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dontmeantobepoliticalbut · 1 year

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A national physician group this week called for the complete termination of a Medicare privatization scheme that the Biden White House inherited from the Trump administration and later rebranded—while keeping intact its most dangerous components.

Now known as the Accountable Care Organization Realizing Equity, Access, and Community Health (ACO REACH) Model, the experiment inserts a for-profit entity between traditional Medicare beneficiaries and healthcare providers. The federal government pays the ACO REACH middlemen to cover patients' care while allowing them to pocket a significant chunk of the fee as profit.

The rebranded pilot program, which was launched without congressional approval and is set to run through at least 2026, officially began this month, and progressive healthcare advocates fear the experiment could be allowed to engulf traditional Medicare.

In a Tuesday letter to Health and Human Services Secretary Xavier Becerra and Centers for Medicare and Medicaid Services Administrator Chiquita Brooks-LaSure, Physicians for a National Health Program (PNHP) argued that ACO REACH "presents a threat to the integrity of traditional Medicare, and an opportunity for corporations to take money from taxpayers while denying care to beneficiaries."

The group, which advocates for a single-payer healthcare system, voiced alarm over the Biden administration's decision to let companies with records of fraud and other abuses take part in the ACO REACH pilot, which automatically assigns traditional Medicare patients to private entities without their consent.

CMS said in a press release Tuesday that "the ACO REACH Model has 132 ACOs with 131,772 healthcare providers and organizations providing care to an estimated 2.1 million beneficiaries" for 2023.

"As we have stated, PNHP believes that the REACH program threatens the integrity of traditional Medicare and should be permanently ended," Dr. Philip Verhoef, the physician group's president, wrote in the new letter. "Whether or not one agrees with this statement, we should all be able to agree that companies found to have violated the rules have no place managing the care of our Medicare beneficiaries."

Among the concerning examples PNHP cited was Clover Health, which has operated so-called Direct Contracting Entities (DCEs)—the name of private middlemen under the Trump-era version of the Medicare pilot—in more than a dozen states, including Arizona, Florida, Georgia, and New York.

PNHP noted that in 2016, CMS fined Clover—a large Medicare Advantage provider—for "using 'marketing and advertising materials that contained inaccurate statements' about coverage for out-of-network providers, after a high volume of complaints from patients who were denied coverage by its MA plan. Clover had failed to correct the materials after repeated requests by CMS."

Humana, another large insurer with its teeth in the Medicare privatization pilot, "improperly collected almost $200 million from Medicare by overstating the sickness of patients," PNHP observed, citing a recent federal audit.

"It appears that in its selection process [for ACO REACH], CMS did not prevent the inclusion of companies with histories of such behavior," Verhoef wrote. "Given these findings, we are concerned that CMS is inappropriately allowing these DCEs to continue unimpeded into ACO REACH in 2023."

While the Medicare pilot garnered little attention from lawmakers when the Trump administration first launched it during its final months in power, progressive members of Congress have recently ramped up scrutiny of the program.

Last month, Sen. Elizabeth Warren (D-Mass.) and Rep. Pramila Jayapal (D-Wash.) led a group of lawmakers in warning that ACO REACH "provides an opportunity for healthcare insurers with a history of defrauding and abusing Medicare and ripping off taxpayers to further encroach on the Medicare system."

"We have long been concerned about ensuring this model does not give corporate profiteers yet another opportunity to take a chunk out of traditional Medicare," the lawmakers wrote, echoing PNHP's concerns. "The continued participation of corporate actors with a history of fraud and abuse threatens the integrity of the program."

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merelygifted · 7 months

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Caseworkers from the Michigan Department of Health and Human Services held an informational picket on Wednesday in response to ongoing staffing issues and a growing backlog of cases at the state agency.

The picket took place during workers’ lunch hour outside a MDHHS branch on Conner Avenue in Detroit. Though state employees are prohibited to go on strike according to Michigan law, members of the UAW chapter Local 6000 representing the caseworkers were able to demonstrate during their lunch hours.

Caseworkers and union representatives say it has become difficult for workers to provide quality service to Michigan residents without adequate resources and staffing levels. MDHHS caseworkers in recent months have had a particular influx of cases involving recertification for Medicaid eligibility, the Detroit Free Press reported. Additionally, caseworkers assist residents with other state and federal benefits like food assistance, emergency relief, housing services and more. ...

