The federal government funneled billions in subsidies to software vendors and some overstated or deceived the government about what their products could do, according to whistleblowers.
Category: Cost and Quality
Government-Funded Day Care Helps Keep Seniors Out Of Nursing Homes And Hospitals
The aptly named Program of All-Inclusive Care for the Elderly provides services funded by Medicaid and Medicare that range from medical and mental health care to hot lunches, recreation, transportation and haircuts. California’s newest PACE center opened recently in San Diego County.
For Her Head Cold, Insurer Coughed Up $25,865
A New York City woman, worried that her sore throat might be strep, got swabbed at her doctor’s office. The sample was sent to an out-of-network lab for sophisticated DNA tests ― with a price tag similar to a new SUV.
California AG Details ‘Historic’ Settlement Agreement In Sutter Health Antitrust Case
Sutter Health will pay $575 million to settle a high-profile antitrust case filed by California’s attorney general. In addition, it has agreed to end a host of practices that the state alleged unfairly stifled competition.
California Attempts To Revive Compassionate Cannabis Programs
After the state legalized recreational marijuana in 2016, new taxes and regulations decimated an ad hoc network that had donated cannabis for medical purposes to patients who could not afford it. A recent law seeks to revive the network, but hurdles remain.
Loophole Averted After Surprise-Bill Brouhaha In Texas
The Texas Medical Board bowed out of the rule-making process for a new law protecting consumers from surprise medical bills. Advocates hailed the new rules written by the state insurance regulators.
‘An Arm And A Leg’: Reporter Says ‘Shame’ Spurred Hospital To Cancel Debt For Thousands
Methodist Le Bonheur Healthcare in Memphis, Tenn., sued thousands of patients for unpaid medical bills. Journalist Wendi Thomas wrote about it. Months later, the hospital dropped 6,500 lawsuits.
Border Fight: Trump’s Plan To Import Cheaper Drugs From Canada Faces Hurdles
The administration’s proposed rule to allow states to bring in prescription medications isn’t expected to provide immediate relief.
Despite Quick Fixes, Kaiser Permanente Mental Health Care Still Lags
Interviews with dozens of Kaiser Permanente therapists, patients and industry experts reveal superficial changes that look good on paper but do not translate into more effective and accessible care.
Analysis: In Medical Billing, Fraudulent Charges Weirdly Pass As Legal
After my husband had a bike accident, we were subjected to medical bills that no one would accept if they had been delivered by a contractor, or a lawyer or an auto mechanic. Such charges are sanctioned by insurers, which generally pay because they have no way to know whether you received a particular item or service — and it’s not worth their time to investigate the millions of medical interactions they write checks for each day.
