Jasmine Suo
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Medicare’s Open Enrollment is Approaching: A Review of What it is & What to Do
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Medicare’s Open Enrollment is just over a month away, and runs October 15 through December 7. It is the time of year when you can make certain changes to your Medicare coverage. The last change you make will take effect on January 1. It’s important to take action during Medicare’s Open Enrollment to make sure…
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The Cigna Group Made its Enrollees Appear Sicker to Get More Federal Money
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Did you know the government pays Medicare Advantage Organizations (MAOs) more money to cover sicker enrollees? Knowing this, Cigna deliberately falsified patient records to make them appear sicker and therefore receive more money from the federal government. Specifically, Cigna used in-home health risk assessments (HRAs) to report severe conditions, such as congestive heart failure, without…
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Office of Inspector General Report Highlights SMP’s Significant impact in Fraud education, detection and prevention
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Earlier this month, the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) published its report on the performance of the Senior Medicare Patrol (SMP) program in 2023. The SMP projects in all 50 states, the District of Columbia, Puerto Rico, Guam, and the U.S. Virgin Islands receive grants from the Administration…
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Diversity, Equity & Inclusion in Hospice education & fraud prevention: A toolkit for Hispanic/Latino Community Outreach
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Do you have questions about the Medicare hospice benefit, hospice fraud prevention and end-of-life planning? If so, we have a new hospice education and hospice fraud prevention toolkit that can help answer your questions. This toolkit, available in English and Spanish, was developed and created especially for outreach to Hispanic/Latino communities. It’s part of our…
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Have You heard of Digital democracy? This technology shows how decisions are made in California
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Digital Democracy provides a powerful new way for Californians to understand and participate in their state government. It is a CalMatters project that uses technology and data to increase transparency, accountability and understanding about California state legislators and the decisions they make about state policy. It reveals how decisions are made in California by tracking…
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Cultural Humility: What Is It & Why It matters
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Cultural humility is an active, self-reflective, lifelong practice involving continuous exploration of our own and others’ cultural identities and beliefs; an awareness of one’s own biases and background; treating others with respect, openness, and empathy; and reducing power imbalances within relationships and communities. It is a key ingredient in building relationships and partnerships of trust. It’s…
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