...Union officials said the workers at other offices could also hold informational pickets in the coming weeks. ...

#Department of Health and Human Services #MIDHHS #Detroit #Michigan #Workers' Rights #Activism #WELL DONE!!!

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contac · 2 years

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#office of child support enforcement #department of health and human services #pueblo colorado #1984 #vhs #gif #child support #logo

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chronic-invisibility · 10 months

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Just thought of a great hack to fix my phone anxiety so I can make this phone call I need to make: call them tomorrow when they’re closed and leave a message so I can prepare my wording in advance and won’t be at risk of having the conversation derailed by someone who doesn’t know how the conversation is supposed to go (according to me). This is great.

#calling a government department to conplain about them using the r slur on something i saw at work #like you are the department of health and human services providing Pharmaceutical Assistance to the Aged and Disabled you NEED to fix urself #this is the 21st fucking century they should have zero excuse #you are providing a service to disabled people why the everloving fuck would you use that word anywhere near that topic much less at all #EDIT: actually maybe i’d better double check that it’s just paad and not a system-wide message bc if it’s just paad i’m calling them #but if it’s a system-wide issue then i need to figure out who to call and complain to #bc no matter what it’s completely unacceptable and they need to update it

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gwydionmisha · 1 year

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CW: Suicide

#The Health and Human Services Department #Suicide #Mental Health Services #LGBTQIA+#News

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dreaminginthedeepsouth · 2 years

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LETTERS FROM AN AMERICAN

July 14, 2022

Heather Cox Richardson

Department of Homeland Security Inspector General Joseph Cuffari, a Trump appointee, yesterday sent a surprising letter to the Senate Committee on Homeland Security and its House counterpart. The letter said that the Department of Homeland Security had notified Cuffari’s office that “many U.S. Secret Service (USSS) text messages, from January 5 and 6, 2021, were erased as part of a device-replacement program. The USSS erased those text messages after OIG [Office of Inspector General] requested records of electronic communications from the USSS, as part of our evaluation of events at the Capitol on January 6.” Further, the letter said, DHS personnel had repeatedly refused to produce records without first showing them to attorneys, which had created long delays and confusion over “whether all records had been produced.”

In other words, an inspector general thought the Secret Service had deleted texts from agents on January 5 and 6 after being instructed to produce them. Representative Bennie Thompson (D-MS) chairs both the House Homeland Security committee and the House Select Committee to Investigate the January 6th Attack on the U.S. Capitol. Cuffari’s letter sent the information about deleted texts directly to the top.

The Secret Service immediately responded that “the insinuation that the Secret Service maliciously deleted text messages following a request is false. In fact, the Secret Service has been fully cooperating with the OIG in every respect—whether it be interviews, documents, emails, or texts.”

But this information raises questions about the role of Secret Service members in the events of January 6. Trump blurred the lines between the Secret Service and the presidency when he appointed Secret Service assistant director Anthony Ornato his deputy chief of staff in December 2019. We know Vice President Mike Pence refused to get into a car driven by a Secret Service agent on January 6, apparently concerned that the driver might not follow his instruction, and that President-elect Biden had to be assigned a new Secret Service team out of concerns that the presidential detail was allied with Trump. And last week, the Trump-appointed director of the Secret Service, James Murray, resigned.

The only good news here for Republicans is that the outrage over these deleted (or lost) texts has distracted from the firestorm over the 10-year-old child from Ohio forced to travel to Indiana for an abortion after being raped. That story, reported by the doctor who performed the abortion, was picked up by national news and by President Joe Biden, who asked people to “imagine being that little girl” in a speech about abortion rights.

Ohio’s attorney general Dave Yost told the Fox News Channel that he doubted the story because he had not heard that there had been any report of a rape, although as journalist Magdi Semrau noted on Twitter, sexual assault, especially sexual assault of a child, is rarely reported. Yost later said “there is not a damn scintilla of evidence” that such a thing happened. Right-wing media immediately began to assert that the story was false, and the Indiana attorney general, Todd Rokita, went further, telling Fox News Channel host Jesse Watters that his office would investigate the doctor who provided abortion care to the child, suggesting she had not filed a report on the case as legally required.

