California

Calming Dementia Patients Without Powerful Drugs

KFF Health News Original

In California nursing homes, just over 15 percent of dementia patients are on antipsychotic drugs. That’s far more than advocates say is necessary. But that number is down from almost 22 percent just three years ago.

The Gray Areas Of Assisted Suicide

KFF Health News Original

In bizarre, veiled conversations, some doctors vaguely hint to dying patients and their families how to hasten death. But overwhelmed families are left with profound questions and the feeling that there is no one who can answer them.

Learning A New Health Insurance System The Hard Way

KFF Health News Original

A Sacramento couple struggled to take advantage of subsidized health care coverage through Covered California in 2014 – facing one glitch after another. This year, they are more savvy about navigating the system.  

 

With Specialists In Short Supply, L.A. County Turns To e-Consulting

KFF Health News Original

Facing a shortfall of doctors — and a dearth of money — L.A. County, Calif., is using a web-based system called eConsult that allows primary care doctors and specialists to exchange patient medical records before sending them for referral appointments.

How One Hospital Brought Its C-Sections Down In A Hurry

KFF Health News Original

Faced with the possible loss of an important insurer, a large Orange County, Calif., hospital rapidly reduced excessive cesarean section rates in part by sharing each physician’s rate with everyone in the obstetrics department.

A Matter Of Faith And Trust: Why African-Americans Don’t Use Hospice

KFF Health News Original

Even as end-of-life planning gains favor with more Americans, African-Americans, research shows, remain very skeptical of options like hospice and advance directives. The result can mean more aggressive, painful care at the end of life that prolongs suffering.

California High Court To Consider Limits on Regulators’ Access to Prescription Database

KFF Health News Original

A Burbank doctor, with the support of the AMA, says the Medical Board of California violated his patients’ privacy by checking his prescribing practices in a state database without a court order. The board says it needs that access to protect patients from harm.

When Depression And Cultural Expectations Collide

KFF Health News Original

A teen from a Taiwanese immigrant family struggles with depression as her mother worries and tries to understand. Asian American families like this one often have trouble seeking and finding appropriate treatment.

KHN Video: Momentary Healing

KFF Health News Original

Wynne Lee, 17, struggled with depression and cultural expectations for several years. The teen from Diamond Bar, California, is like many kids from Asian American families who often have trouble finding appropriate treatment.

So You Have Dense Breasts. Now What?

KFF Health News Original

Dense breasts make mammograms harder to read. As more states pass laws requiring that women be told of the risks, debate is growing about whether such warnings are helpful — or even harmful.

 

Caught In The Middle

KFF Health News Original

Kairis Chiaji from Sacramento, California, says it was difficult to afford health insurance before the Affordable Care Act on her self-employed income as a birth coach. The 43-year-old experienced a mix up with her application through Covered California that delayed her enrollment.

Hoping To Live, These Doctors Want A Choice In How They Die

KFF Health News Original

In a California lawsuit seeking to allow doctors to prescribe lethal medications at patients’ request, two plaintiffs are physicians with serious illnesses. Both want the option of choosing to end their lives.

Blue Shield of California Loses Its State Tax Exemption

KFF Health News Original

The unheralded move by California tax authorities last August may leave the insurer on the hook for tens of millions of dollars in taxes dating back to 2013. Blue Shield of California is protesting the action.

Inviting Patients To Help Decide Their Own Treatment

KFF Health News Original

At UC San Francisco and other hospitals and clinics around the nation, “shared decision making” programs encourage doctors and patients to work together in making tough choices about care.