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Managed Care

A New Model For Aging At Home: Care Management -- Every Step Of The Way

Hany Abdelaal, DO | Posted 10.03.2016 | Healthy Living
Hany Abdelaal, DO

The vast majority of older Americans, 90 percent of them, want to age at home. Many have lived in their homes for decades, where they are surrounded b...

When Your Medical Claim Is Denied

New York Legal Assistance Group | Posted 04.07.2016 | New York
New York Legal Assistance Group

By Debra J. Wolf, Supervising Attorney, New York Legal Assistance Group I work with low-income patients living with cancer, vulnerable people whose...

Update: Health Plan Revisions Help Keep a Promise to Elder New Yorkers

Hany Abdelaal, DO | Posted 12.30.2016 | Healthy Living
Hany Abdelaal, DO

Earlier this month, I introduced readers to Mrs. S., who was in danger of becoming bedbound by her arthritis, congestive heart failure and diabetes. B...

Iowa's in the National News Right Now and It's for a Reason You Wouldn't Expect

D. Brad Wright | Posted 06.03.2016 | Politics
D. Brad Wright

But, recently, Iowa has been in the news -- on a national level -- for a very different reason, and it's one you should pay attention to no matter where you live, because it's either happening in your state already, or there's a very good chance that it will be soon.

The $8 Billion Solution? NY's Big Medicaid Reform

Chris Norwood | Posted 01.04.2015 | New York
Chris Norwood

New York State's $8 billion federally supported -- or imposed -- Medicaid reform plans are so well underway that the public comment period for this complex plan ended in October without a single public meeting or seminar.

Transition and Transformation in the Nonprofit Sector: Understanding the Need for For-Profit Best Practices

Joseph Amodeo | Posted 06.21.2014 | Impact
Joseph Amodeo

When I graduated from college with a bachelor of arts in religious studies, working in the nonprofit sector seemed like an appropriate 'fit.' However, now more than ever the sector is in need of students and professionals from a variety of disciplines.

The Real Reasons Insurers Are Canceling Policies

Wendell Potter | Posted 01.23.2014 | Politics
Wendell Potter

If you relied on the Washington media for your news and information about health care, you'd think that insurance companies would never have considered sending policy discontinuation notices to their policyholders until forced to do so by Obamacare.

If Medicaid Is 'Broken' in Florida, Who Broke It?

Gary Stein | Posted 01.23.2014 | Miami
Gary Stein

The federal government may have established Medicaid, but it gave the states the job of running it. Each state has its own individualized program, with different rules and regulations, making federal oversight difficult, if not impossible. Would Have Worked Better

J.D. Kleinke | Posted 12.20.2013 | Politics
J.D. Kleinke

The federal government was not up for the task of building and overseeing a complicated e-commerce business with a significant data management back-end -- any more than it has ever been up for building the military's fighter jets, running commercial airports, or administering the actual Medicare program.

The Medicaid Expansion Drama Takes Bizarre Turns in Florida

Gary Stein | Posted 12.11.2013 | Politics
Gary Stein

Changing the name worked in the 1950s when Harry Truman tried to develop a Federal Health Care policy, and it failed partly because a PR firm recommended that the opposition party call it "Socialized Medicine." That struck fear in the hearts of Americans who feared that socialism would dominate America. But it didn't work this time.

Is Managed Care Pushing America's Deadly Opiate Addiction?

Susana Duncan, M.D. | Posted 01.08.2013 | Healthy Living
Susana Duncan, M.D.

As I reflect on why this wave of opiate addiction is so rapidly gaining hold in America, I realize that the answer lies in the new realities of how doctors must practice to earn their livelihood.

There Is No 'I' in 'Safety Net'

Mary Ann Christopher | Posted 11.06.2012 | Healthy Living
Mary Ann Christopher

At the center of Mrs. Barrow's team is Felicia herself; her needs, her feedback, and her participation are essential. Then, working collaboratively and across all facets of her daily life, she is supported by a nurse-led team of health professionals.

"Obamacare" Hater Rick Scott, Now Florida's Governor, Is Doing Exactly What He Falsely Claimed Federal Reform Would Do

Wendell Potter | Posted 10.11.2011 | Politics
Wendell Potter

So much for health care choice and competition vanishing with "Obamacare". It seems as if one of the leaders of the anti-reform crowd, Rick Scott, wasn't a true believer in the value of choice and competition after all.

Dear Mr. President, I Wish I Had Known...

Wendell Potter | Posted 07.12.2011 | Business
Wendell Potter

Like many others, I've heard President Obama talk about his mother's insurance problems during her final months in 1995. But I didn't realize until now that the company she was pleading with was CIGNA, the one I used to work for.

CA Nurses Strike Against Billion-Dollar Felon, HCA

Linda Milazzo | Posted 05.25.2011 | Los Angeles
Linda Milazzo

Registered Nurse Estella Chavez (photo by Linda Milazzo) With support from California Assemblyman Bob Blumenfield and California State Senator Fran ...

My Fall Down the Diagnostic Rabbit Hole

Robyn Okrant | Posted 11.17.2011 | Healthy Living
Robyn Okrant

On Thanksgiving morning this year, I had an eye opening moment. After breakfast, I popped open the Thursday compartment of my obscenely large day-a-we...

Framing the Health Care Reform Debate: Who Do You Hate? Or, Who Do You Hate More?

Bryant Welch | Posted 05.25.2011 | Politics
Bryant Welch

Obama's grassroots organizing and populist support, the skills that got him elected, are the country's only real hope for meaningful health care reform.

Addicted to Health Care

Stanton Peele | Posted 05.25.2011 | Politics
Stanton Peele

Americans are addicted to health care. They demand more and more of it, at any cost, whatever the consequences.

At Least We All Now Know What the Health Care Reform Debate Is About

Stanton Peele | Posted 05.25.2011 | Politics
Stanton Peele

The following five developments made clear that America is not prepared for what it must do in regard to health care reform.