After a San Francisco speech focused mostly on Medicare, Seema Verma fielded questions that underscored the administration’s differences with California on other key health care issues.
The average increase in California is smaller than the double-digit hikes expected around the nation, due largely to a healthier mix of enrollees and more competition in its marketplace. Still, health insurance prices keep growing faster than wages and general inflation.
Medicaid has struggled for years with poor oversight and billions lost to improper payments. A new report finds that despite their fraud-fighting rhetoric, Medicaid managed-care companies are not as rigorous as they should be in ensuring the integrity of the Medicaid payment system.
With the primary now over, health care may well emerge as an issue that helps voters distinguish between candidates for governor, attorney general and other offices in the general election.
In a case with possible national repercussions, the state’s attorney general has sued over alleged price gouging, and other legal and legislative challenges are afoot. Sutter is pushing back hard, denying anticompetitive behavior.
The ‘scary’ findings show a discouraging lack of progress in cleaning the devices, despite more vigorous efforts in the wake of deadly superbug outbreaks, experts say.
The filing against Blue Shield of California focuses on the taxation of certain health plans that are funded by both an employer and insurer. The case could attract more government scrutiny into whether all health insurers are paying their fair share of premium taxes.
Proponents of the bill say high costs of care are gobbling paychecks and worsening income inequality. Doctors and hospitals say it will drive providers out of state.
In a bold move, the state has sued Sutter Health, Northern California’s dominant hospital chain, whose prices have drawn complaints for years. The company says “healthy competition and choice exists across Northern California” for consumers seeking medical care.
The legislation is intended to curb schemes in which some treatment providers sign patients up for private plans, pay their premiums and then rake in profits from inflated claims.