Today, law enforcement officers in Columbus, Ohio, arrested a 27-year-old man who confessed to raping the child. In addition, Politico found the required report filed correctly. A lawyer for the doctor released a statement saying the doctor “took every appropriate and proper action in accordance with the law and both her medical and ethical training as a physician. She followed all relevant policies, procedures, and regulations in this case, just as she does every day to provide the best possible care for her patients. She has not violated any law, including patient privacy laws, and she has not been disciplined by her employer. We are considering legal action against those who have smeared my client.”

When this Supreme Court, packed by former president Trump and the Republican Senators with three new “originalists,” handed down the Dobbs v. Jackson Women’s Health decision on June 24, 2022, many people observed that the dog had caught the car. Republicans have turned out evangelical voters for years with the promise of overturning the 1973 Roe v. Wade decision legalizing abortion nationally, but the truth is that Roe was popular, and legal abortion hid the many terrible events that led to its legalization in the first place. According to one estimate, in the 1960s there were between 200,000 and 1.2 million illegal abortions annually, which created such a public health crisis that doctors set out to decriminalize abortion and keep that medical issue between a woman and her doctor.

Now, right off the bat of the Dobbs decision, Americans have to grapple with precisely the sort of case that dramatically illustrates why people require abortion rights.

In response, some anti-abortion activists have doubled down on the idea that no abortion is acceptable. Lawyer Jim Bopp, who is the general counsel for the National Right to Life Committee, told Megan Messerly and Adam Wren of Politico that under the laws he would like to enact, the 10-year-old victim “would have had the baby, and as many women who have had babies as a result of rape, we would hope that she would understand the reason and ultimately the benefit of having the child.”

Since few people can stomach the idea of a 10-year-old rape victim forced to bear a child, other anti-abortion activists are suddenly saying that such an abortion is not an abortion at all because it is necessary to save the life of the mother, although many of the new state laws make no such exception. They have also suddenly begun to say that abortion care for an ectopic pregnancy, which is never viable and which poses a deadly threat to the pregnant person, is not an abortion either. In both cases, this is a sudden carve out that is inaccurate: both of these medical procedures are abortion, and both are illegal now in certain states.

President Biden responded to the Dobbs decision with federal rules clarifying that under the Emergency Medical Treatment and Labor Act, doctors in hospitals that use federal money must provide appropriate treatment to patients experiencing ectopic pregnancy, pregnancy loss, or other life-threatening conditions, or transfer them to places that will, “irrespective of any state laws or mandates that apply to specific procedures.”

But Republicans are pushing for even greater restrictions over abortion. Today, Texas attorney general Ken Paxton, who was indicted seven years ago for felony securities fraud but has yet to stand trial, sued the Biden administration over that rule, claiming that it is an “attempt to use federal law to transform every emergency room in this country into a walk-in abortion clinic.”

Meanwhile, Senator James Lankford (R-OK) today blocked an attempt by Senate Democrats to pass a law protecting the right of women to cross state lines to get abortion care. Apparently unaware that one of the key hallmarks of an authoritarian state is its refusal to let citizens cross borders, Lankford indicated he was willing to keep pregnant people from crossing state lines. “Does that child in the womb have the right to travel in their future?” Lankford said. “Do they get to live?”

And although the Supreme Court justified the Dobbs decision with the argument that it would simply send the question of abortion back to the states, a federal abortion ban is already on the table. Representative Mike Kelly (R-PA) has introduced HR 705, the so-called Heartbeat Protection Act, to make abortion illegal everywhere.

Today, when asked if Democrats would compromise over abortion, House Speaker Nancy Pelosi said “We’re not going to negotiate a woman’s right to choose.” She added, “Republicans have sometimes said on the floor that Nancy Pelosi thinks she knows more about having babies than the Pope. Yes I do, and I think any Pope would agree.”

Pelosi has five children.

That the extremism of those now in charge of the Republican Party might convince voters to crush the party in the midterms is evident in today’s responses to that extremism. On the same day that Trump teased the idea that he might announce that he’s running for president in 2024 before the midterms, a group of conservative intellectuals released a document proving with extensive evidence that the 2020 election was not stolen, Trump lost it.

