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krista_trigg

Jindal Challenges Obama's Unlawful Coercion Common Core - 0 views

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    Louisiana Governor Bobby Jindal filed a lawsuit in federal court last month against the Obama administration over its use of federal funding and waivers from No Child Left Behind (NCLB) to encourage states to adopt Common Core national standards and tests. Those in opposition to Common Core feel that the standards in place under Common Core could possibly result in standardizing weakness instead of reinforcing standards of excellence. The proof of this concern is found as states compare the effects of Common Core against previous standards of excellence. Those who agree with Governor Jindal's concern argue that Common Core national standards and testing will ultimately support federal control over education - a move that will only further weaken individual responsibility of schools and districts.
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    Louisiana Governor Bobby Jindal filed a lawsuit in federal court last month against the Obama administration over its use of federal funding and waivers from No Child Left Behind (NCLB) to encourage states to adopt Common Core national standards and tests. Those in opposition to Common Core feel that the standards in place under Common Core could possibly result in standardizing weakness instead of reinforcing standards of excellence. The proof of this concern is found as states compare the effects of Common Core against previous standards of excellence. Those who agree with Governor Jindal's concern argue that Common Core national standards and testing will ultimately support federal control over education - a move that will only further weaken individual responsibility of schools and districts.
smurphy6600

Health Net lawsuit reveals the financial engine of drug rehab industry - 0 views

  • The only "Obamacare" health insurer in metro Phoenix and Pima County is ensnared in a legal dispute with several addiction treatment centers over the cost of care amid an Arizona opioid epidemic that is taking an average of two lives each day. 
  • Maricopa County Superior Court lawsuit
  • widespread fraud among Arizona and California drug rehab centers in 2015 and 2016, when it alleges"teams of brokers" recruited out-of-state clients to fraudulently obtain insurance policies and to seek treatment in Arizona.
  • ...30 more annotations...
  •  residential “sober homes”
  • headaches for local government officials as they try to determine how to manage the unregulated industry.
  • Prescott, which once claimed more than 100 sober homes, has adopted regulations to provide more oversight of them.
  • Federal and state prosecutors have aggressively pursued cases in Florida and California in connection with fraudulent activities such as patient brokering.
  • There have been no criminal cases filed in Arizona, however. 
  • Six of the rehab facilities that accuse Health Net of improperly withholding payments are in Prescott: Chapter 5 Counseling, Prescott House, Compass Recovery Center, Clean Adventures of Sober Living, Decision Point Center and Carleton Recovery Centers.
  • Three others, T R U Recovery Solutions, North Ridge Counseling and Desert Cove Recovery, list Scottsdale addresses. 
  • The rehab facilities allege that Health Net improperly withheld payments to virtually every rehab center in Arizona and southern California beginning in January 2016. Health Net halted the payments as part of an investigative audit that demanded each center provide detailed records such as proof of patients' residency and assurances that patients did not receive incentives to sign up for rehab. 
  • Health Net said in court documents that claims filed by rehab centers in Arizona soared because of widespread fraud
  • Health Net's PPO plans paid $2.4 million to all Arizona rehab centers in 2014. Those payments soared to $47.4 million in 2015
  • Those plans paid more for rehab care that year than all other types of care in Arizona, including typically expensive medical care such as cancer, heart disease and child births, according to the insurer’s counterclaim.
  • Here’s how the fraud worked, the insurer said in its counterclaim:Brokers would scout out people in 12-step programs, Alcoholics Anonymous meetings, homeless shelters and jails, then refer these clients to the “highest-bidding clinic.”Clinics that were not part of the insurer’s network paid clients’ insurance premiums and out-of-pocket costs such as deductibles and co-payments.The result was that people secured Health Net coverage “arranged and bought for them by financially-interested providers for one purpose only: to obtain coverage for the limited time needed to rack up millions of dollars in substance abuse treatment.” Some clinics misrepresented the home addresses of patients, many of whom lived out of state. 
  • “a sophisticated fraud involving the fraudulent enrollment of non-Arizona residents,” who signed up for Arizona insurance policies. 
  • misrepresenting their home address
  • Clean Adventures staff member told him to list the rehab facility's address on his insurance application.
  • put him in contact with an insurance agent who suggested using Clean Adventures' address on his insurance application
  • The insurer named 10 other examples of people who lived in California, Indiana, New Jersey, New York, Tennessee and Wisconsin but represented that they lived in Prescott or Scottsdale.
  • The insurer also said the rehab centers engaged in fraudulent billing, charging for services that were not medically necessary or in amounts that exceeded what the plan allowed.
  • A 2008 law called the Mental Health Parity and Addiction Act requires insurance plans to provide equitable coverage for substance abuse and addiction treatment. The Affordable Care Act also requires health insurance plans cover essential health benefits, including behavioral health services, and it forbids insurers from denying coverage to individuals based on existing medical conditions. 
  • The unintended consequence was (some) addiction treatments centers began taking advantage of that and over-billing," said Angie Geren, executive director of Addiction Haven, a grassroots and advocacy organization focusing on addiction issues. 
  • House Bill 2333
  • curb the practice of paying referral fees to brokers who steer patients to rehab centers.
  • bill never made it out of committee.
  • Florida
  • "The scam starts with deceptive advertising at the beginning," Aronberg said. "You are lured down to sunny Florida with a free plane ticket, which is illegal. You are given illegal benefits to keep you there."
  • patients often find themselves booted from treatment when their insurance benefits run out.
  • incentive for people to relapse so they can obtain another round of coverage.
  • Sober Home Task Force targeting the practice of buying and selling patients battling addiction
  • Johnson said rehab centers that provide legitimate services are being harmed as insurance companies scrutinize payments and bad actors poach patients away. 
  • ken.alltucker@arizonarepublic.com
anonymous

