022



“Life is complicated, but the argument for Medicare For All is straightforward: it will save lives and money while increasing productivity, human emotional flourishing, and physical well-being.” 

Lifesaving Medicare for All: Fight for Life and Humanity

LA Progressive | Richard Eskow | May 20, 2022



“[Jessica] Altman arrives just as Covered California is pushing commercial health plans to upgrade the quality of their care and tackle inequities to improve the health of low-income and disadvantaged people.”

New Covered California Leader Urges Renewal of Enhanced Federal Aid for Health Premiums

Fierce Healthcare | Bernard J. Wolfson | May 19, 2022



“As politicians seek to further prevent our citizens from getting medical care, this resolution sends a strong counter-message. While Greg Abbott’s only response to our broken healthcare system is criminalization, ours is grounded in community and solidarity.” —Sean Kirkpatrick, DSA North Texas Chapter

Medicare for All Gains Traction as Health Insurance Premiums Rise

Public Citizen | May 18, 2022



“Employers and private insurers paid 224% of what Medicare would pay for the same services at the same facilities across all hospital inpatient and outpatient services on average in 2020, according to a Rand study….”

Hospitals Charge Employer Health Plans More Than 2 Times What They Charge Medicare for Same Services

Healthcare Dive | Hailey Mensik | May 18, 2022



“Medicare drug plans often don’t provide any coverage for cheaper generics, thanks to secretive rebate deals, allowed if not enabled by the [Medicare Modernization Act], that insurance companies and their [Pharmacy Benefit Managers] cut with drug makers.”

I just caused a long line at the pharmacy counter. And still paid $141 for an inhaler.

Wendell Potter NOW | May 17, 2022



“People do not realize that once they get on Medicare, they’re still going to be on the hook for some number of bills … retirees must pay for premiums, over-the-counter and prescription drugs and some medical devices.” 

Americans Can Expect to Pay a Lot More for Medical Care in Retirement

CNBC | Stephanie Dhue, Sharon Epperson | May 16, 2022



“‘We have really valued the hospital care to the exclusion of public health and community healthcare in this country,’ said Sheila Davis, CEO of the non-profit Partners in Health, which tries to bring healthcare to the world’s poorest places.”

‘Failure of an American Ideology’: Why Covid Has an Outsized Impact on the US

The Guardian | Eric Berger | May 15, 2022

 

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