Tag Archives: law

I was no general, field grade officer, or even an officer in 1970. Just a three-strip Sergeant in my 3rd year stationed at Lejeune drinking the water and bathing in it. Someone had a brilliant idea we should be trained in riot control since Camp Lejeune was not far from Washington D.C. Some elements out of Fort Bragg would join us. As we were Federal soldiers, our facing civilians is frowned upon. In any case, we were trained, never called...

Have Medicare Advantage plans been over coding? According the MedPac 2022 report for year 2020 they have been. The funds of which come out of Medicare funding. The amount of which was an ~$12 billion for 2020 alone. But it is not just 2020, “Medicare Advantage has Overcharged FFS Medicare by Billions for Years,” Angry Bear. “Aggregate Medicare payments to Medicare Advantage plans” have never been lower than FFS Medicare spending. MedPac 2022 Chapter...

Everything you didn’t know you need to know about the Postal Service’s new commercial, Save the Post Office, Steve Hutkins. Last week the USPS Link had an article — titled “Get a ‘Move’ on” — announcing the Postal Service’s new TV commercial. The commercial is called “Orchestrated Delivery,” and its theme is “We’re reinventing our network” — a reference to the way thousands of letter carriers across the country will soon be relocated from post...

Via Diane Ravitch’s blog comes this note and bio to watch Dr. Fenwick livestream presentation. I am pointing to her work as somebody worth a look. Living with Histories That We Do Not Know with Leslie Fenwick  Tuesday, April 11, 4 p.m. ET Dr. Fenwick will draw on her sustained contribution to education policy research and groundbreaking findings from her recently published award-winning and bestselling book, Jim Crow’s Pink Slip. Dr....

This is a mixture of my comments and comments pulled from multiple sources (BLS, Cosmopolitan, , Why do Child Labor Laws Matter? Federal laws provide a minimum of protections for child labor. The laws were enacted nearly a century ago in reaction to children being exposed to dangerous activities. Edwin Markham “Child at the Loom.” Cosmopolitan There was a time in this country when young children routinely worked legally. As industry grew in the...

If you have read Medicare Advantage uses Algorithms to block care for Seniors, Angry Bear, (STAT Investigation, Casey Ross and Bob Herman) you might think this is a relatively new phenomena in healthcare. At the bottom of the post you will find a link to another commentary. Why did I put another commentary site there as written by different authors? Number one, so I would not forget it. Number two, to make a point of showing the use of algorithms...

Taking a one day break from the more technical stuff. I ran across this story a couple(?) maybe more days ago. The first thing which came to mind was the Tuskegee Syphilis Study as conducted by the PHS’ Center for Disease Control in Atlanta (AP). Some will say this is not as serious, they were prisons. they agreed to take the drugs, etc. The point here is we used our power to administer what they thought would be of help to them the same as...

More on the practices of Medicare Advantage plains and also ACA, Medicaid and Medicare. The practice being delayed prior authorizations, the amount of time it takes, and the resulting tragedies. CMS proposes prior authorization rule changes for health plans, BenefitsPRO, Lauren Sausser Starting in 2026, a proposed CMS rule would require plans to respond to a standard request within seven days. This is instead of the current 14 days, and within...

Infidel753, “Prosecuting Trump — a caveat,” Infidel753 Blog It’s starting to look as if Trump may be indicted fairly soon, an event much of the left has been impatient to see for some time (what I myself most wanted was to simply never hear another word about him, but it’s clear that the reality we live in is not going to grant that wish for the foreseeable future).  The case coming to a head is the Stormy Daniels hush payment, but...

Kip Sullivan has been writing about the issues with Medicare Advantage. I have joined with Kip in bringing the issues of Medicare Advantage to the forefront. Angry Bear has featured Kip and I have added to the dialogue. This next commentary details how Healthcare Insurance, mostly Medicare Advantage has been using artificial intelligence in the form of an algorithm to limit treatment or deny coverage. STAT Investigation has been providing the detail...