The latest example is Sutter Health and Anthem Blue Cross, whose failure to seal a deal is causing Anthem members to worry they may not have access to one of the dominant hospital chains in Northern California. Across the U.S., the stakes in such contract fights have risen, as health systems and insurers battle to increase their market share.
California Attorney General Xavier Becerra is trying to prevent Santa Clara County from buying two local nonprofit hospitals unless it pledges to maintain certain critical health care services. County officials warn the hospitals will close if the attorney general succeeds, leaving area residents with fewer health care choices.
A new report shows that Hispanics, young people, the healthy and the poor — all groups with high rates of uninsurance before the Affordable Care Act — are the most likely to forgo insurance now that the tax penalty for not having it has been eliminated.
The new rule took effect Jan. 1 but, for consumers seeking hospital price information, using it to find answers may be like searching for a needle in a haystack.
The potentially improper payments occurred in 2014 and 2015, when the state says it was under pressure from a massive influx of new applicants due to the Affordable Care Act’s Medicaid expansion.
Muy pocos casos de médicos sospechados de conducta sexual inapropiada en el estado terminan en acusaciones formales o en revocación de licencias.
The state medical board grants probation in more than a third of cases, a KHN analysis found. Even as other institutions adapt to lessons of the #MeToo movement, the board plans no significant changes, saying it has always prioritized discipline for sexual misconduct.
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.
Nuevas normas exigen que los hogares ofrezcan atención individualizada a sus residentes por más tiempo al día.
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.
An “epidemic” of robocalls timed to open-enrollment season are largely illegal, fraudulent or aim to rope you into insurance you don’t need or can’t use. They’re also really annoying.
A California college professor never imagined that trying to figure out what was causing her rash could add up to such a huge bill.
Dr. Prudence Hall has made a name for herself in the field of “bioidentical hormones” — plant-based compounds purportedly customized for each patient’s needs. Experts say the popular approach is unproven; California regulators say she was grossly negligent in her care of two patients.
Tait Shanafelt focuses on helping doctors cope with such problems as long hours and copious record-keeping, seeking to prevent burnout and reduce the rate of physician suicide. As doctors’ well-being improves, he says, so does patient care.
Some residents of remote Surprise Valley in Northern California fear their hospital will close like so many others around the country, as hope wanes for financial support from a Denver entrepreneur. The businessman, Beau Gertz, had planned to raise money through lab billing for faraway patients.
The community of Surprise Valley, Calif., wrestled with the idea of selling its tiny, long-cherished hospital to a Denver entrepreneur who sees a big future in lab tests for faraway patients. Last summer, another exec had a similar idea but left town.
Siguiendo los pasos de la marihuana, Oregon y Colorado impulsan la legalización de hongos alucinógenos cuya sustancia activa, la psilocibina, podría ayudar a superar la depresión y la ansiedad.
Advocates in Oregon and Denver are pushing ballot measures to allow possession of mushrooms containing the hallucinogenic ingredient psilocybin, as new research shows it may be useful in treating depression and anxiety. Supporters of a measure to decriminalize magic mushrooms in California ended their effort late last month.
Saving the lives of people with the bleeding disorder can require high doses of expensive blood-clotting factor. Taxpayers foot much of the bill as manufacturers profit enormously.
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.