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U.S. Justice Department Joins Lawsuits Alleging Kaiser Permanente Medicare Fraud

The U.S. Justice Department has joined a series of whistleblower lawsuits alleging that Kaiser Permanente engaged in a years-long scheme to defraud the federal government out of Medicare payments.

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Deputy Assistant Attorney General Sarah Harrington.

The U.S. Justice Department has joined a series of whistleblower lawsuits alleging that Kaiser Permanente engaged in a years-long scheme to defraud the federal government out of Medicare payments.
The suits, filed on July 29,  allege that since 2009 the company systematically pressured doctors to amend medical records by adding “diagnoses that patients did not actually have” in order to receive higher Medicare reimbursements, according to federal prosecutors.
The original suit, filed under the False Claims Act in 2013 by a Kaiser data specialist in San Rafael, claims the company also used data mining to “retroactively change patient medical records.”
“Today’s action sends a clear message that we will hold health care providers and plans accountable if they seek to game the system by submitting false information,” said Deputy Assistant Attorney General Sarah Harrington.
The suits seek an unspecified amount of money in damages plus attorney fees and court costs.
Kaiser has denied all allegations of wrongdoing.
“We are confident that Kaiser Permanente is compliant with Medicare Advantage program requirements and we intend to strongly defend against the lawsuits alleging otherwise,” according to a statement posted on the company’s website Thursday.
“Our policies and practices represent well-reasoned and good-faith interpretations of sometimes vague and incomplete guidance from (Centers for Medicare & Medicaid Services),” the statement reads.
A case management conference is scheduled for October 22 via Zoom.

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Activism

Oakland Post: Week of September 27 – October 3, 2023

The printed Weekly Edition of the Oakland Post: Week of September 27 – October 3, 2023

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The printed Weekly Edition of the Oakland Post: Week of September 27 - October 3, 2023

To enlarge your view of this issue, use the slider, magnifying glass icon or full page icon in the lower right corner of the browser window.

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Antonio Thomas Stiles

Mothers in Mourning: Moms, Allies Protest Gun Violence in California

On Sept. 9, elected officials, community leaders and concerned citizens took to the streets of Watts in South Los Angeles to march against gun violence in California. Dubbed the “Mothers in Mourning March,” the women-led event was organized by Assemblymember Mike Gipson (D-Carson) featured guest speakers and over 34 participating organizations.

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"For our children we lost, we are their voices, and their voices will continue to be heard here and everywhere around this nation,” Mattie Scott, the California chapter leader of the advocacy organization Mothers in Charge, said. “We will stop the killing and start the healing because this is for all of us or none of us.”
"For our children we lost, we are their voices, and their voices will continue to be heard here and everywhere around this nation,” Mattie Scott, the California chapter leader of the advocacy organization Mothers in Charge, said. “We will stop the killing and start the healing because this is for all of us or none of us.”

Aldon Thomas Stiles | Califoria Black Media

On Sept. 9, elected officials, community leaders and concerned citizens took to the streets of Watts in South Los Angeles to march against gun violence in California.

Dubbed the “Mothers in Mourning March,” the women-led event was organized by Assemblymember Mike Gipson (D-Carson) featured guest speakers and over 34 participating organizations.

Participants marched from Jordan High School to Edwin Markham Middle School and walked back to Jordan in temperatures that hovered up to the high 80s, shouting impassioned chants like “put those guns down,” “stop the killing,” and “start the healing.”

“We are proud to be here at Jordan, and from the housing complexes to the highways we are making our voices known: Let our babies live,” Gipson posted on X, formerly known as Twitter.

At a post-march rally, speakers shared personal accounts, some tearful, about their experiences with gun violence.

“For our children we lost, we are their voices, and their voices will continue to be heard here and everywhere around this nation,” Mattie Scott, the California chapter leader of the advocacy organization Mothers in Charge, said. “We will stop the killing and start the healing because this is for all of us or none of us.”

Scott reminded voters that they have power to push anti-Gun policies against the forces across the country that fiercely oppose them — from “our house, to the courthouse, to your house, to the White House.”

As of last year, firearms are the leading cause of death among children in the United States.

While the Center for Disease Control (CDC) reports that California has the 8th lowest death rate by guns and Los Angeles has seen a decrease between 2021 and 2022, Los Angeles County accounts for a majority of California’s gun related deaths, according to Hope and Heal Fund.

African Americans between the ages of 15 and 34 experience gun-related deaths more than any other group in the United States, according to the Center for American Progress.

Overall, Everytown Research & Policy reports, that Black Americans “experience 12 times the gun homicides, 18 times the gun assault injuries, and nearly 3 times the fatal police shootings” as compared to White Americans.

Karren Lane, the Deputy Mayor of Los Angeles, stressed the importance of all Californians getting involved in the legislative process to help stem gun violence.

“Our commitment is to prevent that violence,” she said. “We cannot do that as a city without the organized political power of everyday people.”

She went on to speak about how the march might have an impact on those who have a vested interest in the prevention of gun violence.

“This event is so significant because one mother suffering alone feels isolated and silenced,” she said. “But when we come together and organize our voices, we are political power. We are organized power.”

Speakers also focused on explaining anti-gun violence bills that Gov. Newsom has signed and others the Legislature has approved.

Assembly Bill (AB) 28, for example, which has been approved by the Legislature, would impose an 11% tax for sales for firearms and firearm related items like ammunition and other “precursor parts.”

Gov. Newsom signed AB 1621, authored by Gipson, last year. It bans ghost guns, which are “unserialized and untraceable firearm” parts that can be assembled without any form of regulation or oversight.

LA Unified School District board member Tanya Ortiz Franklin, one of the speakers, encouraged Californians to vote to protect their children.

“We have the power to change the world with the kids in our district. We have future presidents, we have future engineers, we have future public safety officers, we have future changemakers right here in our district. But they need to have a future and they have to live into their potential and it’s going to take all of us demanding that,” she said.

Franklin’s voice echoed that of many of the women and allies attending the march who chanted at intervals, “No more silence, end gun violence!”

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Bay Area

Writer Marc Spears Honored in Oakland

Bay Area leaders and key notables in the city of Oakland congratulated Marc Spears, NBA writer for Andscape/ESPN for receiving the 2023 Naismith Basketball Hall of Fame Curt Gowdy Media Award

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Bay Area leaders and key notables in the city of Oakland congratulated Marc Spears, NBA writer for Andscape/ESPN for receiving the 2023 Naismith Basketball Hall of Fame Curt Gowdy Media Award. The event was held at Hiiiwav, a new location at 2781 Telegraph in Oakland recently purchased by Grammy Award-winner Bosko Kante and his wife Maya Kante. Pictured here, left to right, are Oakland African American Chamber of Commerce President Cathy Adams, Chef David Lawrence, Marc Spears, and Nola Turnage of Okta, Inc. Photo courtesy of Cathy Adams.

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