Workers have to accumulate substantial savings to supplement Social Security benefits. Yet, retirement inequality has grown over the past four decades (Munnell et al., 2021). The gap in retirement security between those who are more and those who are less likely to face a secure retirement has widened, in particular, by race and ethnicity. A large and growing number of African American, Latino, and many Asian American households have less wealth to supplement their Social Security benefits than white households, as a review by the authors shows (Francis & Weller, 2021b).
{"title":"Retirement Inequality by Race and Ethnicity","authors":"Dania V. Francis, C. Weller","doi":"10.1093/ppar/prab009","DOIUrl":"https://doi.org/10.1093/ppar/prab009","url":null,"abstract":"Workers have to accumulate substantial savings to supplement Social Security benefits. Yet, retirement inequality has grown over the past four decades (Munnell et al., 2021). The gap in retirement security between those who are more and those who are less likely to face a secure retirement has widened, in particular, by race and ethnicity. A large and growing number of African American, Latino, and many Asian American households have less wealth to supplement their Social Security benefits than white households, as a review by the authors shows (Francis & Weller, 2021b).","PeriodicalId":75172,"journal":{"name":"The Public policy and aging report","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45806536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Drive at Your Own Risk: Evaluating Monitoring and Enforcement Efforts on the Health and Long-Term Care Highway","authors":"B. Kaskie","doi":"10.1093/PPAR/PRAB007","DOIUrl":"https://doi.org/10.1093/PPAR/PRAB007","url":null,"abstract":"","PeriodicalId":75172,"journal":{"name":"The Public policy and aging report","volume":"31 1","pages":"45-46"},"PeriodicalIF":0.0,"publicationDate":"2021-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46810569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
When President Biden announced in December 2020 that he intended to nominate California Attorney General Xavier Becerra to head the Department of Health and Human Services (HHS), the appointment raised eyebrows in certain policy circles. Becerra does not fit the typical administrative profile of past HHS heads. In fact, he has no actual experience in health care or public health policy. Rather, his background is primarily rooted in law enforcement. He is best known for being an aggressive litigator who, as Attorney General of California, sought to crack down on public fraud and expand the scope of California’s False Claims Act (FCA). The Biden administration has suggested that Becerra will be expected to bring this prosecutorial outlook to HHS, and work closely with the Department of Justice to “boost health fraud enforcement efforts” (Wheeler, 2020). Whatever the administrative impact of Becerra’s nomination may be, it serves as a clear signal that the continued crackdown on health-care fraud remains one of the few policy areas still enjoying bipartisan support in Washington. Perhaps no area of federal health care is likely to attract more scrutiny or enforcement activity during Becerra’s tenure than Medicare Part C or Medicare Advantage plans. These plans, which pay private health insurers based on a capitated monthly rate per patient, have traditionally been considered less of a fraud risk than their typical fee-forservice counterparts. However, this view seems to be changing, as regulators and private whistleblowers continue to uncover significant fraud within managed-care plans. For instance, in December 2020, Deputy Assistant Attorney General Michael Granston referred to Medicare Part C fraud as an “important priority” for the Department of Justice as it moves forward under a new administration (U.S. Department of Justice, 2020b). Notably, Medicare Advantage fraud was one of only two specific enforcement areas (along with opioid prescription schemes) that Granston singled out in his speech. This article traces the historical oversight of government enforcement in the Medicare Advantage space, and contrasts it with the type of scrutiny typically afforded to more traditional federal health-care programs. The article describes historical enforcement actions brought by the government and outlines some likely trends moving forward.
当拜登总统在2020年12月宣布，他打算提名加利福尼亚州总检察长泽维尔·贝塞拉担任卫生与公众服务部（HHS）部长时，这一任命引起了某些政策界的质疑。Becerra不符合过去卫生和公众服务部负责人的典型行政形象。事实上，他在医疗保健或公共卫生政策方面没有实际经验。相反，他的背景主要来自执法部门。他最为人所知的是一位积极进取的诉讼律师，作为加州总检察长，他试图打击公共欺诈，并扩大加州《虚假索赔法》（FCA）的范围。拜登政府表示，预计Becerra将把这一起诉前景提交给HHS，并与司法部密切合作，“加强健康欺诈执法工作”（Wheeler，2020）。无论贝塞拉提名的行政影响如何，这都是一个明确的信号，表明继续打击医疗欺诈仍然是华盛顿少数仍得到两党支持的政策领域之一。在Becerra任职期间，也许没有哪个联邦医疗保健领域比Medicare Part C或Medicare Advantage计划更能吸引更多的审查或执法活动。这些计划根据每位患者的按人头计算的月费率向私人医疗保险公司支付费用，传统上被认为比其典型的服务收费计划的欺诈风险更小。然而，随着监管机构和私人告密者继续发现管理医疗计划中的重大欺诈行为，这种观点似乎正在改变。例如，2020年12月，副助理司法部长迈克尔·格兰斯顿将医疗保险C部分欺诈行为称为司法部在新政府领导下前进的“重要优先事项”（美国司法部，2020b）。值得注意的是，医疗保险优势欺诈是格兰斯顿在演讲中指出的仅有的两个具体执法领域之一（以及阿片类药物处方计划）。这篇文章追溯了联邦医疗保险优势领域对政府执法的历史监督，并将其与通常对更传统的联邦医疗保健计划进行的审查类型进行了对比。这篇文章描述了政府采取的历史性执法行动，并概述了一些可能的发展趋势。
