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PBM industry HEADLINES: more abt bottom line health than healthcare of their beneficiaries ?
New York Requests Public Comments Regarding PBM Patient-Steering
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An example of what/how a national health insurance will care for high acuity pts ?
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More than 600 Southern California grocery store pharmacists authorize strike
LOS ANGELES – More than 600 pharmacists and pharmacy workers at Ralphs, Vons, Albertsons and Pavilions stores in Southern California could walk out following an “overwhelming” membership vote to authorize union leadership to call for a strike.
No dates have been set for a strike and negotiations with the stores have continued.
United Food and Commercial Workers (UFCW), which represents workers across seven locals, has filed Unfair Labor Practice charges against the stores with the National Labor Relations Board, claiming they have engaged in “unlawful and unfair treatment.” The accusations include retaliation against pharmacists who engage in union activity, attempting to bribe pharmacists with bonuses rather than negotiating wage increases and hiring temporary workers to undermine union activity.
The seven locals make up the largest union grocery contract in the country.
(Photo by Tim Boyle/Getty Images)
“Southern California’s essential pharmacists have made their voices heard with this vote,” the union locals said in a joint statement Friday. “This vote gives union leaders the authorization to call for a strike and lays the groundwork to allow more than 600 pharmacists across California to stand up to protect their rights and ensure they have the ability to effectively serve their patients and communities.”
John Votava, a spokesperson for Ralphs, told CNS the store is continuing to negotiate in good faith and that the strike authorization does not mean there will be a strike or work stoppage.
“Our company is committed to continue to negotiate in good faith with the union locals until an agreement is reached that meets the needs of our pharmacy associates and ensures our customers have access to affordable medicines while keeping stores competitive,” Votava said.
Votava called the Unfair Labor Practice allegations a “fear tactic UFCW can use to call a strike and cause disruption for our company, associates and communities.” He said the National Labor Relations Board has not investigated the claims.
“Ralphs follows the law and has not been notified of any wrongdoing,” Votava said.
Albertsons, which owns Pavilions and Vons, did not respond to a request for comment.
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Paul Volkman MD files moves Post Rain-Khan to vacate conviction under 2255 needs Doctors of Courage and youarewithinthenorms.com to publish his legal stance to have convictions case overturned
Paul Volkman MD files moves Post Rain-Khan to vacate conviction under 2255 needs Doctors of Courage and youarewithinthenorms.com to publish his legal stance to have convictions case overturned
alldocappeal
The above link is to the 16 page pdf of the paperwork that has been – or will be – filed with our court system.
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Acquisition of One Medical will pit Amazon against the likes of: UnitedHealth’s Optum, CVS Health and hosp sys that employ physicians
Why Amazon wants to buy One Medical
https://www.beckershospitalreview.com/disruptors/why-amazon-wants-to-buy-one-medical.html
Amazon’s plan to buy One Medical for $3.9 billion will give the retailer a larger foothold in selling healthcare services to employers, an arena the company entered in 2019, the Wall Street Journal reported July 22.
Six things to know about the deal and Amazon’s previous endeavors to disrupt healthcare:
- One Medical is an app and website members use to book appointments, track health records and renew prescriptions.
- One Medical has yet to turn a profit since going public in 2020. In the first three months of 2022, losses reached $90 million.
- The acquisition of One Medical will pit Amazon against other companies such as UnitedHealth Group’s Optum, CVS Health and hospital systems that increasingly employ physicians, according to the report.
- Amazon’s earlier forays into healthcare include a $1 billion deal for a business to ship prescriptions nationwide and a venture to remake healthcare that companies offer to U.S. workers. They haven’t met with much success, according to the report.
- In 2019, Amazon launched Amazon Care, a telehealth service it first offered to its employees. Last year, it said it would expand the offering to other companies.
- Amazon also launched its own pharmacy business after buying online pharmacy PillPack two years ago, but the service has failed to gain meaningful traction, critics say.
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The Supreme Court just let a Trump judge seize control of ICE, at least for now
The Supreme Court just let a Trump judge seize control of ICE, at least for now
https://www.vox.com/2022/7/21/23273467/supreme-court-ice-texas-united-states-biden-mayorkas
Apparently President Biden isn’t in charge of the executive branch anymore.
On Thursday evening, the Supreme Court handed down a brief, 5-4 decision that effectively places Drew Tipton, a Trump-appointed federal trial judge in Texas, in charge of many of Immigration and Customs Enforcement’s (ICE) decisions about which immigrants to target.
