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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.
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  •  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
smurphy6600

The Role that Residential Schools Play in the Socialization of Deaf Children - 1 views

  • A residential school for students who are deaf has a comprehensive academic, health, and socialization program including dormitory living equipped for students who are deaf.
  • many view residential life as the ideal opportunity for students who are deaf to become familiar with and enculturated into the Deaf community.
  • because the language of the Deaf community, American Sign Language (ASL), is used
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  • communication is not a barrier to social life
  • opportunity for socialization
  • This heritage is passed on from one generation to the next via the residential school,
  • Most schools for the deaf use some form of sign language (Padden & Humphries, 1988).
  • 78 residential schools for the deaf or deaf and blind in the United States
  • Parent/Infant program administered by the school provides much needed services until the child is ready to attend
  • child has access to role models who are Deaf.
  • Hearing parents of children who are deaf seem to have greater reluctance about sending their children because they do not want to be separated from them (Scheetz, 1993).
  • Parents who are Deaf themselves often choose a school for the Deaf over local schools because of the opportunity for their child(ren) to participate in the life of the Deaf community and culture
  • Students who are deaf and who attended mainstream schools must continue to prove their allegiance to the Deaf culture if they have chosen participation in adulthood (Reese, 1996).
  • Deaf students who are mainstreamed miss out on the feeling of belonging that individuals from the Deaf culture associate with their residential schools,
  • Mainstreamed students often are singled out in many respects.
  • The students are exposed to deaf adults with various types of careers
  • The residential school is the point of contact for the Deaf culture
  • It is like a home away from home
  • Many students who have attended residential schools and who are members of the Deaf culture will admit to some regret over missing out on a closely knit family life
  • quickly add
    • smurphy6600
       
      the author is biased in their writing and offers a biased perspective of this
  • the curriculum of the typical residential school tends to be less rigorous than that of other schools (Lane, Hoffmeister, & Bahan, 1996).
  • parents tend not to participate in their child's education to a sufficient degree
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    The author reviews the purpose of Residential Schools for the Deaf and how they influence the social life and wellbeing of the children who are sent there for the better. The article shows a bias leaning towards the schools although there are many hearing families who find themselves troubled by the idea of sending their Deaf children away from K-12 but the article brings forward the positive aspects of how a residential school is uniquely capable of helping deaf children develop confidence and capable social skills that would allow them to experience a proper education unlike a mainstream public school in which they would most definitely be out-casted by their lack of resources, culture, language, and role models. It shows both the pros and cons of the residential schools for the Deaf in America but with a clear bias, however this is not unreasonable. Despite the clear bias towards residential schools from the author the article offers a point of view of hearing parents finding issue with sending their child away from home for long periods of time as they would experience with a residential school.
cellina14

Foster Care Advocates | Foster Coalition - 0 views

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    Many children are in foster care. There is a high volume of children who stay in foster care for a long period of time and sometimes "age out". Aging out is when the minor turns 18years of age and is still in foster care. The social justice issue is that these children have a higer chance of going to orison, human trafficking and pregnancy. We need to do something as a society to help these children achieve something in there life. There are so many children who still get abused in the foster system as well. What needs to be done to prevent this from happening? More home visits to foster homes, better screening, and maybe even just a all around better system.
jodibarrett

Aging Out of Foster Care: The Costs of Doing Nothing Affect Us All - 0 views

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    This article speaks about the costs communities and taxpayers spend on aging out foster youths that do not receive extended care after they turn 18.
tyl2148154

California College Students Walk Out Of Class To Protest Tuition Hikes - 0 views

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    This article is about students in California protesting the tuition hikes by walking out of class . This staged walk out happened all across the state.
slicknick

Travel Ban - 0 views

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    This article is about President Trump proposing the idea of travel ban. This is to keep our nation safe and secure from terrorist entering our country. This travel ban idea is to keep certain countries out of the US. This idea is mainly to keep the Muslims out too.
arielyokley

High-school Dropouts Dost Arizona $7.6 Billion Over Lifetime - 0 views

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    We all know the negative effects dropping out of high school on individuals, but have you ever thought about how the act of dropping out effects the state you live in? Those who drop out are more likely to be faced with unemployment, poor health, criminal behavior, and need for public assistance. These are all things that end up costing the state billions. This is a chronic issue in our state in particular; Arizona has been ranked one of the highest for high school dropouts for many years.
jef2162142

