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Latest Morning Briefing Stories

After Her Skiing Accident, An Uphill Battle Over Snowballing Bills

KFF Health News Original

She took a bad fall on the slopes and her surgeon used a metal plate to put the splintered bones of her leg back together. When that device failed less than four months later, she and her insurer had to pay full price for the replacement plate.

Health Care Industry ‘Pays Tribute’ To California’s Influential Lawmakers

KFF Health News Original

The leaders of California’s legislative health committees who wield power over state health policy have been showered with money from the health care sector, with drug companies, health plans, hospitals and doctors providing nearly 40 percent of their 2017-18 campaign funds.

Feds Join Lawsuit Alleging Sutter Health Padded Revenue With False Patient Data

KFF Health News Original

The whistleblower complaint says that Sutter, one of the largest health systems in the U.S., exaggerated how sick certain Medicare patients were in order to collect higher payments from the government-funded program.

Blue Shield’s Trims To Out-Of-State Coverage Give Some Californians The Blues

KFF Health News Original

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.  

One Implant, Two Prices. It Depends On Who’s Paying.

KFF Health News Original

Breast implants — used for both cancer and cosmetic surgeries — give a glimpse into how hospitals mark up prices of medical devices to increase their bottom lines.

More Than Half Of California Nursing Homes Balk At Stricter Staffing Rules

KFF Health News Original

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.