Risk Adjustment Data Validation of Payments Made to PacifiCare of California for Calendar Year 2007Department of Health and Human ServicesOffice of Inspector General, November 2012In
For more than 20 years, PNHPās Senior Health Policy Fellow Don McCanne, M.D. wrote a daily health policy update, taking an excerpt or quote from a health care news story or analysis and commenting on its significance to the single-payer movement.
PNHP has archived Dr. McCanneās listserv below; to read current daily analysis on a broad range of health justice topics, please visit the McCanne Health Justice Monitor website.
PacifiCare's massive Medicare Advantage fraud
In one year alone (2007), one California insurer - PacifiCare (acquired by UnitedHealth Group in 2005) - used their Medicare Advantage program to cheat taxpayers
Enough specialists for Medicare, but not Medicaid
Healthcare crisis: not enough specialists for the poorBy Anna GormanLos Angeles Times, December 15, 2012By the end of the decade, the nation will be short
Enough specialists for Medicare, but not Medicaid
My career in private practice began with the introduction of Medicare and Medi-Cal (Medicaid). At that time, I had no problems referring Medicare and privately
Medi-Cal could implode
Court ruling could cut California spending on Medi-CalBy Maura Dolan and Chris MegerianLos Angeles Times, December 13, 2012A federal appeals court decided unanimously Thursday that
Medi-Cal could implode
What good is a Medi-Cal card if it won't provide access to health care?
United Nations passes resolution supporting universal coverage
US backs United Nations measure in favor of universal health coverageBy Elise ViebeckThe Hill, December 12, 2012The United States has backed a United Nations draft
United Nations passes resolution supporting universal coverage
It is terrific that the United States has voted for a United Nations resolution in support of universal health coverage for all Member States. But
Rising costs and eroding protection
State Trends in Premiums and Deductibles, 2003ā2011: Eroding Protection and Rising Costs Underscore Need for ActionBy Cathy Schoen, Jacob Lippa, Sara Collins, and David RadleyThe
Rising costs and eroding protection
It just gets worse. Family insurance premiums are now over $15,000 - more than 20 percent of income in a majority of states. Family deductibles
Means testing Medicare
Democrats warm to Medicare change that late Sen. Edward Kennedy opposedBy Elise ViebeckThe Hill, December 8, 2012Democrats in Congress are changing their tune on means
Means testing Medicare
Introducing means testing, which we have already begun with Part B and Part D premiums, reduces support of wealthier beneficiaries who are annoyed by these