Chevron's "Crude" Attempt to Suppress Free Speech - 0 views

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    This article shows how powerful oil giant, Chevron; uses it's vast influence to shirk the First Amendment. To avoid lawsuits Chevron forces journalists to turn over damaging evidence.
Jennifer Seeglitz

Contraception Mandate Clarified To Accommodate Religious Groups, Obama Administration A... - 0 views

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    This article clarifies the new mandate for contraception. The mandate states that employers cover contraception at no additional cost to the employee. The article also covers the lawsuits filed by companies with religious objections to the mandate.
Shaun Gray

NSA collected up to 56,000 emails not connected to terrorism a year, blames error - 0 views

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    This article highlights a recent release of information from the NSA regarding the number of personal e-mails they "inadvertently" ended up collecting through a mistake. According to The Washington Post during a three year period the NSA collected up to 56,000 personal e-mails with no links to terrorism whatsoever. The article concludes stating that these findings were brought to light because of several different lawsuits currently levied against the NSA for violating personal privacy rights.
Samantha Cobbs

Law Would Shield Gun Makers from Lawsuits - 0 views

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    Article about the gun maker bill no longer holding manufacturers liable for lawsuits when their guns are used for illegal activity.
renzovd10

NSA Spying us - 0 views

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    This article talks about the governments spying on millions Americans. It also talks about how long this has been going on and lawsuits going on to fight against the lawsuit.
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    This article shows us how the NSA was spying information of millions of ordinary Americans. It had been possible with the assistance of major telecommunications carriers.
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    This article shows us how the NSA was spying information of millions of ordinary Americans. It had been possible with the assistance of major telecommunications carriers.
chr2131264

Walmart lawsuit: Women are suing again over gender discrimination - Vox - 2 views

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    Youman's attempt to seek a promotion that she was more than qualified for ended with her manager denying her and telling her its because she is a woman. The article explains the depth of Walmarts descrimination practices.
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    I think this article was a wonderful way to give people insight on how big companies such as Walmart are discriminating against women. Many people use Walmart as their number one grocery store thus supporting the company. Many people are blind to these types of issues. Great article to find!
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    This isn't related to my topic at all, but I thought it was amusing because I used to work for this horrible company. They would preach things like, "This is that place," which is a reference to how Walmart is "such a wonderful place to work." In reality, and I say this from experience as an ex-member of their management team, it is NOT a great place to work. They don't value their employees, they don't have consistency across the company, and they have horrendous accountability standards AND consistencies.
ash2176825

The Problem with Arizona's Private Prisons - 2 views

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    This article goes into the horror's of private prisons in Arizona. It discuss the mistreatment of inmates & a lawsuit that is being filed against them. It goes over the difference from for profit prisons & government run prisons.
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    Private prisons contribute to an industry based on incarcerating people and profit on recidivism and lack of rehabilitation programs.
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    I agree that there is a lot wrong with the private prisons and the way they are ran. I found this to be very insightful.
aus2127741

Lawsuit: Airline tells veteran with PTSD, 'You're not flying with THAT!' - 0 views

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    Lisa McCombs, an army veteran who sufferers from PTSD was not allowed to fly home from Kansas. She suffers with PTSD from fighting in Iraq and Afghanistan.American regional carrier Envoy would not allow for her to fly with her labrador retriever Jake. Lisa McCombs had to seek medical treatment after the incident and lost time from work.
sebastianw1991

Native Americans - 1 views

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    Attached is a link to a website with good information on native American civil rights. With everything going on in is more important than ever to remember this group of people and their personal concerns. This link also has history on previous lawsuits
Samantha Cobbs

Birth Control and a Boss's Religious Views - 0 views

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    The Obama administration's rule requiring employer health plans to cover birth control without a co-payment has given rise to a slew of lawsuits by private companies claiming the mandate attacks religious freedom. Employers refusing to provide birth control for their employees due to their religious beliefs.
con2161029

Parents of Cincinnati students file racism suit - 0 views

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    Parents file suit because their black children were singled out for punishment because of their race. The suit states white kids with similar conduct were not disciplined.
arizonairish

Workers Win Only 1% of Equal Rights Claims - 0 views

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    The article explains the number of equal rights claims against companies, explaining how less than 1/10 of charges go to court and only about 1% overall win the case whereas 14% of cases are won by the business and 78% end in settlement. Article also goes on to explain reasons individuals file charge, and which companies are charged the most. extremely comprehensive and a good read.
Enrique Vargas

Watching your workers; Two IT managers describe how their companies use Internet monito... - 1 views

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    Companies are figuring out that employees are filling up their hard drives with internet games. These games are causing their work computers to have less space and not have enough room for work-related content.Monitoring their employees will eliminate the downloading of games and illegal music.
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