That document, “Lost, Not Stolen,” destroys the Big Lie but does not call for getting rid of the many new state laws based on that lie, laws that seem designed to cement the rule of Republicans in certain states regardless of the will of the majorities in those states. It also doesn’t discuss the independent state legislature doctrine, which would enable state legislatures to name whatever slate of presidential electors they wished, regardless of the will of the voters, a doctrine that would have given Trump a second term and that the Supreme Court has said it will consider.

It appears that old-line conservatives would like to push Trump offstage, but his role in the January 6 insurrection got more attention today when a police officer from Washington, D.C., corroborated the testimony of Cassidy Hutchinson, Trump chief of staff Mark Meadows’s aide, who said she had heard that Trump attacked a Secret Service agent on January 6.

Trump and his children Don Jr. and Ivanka were scheduled to testify under oath tomorrow in New York City in the New York attorney general’s investigation into the Trump Organization's business practices, but that testimony will be put off because of the death today of Ivana Trump, Trump’s first wife and mother of his three eldest children. Ivana Trump, 73, was found dead at the foot of a stairway. Trump announced her death on his social media network, calling her “a wonderful, beautiful, and amazing woman, who led a great and inspirational life.”

At the bottom of the announcement was a button to donate to Trump’s political action committee.

—

Notes:

https://lostnotstolen.org//wp-content/uploads/2022/07/Lost-Not-Stolen-The-Conservative-Case-that-Trump-Lost-and-Biden-Won-the-2020-Presidential-Election-July-2022.pdf

Aaron Rupar @atruparPelosi: "We're not gonna negotiate a woman's right to choose." Also Pelosi: "Republicans have sometimes said on the floor that Nancy Pelosi thinks she knows more about having babies than the Pope. Yes I do, and I think any Pope would agree."

1,943 Retweets10,014 Likes

July 14th 2022

https://www.cnn.com/interactive/uploads/20220714-letter-to-house-select-committee.jpg

https://www.politico.com/news/2022/07/14/anti-abotion-10-year-old-ohio-00045843

https://www.dispatch.com/story/news/2022/07/13/columbus-man-charged-rape-10-year-old-led-abortion-in-indiana/10046625002/

https://www.cms.gov/files/document/qso-22-22-hospitals.pdf

https://www.usnews.com/news/politics/articles/2022-05-23/seven-years-later-still-no-trial-for-texas-ag-ken-paxton

https://www.texasattorneygeneral.gov/sites/default/files/images/executive-management/20220714_1-0_Original%20Complaint%20Biden%20Admin.pdf

https://www.washingtonpost.com/nation/2022/07/14/texas-sues-biden-emergency-abortion/

https://thehill.com/homenews/senate/3559360-gop-senator-blocks-bill-to-protect-interstate-travel-for-abortion/

Matthew Gertz @MattGertzThe whole Murdoch empire went in on this one.

3,651 Retweets17,493 Likes

July 13th 2022

Magdi Semrau @magi_jayMy initial reaction to this piece was that it was "ok" to fact-check the story, but that the article was poorly executed, particularly in its exclusion of known facts about sexual assault. But then I wondered: how common is it to fact-check another newspaper's work like this? The last line of this fact check was: "If a rapist is ever charged, the fact finally would have more solid grounding." Now, a rapist has been charged and the story has been updated. Getting lots of angry emails but journalism is an accumulation of facts. https://t.co/mzaIarvCKw

Glenn Kessler @GlennKesslerWP

369 Retweets1,324 Likes

July 14th 2022

https://www.npr.org/2022/06/08/1103851631/trump-questioning-july-ny-civil-probe

https://www.cnn.com/2022/07/14/politics/trump-secret-service-january-6-metropolitan-police-officer/index.html

https://www.politico.com/news/2022/07/14/indiana-abortion-rape-ohio-00045899

https://www.cnn.com/2022/07/14/politics/secret-service-text-messages-erased/index.html

https://www.theguardian.com/us-news/2020/dec/31/joe-biden-secret-service-team-trump-loyalty

https://www.washingtonpost.com/national-security/2022/07/07/secret-service-murray-resign/

LETTERS FROM AN AMERICAN

HEATHER COX RICHARDSON

[from comments]

Gailee Walker Wells

Thank you Heather. Someone wrote somewhere something like ' if the United States saw what the United States was doing to the United States the United States would step in and save the United States from the United States.' It is as though we are hanging on by a feather. These extremists must be muzzled and put back into their caves and under rocks. Every single one of those who have broken their oath of office and participated in the overthrow of our government must be held accountable. We all must speak up and speak out everywhere possible. On their twitter pages. On their Instagrams. On their FB pages. Including those of the NYT that seems to delight in posting Biden's numbers and having misleading lead ins on its social media. We also have to demand that something like The Fairness Doctrine be put back into our federal government to hold all the liars accountable.

