Patients Suffer When Health Care Behemoths Quarrel Over Contracts
The latest example is Sutter Health and Anthem Blue Cross, whose failure to seal a deal is causing Anthem members to worry they may not have access to one of the dominant hospital chains in Northern California. Across the U.S., the stakes in such contract fights have risen, as health systems and insurers battle to increase their market share.
California Attorney General And Santa Clara County Face Off Over Sale Of Two Hospitals
California Attorney General Xavier Becerra is trying to prevent Santa Clara County from buying two local nonprofit hospitals unless it pledges to maintain certain critical health care services. County officials warn the hospitals will close if the attorney general succeeds, leaving area residents with fewer health care choices.
End Of Tax Penalty Could Fall Hardest On Previously Uninsured Californians
A new report shows that Hispanics, young people, the healthy and the poor — all groups with high rates of uninsurance before the Affordable Care Act — are the most likely to forgo insurance now that the tax penalty for not having it has been eliminated.
As Hospitals Post Sticker Prices Online, Most Patients Will Remain Befuddled
The new rule took effect Jan. 1 but, for consumers seeking hospital price information, using it to find answers may be like searching for a needle in a haystack.
Feds Say California May Have Spent Nearly $1B On Ineligible Medi-Cal Beneficiaries
The potentially improper payments occurred in 2014 and 2015, when the state says it was under pressure from a massive influx of new applicants due to the Affordable Care Act’s Medicaid expansion.
Muy pocos casos de médicos sospechados de conducta sexual inapropiada en el estado terminan en acusaciones formales o en revocación de licencias.
In California, Doctors Accused Of Sexual Misconduct Often Get Second Chances
The state medical board grants probation in more than a third of cases, a KHN analysis found. Even as other institutions adapt to lessons of the #MeToo movement, the board plans no significant changes, saying it has always prioritized discipline for sexual misconduct.
Blue Shield’s Trims To Out-Of-State Coverage Give Some Californians The Blues
To keep costs down, Blue Shield of California next year will scale back on a program allowing members to receive a wide range of care beyond the state’s borders. Customers with individual plans mostly won’t be able to get coverage out of state except for emergencies or other exceptional circumstances.
California: hogares para adultos mayores se resisten a cumplir reglas de personal
Nuevas normas exigen que los hogares ofrezcan atención individualizada a sus residentes por más tiempo al día.
More Than Half Of California Nursing Homes Balk At Stricter Staffing Rules
Patient advocates say the state’s new staffing regulations are a good start toward better protecting the frail, but the nursing home industry contends they’re too burdensome.
Hello? It’s I, Robot, And Have I Got An Insurance Plan For You!
An “epidemic” of robocalls timed to open-enrollment season are largely illegal, fraudulent or aim to rope you into insurance you don’t need or can’t use. They’re also really annoying.
That’s A Lot Of Scratch: The $48,329 Allergy Test
A California college professor never imagined that trying to figure out what was causing her rash could add up to such a huge bill.
Doctor To The Stars Disciplined Over Use Of Controversial Menopause Therapy
Dr. Prudence Hall has made a name for herself in the field of “bioidentical hormones” — plant-based compounds purportedly customized for each patient’s needs. Experts say the popular approach is unproven; California regulators say she was grossly negligent in her care of two patients.
Stanford’s Chief Wellness Officer Aims To Prevent Physician Burnout
Tait Shanafelt focuses on helping doctors cope with such problems as long hours and copious record-keeping, seeking to prevent burnout and reduce the rate of physician suicide. As doctors’ well-being improves, he says, so does patient care.
Community Frets As Buyer For Cherished Rural Hospital Slips From View
Some residents of remote Surprise Valley in Northern California fear their hospital will close like so many others around the country, as hope wanes for financial support from a Denver entrepreneur. The businessman, Beau Gertz, had planned to raise money through lab billing for faraway patients.
Outsiders Swoop In Vowing To Rescue Rural Hospitals Short On Hope — And Money
The community of Surprise Valley, Calif., wrestled with the idea of selling its tiny, long-cherished hospital to a Denver entrepreneur who sees a big future in lab tests for faraway patients. Last summer, another exec had a similar idea but left town.
Primero fue la marihuana… ¿y ahora los hongos alucinógenos?
Siguiendo los pasos de la marihuana, Oregon y Colorado impulsan la legalización de hongos alucinógenos cuya sustancia activa, la psilocibina, podría ayudar a superar la depresión y la ansiedad.
First, Marijuana. Are Magic Mushrooms Next?
Advocates in Oregon and Denver are pushing ballot measures to allow possession of mushrooms containing the hallucinogenic ingredient psilocybin, as new research shows it may be useful in treating depression and anxiety. Supporters of a measure to decriminalize magic mushrooms in California ended their effort late last month.
States Strive To Curb Costs For A Crucial — But Exorbitant — Hemophilia Treatment
Saving the lives of people with the bleeding disorder can require high doses of expensive blood-clotting factor. Taxpayers foot much of the bill as manufacturers profit enormously.
California’s Regulators To Investigate Aetna’s Medical Coverage Decisions
The investigations follow testimony in a lawsuit by a former Aetna medical director who said he relied on information from nurses, without reviewing patient records himself, when deciding which treatments to allow and deny.
