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Are Some Medicare Advantage Plans Using AI to Deny Care? Unfortunately, yes.
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STAT News recently published a series of articles exposing United Health’s misuse of algorithms to cut off rehabilitation care for older and disabled Americans enrolled in their plans, all while having their “profits soar”. In their most recent article, STAT News states: UnitedHealth Group has repeatedly said its algorithm (generated by UnitedHealth subsidiary NaviHealth), which…
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Watch Out for the “Scammer Swarm” During Open Enrollment
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Even though we’re nearing the end of Medicare’s annual Open Enrollment Period (OEP), running from October 15 to December 7, scammers are still swarming. Open Enrollment is the time when people on Medicare can evaluate their current coverage and make changes to their Original Medicare enrollment, Medicare Part D Prescription Drug Plan, or private Medicare…
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cHA Advocates for Consumer Protections from the “COBRA Bite”
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California Health Advocates submitted this letter to the U.S. Senate Health, Education, Labor, and Pensions (HELP) Committee, the House Ways and Means Committee and Energy and Commerce Committee to advise on action taken to protect consumers from being subject to recovery payments from COBRA carriers. Specifically we speak on behalf of former employees who were eligible…
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January 2024 Medi-Cal Managed Care Plan Transition
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CHA Advocates for Timely Implementation of Medi-Cal Share of Cost Reform
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California Health Advocates, along with 70 other advocacy organizations statewide, submitted a letter to Governor Newsom requesting that implementation of Medi-Cal Share of Cost reform be included in his January 2024-25 Budget Proposal. This would make the reform effective in January 2025, subject to budget appropriation. We urge the timely implementation of this reform beginning…
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Increase in Scam Calls to Older Adults
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We recently received an alert from the Administration for Community Living (ACL) about a reported increase in scam calls to older adults, in particular calls with scammers pretending to be from “Eldercare Locator,” “Social Security,” or “Medicare.” These callers are generally asking for personal information such as someone’s Social Security number, banking information, or Medicare…
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