Suicide Statistics | Befrienders - 2 views

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    The rising suicide rates across the globe are disturbing. Over the past 45 years, the suicide rates have risen by 60%, they have nearly doubled, and are getting worse every year. As of 2016, a person commits suicide every 40 seconds, and the CDC believes that that number will rise to one every 20 seconds by 2020, a disturbing figure. The phenomenon has had little explanation as to cause, however i believe it is the fall in the number of people of faith, or religion. Over the past 50 years, more and more people have lost faith, and crime rates, and suicide rates have skyrocketed. But that is just a theory.
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    The is becoming more and more of issue as the years pass. I see it with friends, co-workers, and have even dealt with it in close family. Often times it's the ones we don't even notice that actually do it, and the ones that say they're going to are the ones crying out for help. Always be aware of the people around you, and always offer help when you see someone needs it.
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    It's sad to read about the growing rate of suicide and difficult to know why. Many people feel lost and insecure in this world and there can be many factors involved when someone decides to take their life away. There is also much debate about physician assisted suicide and whether or not it should be legal or how the process should be carried out.
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    The statistic that 90% of suicide cases are related to a mental health disorder stands out to me. Maybe this is a field to look into?
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    This is definitely interesting. Suicide can be quite complex. However, something to keep in mind is the manner in which suicide is reported. I know from my field of work that some families can choose not to report a family member's death as suicide. This is something important to note when looking at statistics.
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    We all are aware and know how scary suicide can be but it is heartbreaking to know that every year the growing rate is rising. We see on the news and on social media that teens are committing suicide but we need to realize that it is not just teens, its all people. The best thing we can do for those who have thought of committing suicide is to be there and listen to them when help is needed.
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    It's sad to hear about how often suicide happens. I wasn't aware of how bad it actually was. There are many different reasons people decide to take their life away. All we can really do is to try to be there for anyone who needs help and show people that you care. Sometimes it can be from the people we least expect.
anonymous

Adoption - Unmarried Equality - 2 views

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    Should single people to allowed to adopt? This website fights for the equality of unmarried people and it discusses whether or not unmarried people should deserve more equal opportunity of being able to adopt a child. it explains first that there are so many children waiting to be adopted. Then the website also talks about how unmarried people actually want to adopt. 
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    I really do not understand why adoption agencies are refusing to adopt children out to same sex couples, or single people because if someone is going to love and provide for that child, what does it matter who they marry? The number of children who are looking for a loving family is endless, so many children need to be adopted.
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    If the couple is same sex or single and make the requirements to adopt then why not. There are so many children in foster care that are waiting to be adopted. It shouldn't matter a persons sexual preferance to be able to adopt as long as the couple loves and can provide for the child. It also shouldn't matter if one is single. Again as long as the person can love and provide for the child there shouldn't be a problem.
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    Being married should not have any precedence over those who are not. Love is a universal concept that everyone has to offer. Women no longer need a man to provide for them, so why should one have to be married to love and care for a child? Especially if the willing parent has no issue providing the means to support the child. It is better than just leaving the child in a system that gives them no actual emotional support, which only contributes to abandonment and self-worth issues.
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    Personally I think anyone who is willing to tell themselves that they want to take in a child that is not born from their blood line and care for that child as if they are then all power to them, there are too many children out there that don't have homes and are put in the system until they age out and I think equality for single people is the right thing to do.
aus2127741

Newsagent who threw out autistic 11-year-old boy and his assistance dog out o... - 1 views

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    James McCaffery and his service dog 'Kizzy' went along with James' mother and brother to top an oyster card at Dudu Miah's store in Limehouse, east London. He was told "Get out of my shop. No dogs in this shop." The mother, Katy McCaffery told Mr. Miah that it is against the law to deny 'Kizzy.' He stated that he did not care if he was breaking the law.
jodibarrett

Report: Foster Kids Face Tough Times After Age 18 - 3 views

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    In this report it talks about foster kids and what happens to them after they turn 18. While some states, a small handful, have programs for the kids others do not. It spoke about kids turning 18 then getting dropped off at homeless shelters. I hope in the near future there will be a change for these kids. They crime rate, young parent rate and homeless rates are just not acceptable. Please read and see how you can help in you community.
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    There was a group home next door to my home for years. These kids had no support even when they were in the system. They were often locked out of the home when the state workers needed to go somewhere. My family and I ended up being family for many of these children. One afternoon, Charles who lived in the group home, rang our doorbell. I came out and he was yellow and falling over. I asked him where are the workers. He let me know they had locked them out again. I put him in my car and rushed him to the hospital. I knew it was bad when the emergency room nurses took him immediately. The staff at the group home had been giving him the wrong medication and he lost most of his liver. Charles calls me mom. His children call me Grandma. A lot of the kids that were living in the home, call me mom. I refer to them as one of my kids. The best way to take care of these children is to invite them into your heart, lives and family before and after they turn 18. Demonstrate the way to success by showing them love.
jodibarrett

