California Winces At Trump’s Turn Back To ‘Bad Old Days’ Of Health Plan Associations
State leaders vow to protect consumers from a presidential order to resurrect a health plan model that they say could destabilize the insurance market.
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Whistleblower: Medicaid Managed-Care Firm Improperly Denied Care To Thousands
An explosive report prepared by a SynerMed executive alleges the California firm, which oversaw care for 1.2 million patients, fabricated documents and violated state and federal regulations for years. The state says it left low-income patients on Medicaid managed care in “imminent danger.”
By Chad Terhune -
Hospitals With History Get A Second Life
The number of hospitals across the country has plummeted, but many old buildings are being resuscitated as apartments and condos.
By Phil Galewitz and Anna Gorman -
Teaching Teens The Perils Of Pot As Marketplace Grows
The legalization of recreational marijuana in California and other states poses an added challenge for drug education programs targeting youths.
By Anna Gorman -
Putting Money Where Its Mouthpiece Is: Calif. Outspends U.S. To Market Obamacare
The state insurance exchange is committing nearly five times more money than the federal government on ads urging people to sign up for health insurance, reflecting conflicting attitudes toward the Affordable Care Act.
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Problems With Your Hospital Care? Speak Up!
If you’re in the hospital and aren’t happy with how they are treating you, here are some simple steps to improve your situation.
By Emily Bazar -
Health Giant Sutter Destroys Evidence In Crucial Antitrust Case Over High Prices
"'Fingers crossed' that I haven’t authorized something the FTC will hunt me down for,” a staffer wrote after destroying the documents. Sutter, a huge Northern California Health system with 24 hospitals, said it destroyed them by mistake.
By Chad Terhune -
For Millions of Insured Americans, State Health Laws Don’t Apply
Many states have adopted strong consumer regulations, but they don’t protect the millions of Americans with a specific type of job-based coverage.
By Emily Bazar -
California Fines Anthem $5 Million For Failing to Address Consumer Grievances
The Department of Managed Health Care cited one example in which consumers and advocates had to call the insurer 22 times to contest a decision. Still, the complaint still was not resolved until the department became involved.
By Chad Terhune -
California Firm Running Physician Practices Is Closing Down as Scrutiny Ramps Up
State regulators and insurers are looking into SynerMed, which medical groups depend upon to handle their finances and business operations. The groups, serving 1 million patients, fear a messy fallout.
By Chad Terhune -
Can Apps Slay The Medical Bill Dragon?
A handful of Silicon Valley start-ups are trying to usher medical billing into the 21st century by creating smartphone apps to help consumers navigate their health insurance paperwork.
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Taking A Page From Pharma’s Playbook To Fight The Opioid Crisis
Doctors and pharmacists in Northern California are emulating drug company sales reps with a fresh purpose in mind: They visit medical offices in the hardest-hit counties to change their peers' prescribing habits and curtail the use of painkillers.
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Vaccine Shortage Complicates Efforts To Quell Hepatitis A Outbreaks
The two FDA-approved manufacturers of the vaccine, hit by an unexpected spike in demand, have had difficulty keeping pace. In San Diego County, home to the deadliest outbreak in the nation, officials are postponing a campaign to give at-risk residents the second of two doses.
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Sip Wine And Chat About Postponing Motherhood — At An ‘Egg Social’
Fertility doctors around the country are hosting soirees to pitch to mostly affluent women the benefits of preserving their eggs.
By Anna Gorman -
Breathing Fire: Health Is A Casualty Of Climate-Fueled Blazes
As the planet warms, wildfires such as the latest disastrous blazes in Northern California have increased in frequency and scope. Beyond the environmental effects, people suffer health repercussions that can be disabling and even deadly.
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California Cracks Down On Weed Killer As Lawsuits Abound
California has listed the active ingredient in Monsanto’s Roundup as a cancer-causing agent and will require warning labels on it starting next year. The company says that the listing is unjustified and that science is on its side.
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Beyond Stigma And Bias, Many Transgender People Struggle With Mental Health
New data show transgender people are more likely to have suicidal thoughts and to attempt suicide. Public hostility toward them, including efforts to ban them from public bathrooms and military service, is making things worse, researchers say.
By Anna Gorman -
Enrollment 2018
Big Premium Hike? Blame It On The Kids
Premiums are rising for many reasons next year, and one is that insurers are charging a lot more for teenagers.
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Beyond The Shattered Lives And Bodies, Money Worries Weigh On Las Vegas Victims
Many of the gunshot survivors who suffered serious injuries face not only high deductibles and out-of-network charges but also lost wages.
By Anna Gorman -
Federal Judge Denies Bid To Force Feds To Resume ACA Subsidies
U.S. District Judge Vince Chhabria said the vast majority of states have already prepared for the termination of the payments and already devised responses that give consumers better coverage.
By Ngoc Nguyen