{"title":"Government Enforcement and Review of Managed Medicare Programs: A Glimpse of Historical Practice and Forthcoming Trends","authors":"Jason Mehta","doi":"10.1093/PPAR/PRAB005","DOIUrl":"https://doi.org/10.1093/PPAR/PRAB005","url":null,"abstract":"When President Biden announced in December 2020 that he intended to nominate California Attorney General Xavier Becerra to head the Department of Health and Human Services (HHS), the appointment raised eyebrows in certain policy circles. Becerra does not fit the typical administrative profile of past HHS heads. In fact, he has no actual experience in health care or public health policy. Rather, his background is primarily rooted in law enforcement. He is best known for being an aggressive litigator who, as Attorney General of California, sought to crack down on public fraud and expand the scope of California’s False Claims Act (FCA). The Biden administration has suggested that Becerra will be expected to bring this prosecutorial outlook to HHS, and work closely with the Department of Justice to “boost health fraud enforcement efforts” (Wheeler, 2020). Whatever the administrative impact of Becerra’s nomination may be, it serves as a clear signal that the continued crackdown on health-care fraud remains one of the few policy areas still enjoying bipartisan support in Washington. Perhaps no area of federal health care is likely to attract more scrutiny or enforcement activity during Becerra’s tenure than Medicare Part C or Medicare Advantage plans. These plans, which pay private health insurers based on a capitated monthly rate per patient, have traditionally been considered less of a fraud risk than their typical fee-forservice counterparts. However, this view seems to be changing, as regulators and private whistleblowers continue to uncover significant fraud within managed-care plans. For instance, in December 2020, Deputy Assistant Attorney General Michael Granston referred to Medicare Part C fraud as an “important priority” for the Department of Justice as it moves forward under a new administration (U.S. Department of Justice, 2020b). Notably, Medicare Advantage fraud was one of only two specific enforcement areas (along with opioid prescription schemes) that Granston singled out in his speech. This article traces the historical oversight of government enforcement in the Medicare Advantage space, and contrasts it with the type of scrutiny typically afforded to more traditional federal health-care programs. The article describes historical enforcement actions brought by the government and outlines some likely trends moving forward.","PeriodicalId":75172,"journal":{"name":"The Public policy and aging report","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44221372","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-04-23eCollection Date: 2021-01-01DOI: 10.1093/ppar/prab001
Jennifer Ailshire, Lauren L Brown
[This corrects the article DOI: 10.1093/ppar/praa036.].
[此更正文章DOI: 10.1093/ppar/praa036.]。
{"title":"Erratum to: The Importance of Air Quality Policy for Older Adults and Diverse Communities.","authors":"Jennifer Ailshire, Lauren L Brown","doi":"10.1093/ppar/prab001","DOIUrl":"https://doi.org/10.1093/ppar/prab001","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1093/ppar/praa036.].</p>","PeriodicalId":75172,"journal":{"name":"The Public policy and aging report","volume":"31 3","pages":"110"},"PeriodicalIF":0.0,"publicationDate":"2021-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/ppar/prab001","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39313261","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Decade of Congressional Efforts to Conduct and Communicate Oversight of Medicare and Medicaid","authors":"Lindsey Cormack, H. Brown","doi":"10.1093/PPAR/PRAB003","DOIUrl":"https://doi.org/10.1093/PPAR/PRAB003","url":null,"abstract":"","PeriodicalId":75172,"journal":{"name":"The Public policy and aging report","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/PPAR/PRAB003","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43356587","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Failures of Regulation and Policy in Medicaid-Managed Long-Term Care and Medicare Advantage","authors":"L. Gonzalez, L. Polivka-West, L. Polivka","doi":"10.1093/PPAR/PRAB002","DOIUrl":"https://doi.org/10.1093/PPAR/PRAB002","url":null,"abstract":"","PeriodicalId":75172,"journal":{"name":"The Public policy and aging report","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/PPAR/PRAB002","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46136302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"How the Collection and Disbursement of Civil Money Penalties Improves Nursing Facility Care Across the United States","authors":"T. Miles","doi":"10.1093/PPAR/PRAB004","DOIUrl":"https://doi.org/10.1093/PPAR/PRAB004","url":null,"abstract":"","PeriodicalId":75172,"journal":{"name":"The Public policy and aging report","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1093/PPAR/PRAB004","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47969883","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"OUP accepted manuscript","authors":"","doi":"10.1093/ppar/prab017","DOIUrl":"https://doi.org/10.1093/ppar/prab017","url":null,"abstract":"","PeriodicalId":75172,"journal":{"name":"The Public policy and aging report","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61095519","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"OUP accepted manuscript","authors":"","doi":"10.1093/ppar/prab033","DOIUrl":"https://doi.org/10.1093/ppar/prab033","url":null,"abstract":"","PeriodicalId":75172,"journal":{"name":"The Public policy and aging report","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"61095653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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