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Latest Morning Briefing Stories

California’s Regulators To Investigate Aetna’s Medical Coverage Decisions

KFF Health News Original

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.

Hospitals’ Best-Laid Plans Upended By Disaster

KFF Health News Original

An onslaught of fires, shootings and storms across the country last year tested hospital readiness. Now, leaders are using their experiences to address shortcomings that surfaced amid the chaos.

Judge Orders New Olympus Trial Over Superbug Death

KFF Health News Original

The Seattle jurist finds that Olympus Corp. failed to properly disclose evidence that it knew of concerns about cleaning problems with its redesigned medical scopes years before they hit the market and were linked to dozens of deaths. The company maintains the devices were not defective and intends to appeal.

Postcard From California: Alzheimer’s ‘Looks Like Me, It Looks Like You’

KFF Health News Original

At a panel discussion this week in Sacramento, patients, caregivers and others shared their perspectives on how Alzheimer’s disease affects women, who account for two-thirds of those living with the condition.

El estado les da a los beneficiarios de Medi-Cal algo para sonreir

KFF Health News Original

En enero, más de 7 millones de adultos californianos inscriptos en Medi-Cal recuperaron la cobertura para atención dental crítica, incluidas coronas y dentaduras parciales.

High Praise: Pot Churches Proliferate As States Ease Access To Marijuana

KFF Health News Original

Churches that offer marijuana as a sacrament are popping up across California and the U.S., vexing state and local officials who say they’re simply pot shops in disguise.

When Nursing Homes Push Out Poor And Disabled Patients

KFF Health News Original

Complaints are rising in California and other states about improper evictions and discharges. Advocates say some patients end up in cheap hotels, homeless or back in the hospital.

Whistleblower: Medicaid Managed-Care Firm Improperly Denied Care To Thousands

KFF Health News Original

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.”

Putting Money Where Its Mouthpiece Is: Calif. Outspends U.S. To Market Obamacare

KFF Health News Original

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.

Health Giant Sutter Destroys Evidence In Crucial Antitrust Case Over High Prices

KFF Health News Original

“‘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.

California Fines Anthem $5 Million For Failing to Address Consumer Grievances

KFF Health News Original

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.