California EDD Besieged With More Fraud Attempts

The Employment Development Department, which last month froze about 345,000 disability insurance claims it flagged as suspicious, announced Thursday that it suspects that a whopping 98 percent of the 27,000 medical providers associated with those claims are fraudulent.

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White House Frustrations Grow Over Health Chief Becerra’s Handling Of Pandemic

White House officials have grown so frustrated with top health official Xavier Becerra as the pandemic rages on that they have openly mused about who might be better in the job, although political considerations have stopped them from taking steps to replace him, officials involved in the discussions said.

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San Francisco Eases Mask, Vaccination Proof Rules As Omicron Recedes

San Francisco will ease its COVID-19 mask order for vaccinated gym members and office workers, and will relax rules requiring proof of vaccination when entering large indoor sports arenas, restaurants, bars and gyms, allowing unvaccinated people to enter if they show proof of a recent negative test. The move comes as the Omicron surge is ...

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Commercial Insurer Spending Rising Faster Than Medicare

Just over half of the total U.S. population receives health insurance through commercial plans that are offered by employers or purchased by individuals. In recent years, commercial health insurers’ per-person spending on hospitals’ and physicians’ services has grown more quickly than analogous spending by the Medicare fee-for-service (FFS) program, according to analysis by the Congressional ...

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Newsom Defends Maskless Photo At NFL Playoff Game

California Gov. Gavin Newsom defended himself on Monday amid outrage over a maskless photo he took Sunday with basketball legend Magic Johnson at an NFL playoff game in Los Angeles where all spectators were required to wear masks. “I was trying to be gracious, and I made a mist — you know, I mean, I ...

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AHIP Warns Proposed ACA Exchange Rule Could Threaten Market’s Growing Stability

AHIP, the top lobbying organization for commercial insurers, is warning the feds that provisions in its proposed rule governing the Affordable Care Act’s exchanges for 2023 could “undermine” the growing stability there. For instance, the group says in comments (PDF) submitted late Thursday that potential changes to requirements for essential health benefits would limit the ability for ...

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COVID-19 Sick Pay In California Would Return Under Deal Between Newsom, Lawmakers

Gov. Gavin Newsom and state lawmakers reached an agreement Tuesday to again require employers to provide workers with up to two weeks of supplemental paid sick leave to recover from COVID-19 or care for a family member with the virus. The legislation, which lawmakers would likely fast-track to the governor in the coming weeks, would ...

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Payers, Researchers Warn CMS Proposal Could Cut Funds To Insurers Enrolling High-Risk Consumers

Proposed changes to a CMS program that shifts funds to insurers that attract higher-risk consumers, intended to boost plan enrollment by lowering some premiums, could have the opposite effect and should be abandoned, researchers from the Brookings Institution and the University of Southern California argue in a new analysis. The CMS risk adjustment program established under ...

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Biden Administration Withdraws Vaccine-Or-Test Mandate For Large Employers

The Biden administration is withdrawing its Covid vaccination-or-test requirement for large employers, citing the Supreme Court’s recent decision to block the rule. The Labor Department’s Occupational Safety and Health Administration, or OSHA, said Tuesday that the withdrawal of the emergency mandate would be effective Wednesday. The Supreme Court this month blocked the mandate, which required larger businesses to ensure that ...

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White House Mulling Scaled-Down, COVID-Related Paid Leave Plan

The White House is exploring a push for a coronavirus-related paid leave program akin to that enacted in an earlier round of pandemic relief, three people familiar with the conversations said Thursday. It would be much more narrowly tailored than the 12 weeks of paid family and medical leave for all workers Biden proposed in ...

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