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Health Justice Monitor

The McCanne Health Justice Monitor is produced by a team of health policy experts and single-payer champions. For more information, and a complete archive of entries, visit the HJM website. For an archive of Quote of the Day entries from Dr. Don McCanne, click here.

Medicare Advantage Plans Denying Appropriate Care

Posted April 29, 2022

Summary:Ā This report from the US Dept of Health and Human Services Inspector General quantifies the high frequency of unjustified denials of care authorizations and payments

More Children Now Killed by Guns than Cars

Posted April 25, 2022

Summary:Ā Since 2017, for the first time, US child and young adult deaths from firearms exceeded those from motor vehicles. Why? Because we’ve improved car safety,

California Commission Affirms Unified Financing

Posted April 22, 2022

Summary:Ā The Healthy California for All Commission issued a final report laying out the huge benefits to be derived from ā€œunified financingā€ – one payment mechanism

How Financial Incentives for Quality Metrics Hurt Us

Posted April 19, 2022

Summary:Ā An excellent commentary describes how two decades of paying to improve quality metrics has failed. Quality hasn’t improved, and we’ve spent billions of dollars and

Congenital Syphilis Deaths Should Be a Wake-Up Call

Posted April 16, 2022

Summary:Ā More fetuses and babies are dying from syphilis, a completely preventable outcome with adequate access to quality prenatal care. This is a another marker of

Medicare Advantage Costly Diagnostic Upcoding

Posted April 14, 2022

Summary: Investigative reporting by Bloomberg highlights the work of whistleblowers and the federal government to combat fraudulent upcoding by Medicare Advantage plans. But Medicare itself

US Physician EHR Burden = Less Clinical Focus, More Burnout

Posted April 12, 2022

Summary: The electronic health record is now ubiquitous. Doctors complain about its time demands and its emphasis on billing. This review quantifies that burden –

US Women of Reproductive Age Hurt by Insurance Barriers

Posted April 9, 2022

Summary: ā€œAmong women of reproductive age in high-income countries, rates of death from avoidable causes, including pregnancy-related complications, are highest in the United States. U.S.

Big Insurer Explosive Growth & Profits Since ACA Passage

Posted April 7, 2022

Summary: An excellent review of 12-year financial trends for the largest six insurers reveals: a) skyrocketing revenue and profits, b) based mainly on growth in

Nurse Conviction for Fatal Error vs System Harm

Posted April 5, 2022

Summary: A nurse mistakenly gives an incorrect drug that kills a patient, and is convicted of homicide. Our system kills up to 100,000 a year

Health Insurers to Disintermediate

Posted April 1, 2022

Summary: A very surprising and hugely important announcement: US health insurers have decided to ā€œdisintermediateā€ – step back from their traditional position between purchasers of

Health Care Reform Must Return Ownership to the Community

Posted March 31, 2022

Summary: In a landmark article in The Nation, long-time single payer leaders (including four HJM bloggers) review the pervasive and damaging ownership of providers by

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