Latest Daily Edition Stories
In the past 11 years, the University of the Pacific Thomas J. Long School of Pharmacy and Health Sciences has helped more than 6,600 beneficiaries save almost $7 million on their out-of-pocket drug costs.
The health insurer allegedly used aggressive tactics to sell sham plans — one of which was named TrumpCare — that skirt the requirements of the Affordable Care Act, leaving people around the country with skimpier coverage than they expected and liable for unpaid medical bills. Also, more national news on Medicare Part B premiums and FDA’s approval of a new opioid.
The national issues in play also include Medicare-for-all, Medicaid expansion, marijuana legalization and soda taxes.
The pharmaceutical industry is bracing for what may come if Rep. Nancy Pelosi (D-Calif.) takes over leadership. “Democrats have made real action to lower prescription drug prices central” to the party’s campaign strategy. “It will be one of our first legislative priorities in the majority,” she tells Stat. And more news is reported on California’s propositions 4 and 1.
Republicans seek to turn the tables on charges that they are undermining preexisting conditions, so they’re hammering the plans championed by some Democrats to expand Medicare. In California, a large nursing union shifts strategies to take its “Medicare for all” message to a national audience.
San Diego’s Health Insurance Counseling and Advocacy Program’s lead attorney offers tips and advice on appealing Medicare denials. Meanwhile, outreach programs help seniors as they navigate this Medicare enrollment season.
The widening budget deficit announced in recent days has sparked conversation among Republicans of cutting budgets and look for trims to entitlement programs. The Democrats are seizing on the tone shift, and using the potential changes to Medicare, Medicaid and other safety net programs as talking points on the campaign trail.
Fact checkers comb through President Donald Trump’s opinion piece on the Democrats’ “Medicare For All” plan and flag many of the president’s points that misstate facts about the current Medicare program, Medicare For All’s potential impact on seniors, preexisting conditions, and the cost of the plan, among other things.
The settlement cites improper medical coding by California-based HealthCare Partners from early 2007 through the end of 2014. According to the settlement, the company, which is part of giant dialysis company DaVita Inc., submitted “unsupported” diagnostic codes that allowed the health plans to receive higher payments than they were due.
Former President Barack Obama spoke about Democrats’ ideas like “Medicare For All.” Meanwhile, Republicans are using the plan to attack their opponents, saying it will jeopardize Medicare’s current beneficiaries.