News
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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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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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New Partnership with KBLA Black Talk Radio Works to Build Connection & Empower Community on Medicare Fraud Prevention
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As mentioned in our last newsletter, California Senior Medicare Patrol (SMP) program is excited about our new partnership with KBLA 1580 Black Talk Radio. African American and Black communities are one of the many populations SMP aims to reach for spreading the word on Medicare fraud prevention, sharing our services, and recruiting new volunteers. To…
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Supreme Court Decision to Overturn “Chevron Deference” Could Have Far Reaching Implications for Health Care Policy
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KFF, a nonprofit health policy research, polling, and news organization, recently released an issue brief that examines some of the far-reaching implications for health policy of the recent U.S. Supreme Court decision to overturn “Chevron deference” — a 40-year-old standard for decision-making that required federal courts to defer to reasonable agency decisions where federal law…
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CHA Calls for Medigap Guaranteed Issue Rights when Providers Withdraw from Medicare Advantage Plans
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Bonnie Burns, Training and Policy Specialist with California Health Advocates, spearheaded a letter calling for a Medigap guaranteed issue right for beneficiaries when providers withdraw from Medicare Advantage (MA) plans. As a long-time consumer representative with National Association of Insurance Commissioners (NAIC), Burns and other consumer representatives sent this letter to NAIC’s Senior Issues Task…
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