Breaking News in Healthcare Reform
“…the AMA questions whether the health insurance industry can be relied upon to voluntarily expedite comprehensive reform to the cumbersome prior authorization process that delays and disrupts patient-centric care.”
AMA Says Health Insurance Industry Failing on Prior Auth Reform
Contemporary Pediatrics | Todd Shyrock | May 30, 2022
“CMS and HHS are committed to lowering health care costs….” —Xavier Becerra
Aduhelm Price Cut, Limited Coverage Leads CMS to Lower Medicare Premiums in 2023
Fierce Healthcare | Dave Muoio | May 27, 2022
“Medi-Cal members who end up in long-term care for 30 days or more can be required to pay for a portion of the care they receive. This ‘share of cost’ can mean losing their entire paycheck except for a monthly ‘personal needs allowance’ of $35.”
Even Under Pandemic Rules, California Expects People in Long-Term Care to Pay for Their Medicaid Benefits
CBS 8 | Jake Hopper | May 27, 2022
“This is a case of children dying preventable deaths, and that’s our lane, as pediatricians. We are duty bound to prevent children from dying unnecessarily.”
‘This Is Our Lane’: Doctors Speak Out Against Gun Violence After Texas School Shooting
Associated Press | Erika Edwards | May 26, 2022
“The firearm death rate among children is steadily rising….”
Guns Have Become the Leading Cause of Death for American Kids
Axios | Caitlin Owens | May 26, 2022
“…because the government pays [Medicare Advantage Organizations] a roughly $1,000 per-beneficiary capitation rate, they have every incentive to deny services to patients or payments to providers in order to boost their own profits.”
Hospital Group Says Payers Are Inappropriately Denying Care and Payments
Medical Economics | Todd Shryock | May 24, 2022
“The anti-abortion movement has prepared for this moment and is already focusing on restricting access to pills, knowing that abortion bans will be far less effective if states cannot keep the drugs from entering their borders.”
The Coming Legal Battles Over Abortion Pills
Politico | Rachel Rebouché, David S. Cohen, Greer Donley | May 24, 2022
“Despite undeniable evidence that Wall Street middlemen drive up costs and deny care, the Center for Medicare and Medicaid Services has begun to move traditional Medicare beneficiaries into a program called Direct Contracting or ACO REACH, which inserts profit-driven middlemen between seniors and their healthcare.”
Campaign Launches ‘Summer of Action’ to Protect Medicare from Stealth Privatization
Common Dreams | Kenny Stancil | May 23, 2022
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