#Heather Cox Richardson #Letters From An American #Secret Service #Justice Department #dobbs v. jackson women’s health organization #Corrupt GOP #Criminal GOP #women's rights #human rights #reproductive rights

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instaviewpoint · 17 days

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COVID State of Emergency by the FDA

COVID State of Emergency by the FDA April 7 2024By PK Morgan Perhaps, in my previous article that contains a section on Emergency Use Authorization (EUA), I was a bit too vague or we are accustomed to taking everything our government dishes out regardless of legality. An EUA was issued for COVID tests on April 5 2024. Why has the FDA approved a COVID/Flu self test in April of 2024 with…

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#covid #Covid 19 #department of Human and Health Services #emergency use authorization #FDA #food and Drug Administration #HHS #incorrect #not approved

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kafiranablogs · 27 days

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UnitedHealth Group paid over $3.3 bln to care providers hit by cyberattacks, ET HealthWorld

London: U.S. insurer UnitedHealth Group on Wednesday said it has advanced more than $3.3 billion so far to care providers impacted by a cyberattack last month on insurance claims system Change Healthcare. UnitedHealth said it has paid more than 40 per cent of that total to so-called safety net hospitals and federally qualified health centers serving high-risk patients and communities. Change…

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#Change Healthcare #department of health and human services #health News #high-risk patients #insurance claims #medical claims #state department #U.S. health insurer #unitedhealth #unitedhealth group

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dontmeantobepoliticalbut · 8 months

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The Biden administration’s Department of Health and Human Services is recommending that the Drug Enforcement Administration significantly loosen federal restrictions on marijuana but stopped short of advising that it should be entirely removed from the Controlled Substances Act.

The health agency wants the drug moved from Schedule I to Schedule III under the CSA, potentially the biggest change in federal drug policy in decades.

HHS Assistant Secretary of Health Rachel Levine wrote in a Tuesday letter to the DEA, first reported by Bloomberg News, that the recommendation was based on a review conducted by the Food and Drug Administration.

The DEA confirmed to POLITICO that it received the letter.

“As part of this process, HHS conducted a scientific and medical evaluation for consideration by DEA. DEA has the final authority to schedule or reschedule a drug under the Controlled Substances Act,” a spokesperson for the agency said in a statement. “DEA will now initiate its review.”

The HHS letter is part of the official review process initiated by President Joe Biden last October: The FDA conducts the review, which is then sent to the National Institute on Drug Abuse and HHS, after which HHS transmits a letter of recommendation to the DEA. The DEA is not required to follow HHS’s recommendation.

The White House on Wednesday refused to comment on the review process.

“The administration process is an independent process led by HHS, led by the Department of Justice, and guided by evidence,” White House Press Secretary Karine Jean-Pierre told reporters. “We’re just not going to comment on that.”

Cannabis is currently a Schedule I substance on the CSA, which means it is deemed to have a high likelihood of abuse and no medical uses. Heroin and LSD are also Schedule I drugs. Schedule III drugs are categorized as having “moderate to low potential for physical and psychological dependence.” The category includes ketamine and testosterone.

The HHS recommendation is the result of a nearly yearlong federal review of all available marijuana research. Biden’s executive action — which also included federal pardons for low-level marijuana convictions — was seen by many as a political move taken ahead of the midterm elections to incentivize turnout among younger and more progressive voters.

At the time, advocates and some lawmakers urged Biden to take clear steps to remove cannabis completely from the CSA — versus rescheduling it. Legalization advocates on Wednesday reiterated that rescheduling would not solve many of the problem they’ve been asking the Biden administration to correct.