Aging Out of Foster Care - 0 views

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    Addresses kids aging out of the foster system and not being prepared. Also, it give some ideas on how this process can be improved.
kar2050145

After NRA speaks out, gun debate heats up - 0 views

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    After the school massacre in Connecticut in 2012, the NRA speaks out about gun control. Should there be more gun control as the government suggests or should schools have armed guards on campus. Safety is important in our schools but what steps are going to be taken to protect personal freedoms and safety.
rhabermacher

OHCHR | List of Issues - 1 views

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    Office of the High Commissioner: United Nations Human Rights. This website lists an array of social justice issues. This may serve as a good resource for us in this class as we explore the different topics we may research for our final paper in this class.
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    What a good article to start off with! It will definitely help out with your search as you go before condensing and narrowing down ideas has to happen.
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    Excited to review the site in detail for our final paper. I think this will help me out considerably because I'm still figuring out my topic. Thank you for the list of issues!
jen2081270

Craigslist Babies - 7 views

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    I can not believe that people really place ads on Craigslist pretty much giving away or selling their children like pets. This article shows real ads that were placed to basically get rid of their children just the same as one would sell a dresser. Not only does this actually happen it is LEGAL!
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    This insane and wrong! I cannot believe this actually happens. How can you give your child to a random person with out getting a professional background check. This article blows my mind.
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    Just reading the title of this article made me cringe however, after reading the details, some of the proponents viewpoints made sense. They pointed out when adoptive parents post ads on Craigslist it is considered networking but when a mother posts her ad looking for these adoptive parents it is viewed as baby selling. My personal opinion is that it is sad; hopefully for our society, this does not become the norm.
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    As mentioned by Jacob, ^ the points mentioned in the article do make sense; however, I believe that the issue lies within the fact that people are profiting by giving away a life and that it is a site that can be accessed by anyone with internet access, creating a major safety hazard. It is tragic to see that these things exist and it definitely ought to be addressed and stopped immediately.
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    Placing an add for adoption on craigslist sounds extremely unsafe. I really cannot understand how it is legal. I understand making a choice of adoption but craigslist of all places?
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    This is just insane. It's unbelievable how something like this can be legal. Kids aren't pets or an object to be selling or giving away in a website. Although, towards the end of the article it does make a valid point, what makes us think that it's right for agencies to profit and make money out of these adoptions?
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    I didn't know this was real until I met someone that sold their child to a family in Italy. I can't imagine selling my kids. What is even more sad is that these people don't even know if their baby is really being cared for or placed in sex trafficking or the black market for some sickos.
lynnmarie17

The Effect of COVID-19 on Homelessness - 1 views

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    Many people have become homeless due to the pandemic. Landlords are raising the rent in this time of crisis and people aren't able to afford to live anymore. Unemployment rates have also gone through the roof
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    This was a good, but very sad read. I cant imagine having to be evicted out of my home due to being out of work for something like the pandemic. Something completely out of your control. I know that Arizona temporarily put a notice during the lockdown that those who couldn't pay rent were not allowed to be evicted (I was one of them) but it didn't last long enough. Like the article states, COVID19 has long term affects not short ones meaning more time to recover from its effects are needed.
Monica Beiser

School Uniforms: Prevention or Suppression? - 0 views

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    The use of school uniforms is said to dissipate gang violence and cut out segregation, but this article explains how that may not be happening. The article suggest that uniforms distract the government from getting to the root of the problem and strips the children of individuality.
Monica Beiser

WHO OWNS THE SEED? | Seed Freedom - 0 views

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    This article informs about seeds being patented. Furthermore, they point out that no one should own the rights to a seed as it is a living thing. Patenting seeds puts the food industry in big business hands.
Marcus Rentrope

Family Values - 0 views

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    Moral values are less common among society in todays world. The values and beliefs of a person should not be punishable. The nation started out as a christian nation and it no longer is.
Adam Tschetter

The Government is Scary - 0 views

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    Whether it's "terrorists", global warming, or a new virus, the government and media usually blow things way out of proportion. Most of the time it stirs the public into a frenzy and we end up spending money in some way. Sometimes the cash goes to groups that help end hunger in Africa and other times it's a huge hospital bill because we weren't sure if it was the bird flu or the swine flu (turned out to be a cold).
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