The decision was largely along party lines, except that Justice Amy Coney Barrett joined the Court’s three Democratic appointees.
The decision in United States v. Texas is temporary, but the upshot of this decision is that Tipton will effectively wield much of Homeland Security Secretary Alejandro Mayorkas’s authority over how ICE officers prioritize their time for as much as an entire year — and that’s assuming that the Biden administration ultimately prevails when the Court reconsiders this case next winter.
At issue in this case is a perfectly standard decision Mayorkas made last September. Federal law provides that the secretary of homeland security “shall be responsible” for “establishing national immigration enforcement policies and priorities.” Pursuant to this authority, Mayorkas issued a memo to ICE’s acting director, informing him that the agency should prioritize enforcement efforts against undocumented or otherwise removable immigrants who “pose a threat to national security, public safety, and border security and thus threaten America’s well-being.”
Then-secretaries of homeland security issued similar memos setting enforcement priorities in 2000, 2005, 2010, 2011, 2014, and 2017.
Not long after Mayorkas handed down his memo, however, the Republican attorneys general of Texas and Louisiana went to Tipton, a Trump judge with a history of handing down legally dubious decisions halting Biden administration immigration policies, asking Tipton to invalidate Mayorkas’s memo. Tipton obliged, and an especially conservative panel of the United States Court of Appeals for the Fifth Circuit allowed Tipton’s order to remain in effect.
DOJ asked the Supreme Court to stay Tipton’s decision, temporarily restoring an elected administration’s control over federal law enforcement while this case proceeds. But the Court just refused. And it did so without explanation.
Additionally, the Court’s order announces that the justices will hear this case in December, after which it will decide whether Tipton’s decision should be permanently vacated.
This is not a close case, at least under existing law. Not only is there a federal statute that explicitly gives Mayorkas, and not Tipton, the power to establish “national immigration enforcement policies and priorities,” but Tipton’s order is also inconsistent with a legal doctrine known as “prosecutorial discretion.” That doctrine gives the executive branch discretionary authority to determine when to bring enforcement actions against individuals who allegedly violated the law.
The Supreme Court has instructed judges like Tipton to be very reluctant to second-guess these kinds of discretionary judgments by law enforcement agencies. As the Court held in Heckler v. Chaney (1985), “an agency’s decision not to take enforcement action should be presumed immune from judicial review.”
This presumption is especially strong in the immigration context. The Court has said that “a principal feature of the removal system is the broad discretion exercised by immigration officials.” Even after an enforcement agency decides to bring a removal proceeding against a particular immigrant, the Court explained in Reno v. American-Arab Anti-Discrimination Committee (1999), it “has discretion to abandon the endeavor.” And it may do so for any number of reasons, including “humanitarian reasons or simply for its own convenience.”
It is still possible that, after the Court hears this case in December, a majority of the Court will vote to vacate Tipton’s order and restore Mayorkas’s lawful authority. But even if that happens, that still means that Tipton will be allowed to exercise unlawful control of a federal law enforcement agency for months.
It won’t be the first time this happened, either. Last year, a Trump judge named Matthew Kacsmaryk handed down a similar order requiring the Biden administration to reinstate a Trump-era immigration policy known as “Remain in Mexico.” Though the Court eventually ruled against Kacsmaryk, it allowed his order to remain in effect for 10 months, leaving Remain in Mexico in place for that entire time.
And even after the Court ruled against Kacsmaryk, it sent the case back down to him with several legal issues unresolved — permitting Kacsmaryk to seize control of much of the nation’s border policy again, if he chooses.
Now, the best-case scenario for Mayorkas — and for the rule of law in the United States — is that the Supreme Court will treat Tipton’s order much like it treated Kacsmaryk’s, permitting an unlawful seizure of the Biden administration’s authority to remain in effect for only months, instead of permanently.
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DEA Policy Reversal on Allowed Prescription Annotations for Schedule II Prescriptions
DEA Policy Reversal on Allowed Prescription Annotations for Schedule II Prescriptions
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SUMMARY OF UPDATES TO GUIDELINES FOR PRESCRIBING CONTROLLED SUBSTANCES FOR PAIN
SUMMARY OF UPDATES TO GUIDELINES FOR PRESCRIBING CONTROLLED SUBSTANCES FOR PAIN
https://www.mbc.ca.gov/About/Meetings/Material/31001/ip-AgendaItem2-20220714.pdf
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CA Medical Licensing Board – eliminates using MME system on opiate dosing for pain ?
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