“Rescheduling cannabis from 1 to 3 does not end criminalization, it just rebrands it. People will still be subject to criminal penalties for mere possession, regardless of their legal status in a state-level medical program,” cannabis advocate Justin Strekal told POLITICO on Wednesday.

FEDERAL-STATE CONFLICT

Federal law has failed to keep up with massive changes over the last decade in state cannabis policies. 23 states now allow anyone at least 21 years old to legally posses the drug, while 38 states have established medical marijuana programs.

But because cannabis businesses are not federally legal, they are subject to a federal tax code that prohibits narcotics traffickers from taking typical tax exemptions for business expenses like salaries and benefits. That code does not apply to Schedule III, so if the DEA approved HHS’ recommendation, cannabis businesses around the country would immediately be paying much less in federal taxes.

That would provide a big boost to the financially struggling industry.

“It’s giant,” said Charlie Bachtell, CEO of Cresco Labs, one of the country’s largest cannabis companies, in an interview. “I think you would see a healthier cannabis industry a year from now.”

Rescheduling could also mean legislative changes on Capitol Hill, where a bill to make it easier for banks to offer financial services to the cannabis industry — backed by Senate Majority Leader Chuck Schumer (D-N.Y.) and Sens. Steve Daines (R-Mont.) and Jeff Merkley (D-Ore.) — has been slowly plodding toward the finish line.

Changing marijuana’s federal classification would almost certainly make it easier for cannabis businesses to access banking services and raise cash even without any legislative changes.

“I don’t see a need for the SAFE Banking Act if this in fact becomes the official position,” said Jonathan Havens, a cannabis attorney at Saul Ewing who previously worked for the FDA. “I’m not saying that all banks will want to jump into this space, but the need for safe harbors I don’t think exists like it does today.”

Schumer on Wednesday urged the DEA to “quickly follow through on this important step” but added he is “continuing to work in Congress to pass important marijuana legislation and criminal justice reform.”

The shift in federal cannabis policy would also make it easier to conduct research on the health effects of cannabis consumption and for pharmaceutical companies to bring cannabis-based drugs to market. Researchers have long chafed at restrictions that only allow them to procure cannabis from a single farm at the University of Mississippi that bears little resemblance to the high-potency products many consumers are purchasing in state-legal markets.

But if the FDA decides to fully enforce regulations on the cannabis industry as it does all other Schedule III drugs, that could mean major changes for state markets.

“The question that I have is whether or not the current industry will eventually be replaced by the pharmaceutical industry,” said Rachel Gillette, head of the cannabis practice at Holland & Hart, noting that ketamine and anabolic steroids are also Schedule III drugs. “I can’t go down to the corner store and buy those things.”

Some state regulators, however, don’t think that much will change.

“This adjusts the type of security and type of bureaucracy that exists around federal research into the substance [and] it would make it easier for companies to bring cannabis based pharmaceuticals into market,” said John Hudak, Director of Maine’s Office of Cannabis Policy, in an interview. “But in terms of administration of a state program, it has very little impact.”

MIXED RESPONSE

The cannabis industry on Wednesday was ebullient, while drug legalization advocates and some lawmakers had a more tepid — or downright condemnatory — response to the news.

“We believe that rescheduling to Schedule III will mark the most significant federal cannabis reform in modern history,” said Edward Conklin, executive director of the US Cannabis Council, an advocacy and trade group, in a statement. “President Biden is effectively declaring an end to Nixon’s failed war on cannabis and placing the nation on a trajectory to end prohibition.”

While the industry would see immediate financial benefits from a loosening of federal restrictions, however, criminal penalties on cannabis would not change dramatically. That prompted some advocates to criticize the HHS recommendation.

“This shift would fall woefully short of the promises made by President Biden during his 2020 presidential election campaign, especially promises made to Black and Brown communities,” said Cat Packer, director of drug markets and regulation at the Drug Policy Alliance, which advocates legalizing all drugs.

Anti-legalization advocates, meanwhile, blasted the move as potentially detrimental to public health.

“The addiction profiteers who have been exposed for lying about marijuana’s physical, mental and economic impacts, are desperately looking for legitimacy in the wake of mounting evidence their products are harming millions of Americans,” said Kevin Sabet, president of Smart Approaches to Marijuana, in a statement. “It is regrettable that the Department of Health and Human Services move now appears to be a nod to those monied interests.”

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