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 California Healthline analysis found. Even as other institutions adapt to lessons of the #MeToo movement, the board plans no major 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.