Latest Morning Briefing Stories
High On Drugs? Anthem Cites Soaring Drug Costs To Justify 35% Rate Hike in California
The company’s drug spending prediction, far above other insurers in the individual market, has experts scratching their heads. Anthem cites market volatility.
Open Your Mouth And Say Goo-Goo: Dentists Treating Ever-Younger Patients
A shift in dental guidelines encourages first dental visits for infants as young as 6 months, or when the first baby teeth emerge. That makes some dentists uncomfortable.
For Low-Income Drug Users, Medi-Cal Offers A Fresh Start
Under a five-year agreement with the federal government, California is using Medicaid dollars to expand drug treatment, including more inpatient care and a broader range of medications.
Move To End DACA Leaves Some Young Immigrants Fearing For Their Health
The Deferred Action for Childhood Arrivals program made it possible for young adults who came into the country illegally as children to get jobs with insurance and, in some states including California, Medicaid. Now that coverage is in peril.
Another Way For Anti-Vaxxers To Skip Shots For Schoolkids: A Doctor’s Note
No longer able to get exemptions for personal beliefs in California, parents opposed to inoculations seem to be obtaining medical exemptions for their children, according to a new study.
Why One California County Went Surgery Shopping
Fed up with high hospital costs and limited competition, Santa Barbara County sends willing employees out of town for better bargains. Local governments are slowly joining private employers in aggressively seeking out the best care for the lowest price.
A Long And Winding Road: Kicking Heroin In An Opioid ‘Treatment Desert’
Heather Menzel thought returning to her rural California hometown was the answer to her addiction problems. Then she discovered the town had no medical treatment options for her — but plenty of heroin.
Medi-Cal Sued For Pushing Patients Into Managed Care Despite Judges’ Orders
Advocates say California’s Medicaid program is violating its own rules by overturning decisions that would allow seriously ill patients to stay out of managed care and keep their doctors.
Lag In Brain Donation Hampers Understanding Of Dementia In Blacks
A long history of racism and cruel experimentation in health care are among the reasons African-American families oppose donating patients’ brains for study.
Anthem’s Retreat Leaves Californians With Fewer Choices, More Worries
The nation’s second-largest insurer is shrinking its presence on Obamacare exchanges and in the broader individual market in response to prevailing uncertainty. California is just the latest — and the biggest — example.
Covered California Expects 12.5% Average Rate Rise In 2018
The figure could be higher if President Trump ends an important consumer subsidy, which he has threatened to do. The exchange also announced that Anthem Blue Cross will pull out of Covered California and the overall individual market in 16 of the 19 regions it currently serves.
Pacientes posponen tratamientos críticos por culpa de los deducibles altos
La evidencia está mostrando que los deducibles altos han obligado a la gente a retrasar atención que podría prevenir emergencias de salud más tarde, o mejorar su calidad de vida.
When High Deductibles Hurt: Even Insured Patients Postpone Care
The number of Americans with high-deductible health plans is growing, along with the fear that even insured people won’t get the care they need because it’s too costly.
Rural Californians Want Price Relief From GOP Health Bill, But Unlikely To Get It
In far northern Lassen and Modoc counties, residents say Obamacare premiums are unaffordable. But under the proposed Senate bill, insurance premiums would increase even more.
Jump-Starting Hard Conversations As The End Nears
An end-of life-planning website can encourage patients to tackle that difficult topic before they become too ill to communicate, according to a new study. But they may be more likely to make concrete plans with help from a doctor or social worker.
California Valley Fever Cases Highest On Record
Nearly 5,400 cases of the soil-borne fungal disease were reported in 2016, the largest number since the state began tracking the illness in 1995, according to public health officials.
California Joins States That Protect Patients Against Nasty Surprise Bills
A California law that takes effect July 1 prohibits out-of-network charges if you visit a medical facility that’s in your health plan’s network. New York and Florida also offer strong consumer protections.
Kaiser Permanente Cited — Again — For Mental Health Access Problems
California’s HMO watchdog agency says the HMO giant still is making mental health patients wait too long for treatment despite previous warnings and a large fine.
Calif. Officials Sound Alarm, Envisioning $114B Hit To Medi-Cal Under U.S. Senate Bill
“Nothing is safe — no population, no services,” the director of the nation’s largest Medicaid program said Wednesday. GOP leaders say they seek to cut costs and widen consumer choices.
Survivors Of Childhood Diseases Struggle To Find Care As Adults
Once-fatal childhood diseases, like cystic fibrosis, congenital heart disease and sickle cell anemia, now can be survived into adulthood. But when those patients become too old to see pediatricians, it can be difficult for them to find physicians familiar with their conditions.