HEALTH CARE un-covered

HEALTH CARE un-covered

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There is a Bi-Partisan Bill to Rein in PBMs and Lower Drug Costs. It’s a Step in the Right Direction.
Pharmacy benefit managers’ business practices have led to soaring prescription drug prices that make life-saving medications unaffordable for millions…
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Wendell Potter
5
Shrink Greed, Not Medicaid: Why Cutting Care for 20 Million Is Wrong for America
Cut the greed, not the care — America’s health crisis isn’t Medicaid, it’s corporate profiteering.
 • 
Ken Frisof
 and 
Don Lighter
8
Cracks in Medicare Advantage Support: Grassley’s Scrutiny Follows Rural Hospitals’ Breaking Point
After years of federal support and little oversight, Medicare Advantage is facing rare scrutiny from longtime ally Sen. Grassley — just as rural…
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Trudy Lieberman
16
Report Shows How UnitedHealth Group Is Enriching Itself At The Expense Of Our Nation’s Veterans
Rep. Mark Takano questions how UnitedHealth’s Optum and other insurers have overbilled the VA by hundreds of millions, profiting at the expense of…
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Wendell Potter
14
Tireless Price Transparency Advocate Shows No Sign of Slowing Down
Meet the self-described “accounting nerd" who used to be the controller for Blue Cross Blue Shield of Montana and CFO of Employee Benefit Management…
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Bruce Shutan
2
Cigna Once Put Employees in a Pink Palace Bought With Customers' Premium Dollars
Luxury on customers' dime.
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Wendell Potter
9
The House is on Fire: A Call to Action for Orthopedic Surgeons
America’s health insurers have turned from middlemen to gatekeepers, deciding who gets care based on Wall Street. It’s time for doctors to blow the…
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Wendell Potter
18

February 2025

Republican Senator Chuck Grassley Sets Sights on Medicare Advantage
Sen. Chuck Grassley, a longtime Medicare Advantage advocate, demands answers from UnitedHealth Group over allegations of overbilling.
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Wendell Potter
12
Gaming the System: Medical Loss Ratios and How Insurers Manipulate Them
Last week, I made my once a decade trek to a dealership to buy a new car. I did my research in advance (and even negotiated the price) so I was hoping…
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Seth Glickman
29
Family Medical Heartbreak Drove an Outspoken Benefits Adviser to Slay the Status Quo
Why one benefits adviser is challenging the traditional health insurance model.
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Bruce Shutan
7
UnitedHealth Group Is Being Investigated by the Department of Justice
The Medicare Advantage program has turned into a $140 billion overpayment bonanza for insurers.
 • 
Wendell Potter
11
Medicare Falls Short: U.S. Seniors Struggle More Than Peers Abroad to Afford Care
A new study reveals that older Americans—whether on traditional Medicare or Medicare Advantage—face higher out-of-pocket costs and more barriers to care…
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Trudy Lieberman
21
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