Latest California Healthline Stories
For people who buy their health coverage rather than get it from the government or through work, this Virginia city has claimed the title of having the country’s highest health insurance costs, and its residents are fighting back.
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.
Under new federal rules unveiled this week, these privately run alternatives to traditional Medicare might provide air conditioners, rides to medical appointments and home-delivered meals. In California, which has a high proportion of Medicare beneficiaries in private plans, a San Francisco-based nonprofit already offers similar services to disabled seniors and adults.
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.
Researchers at the University of Southern California analyzed millions of prescriptions and concluded that close to a quarter paid copays that exceeded the cost of the drugs.
Some health systems are encouraging selected ill emergency department patients who are stable and don’t need intensive, round-the-clock care to opt for hospital-level care at home.
California’s health insurers trotted out a heart-healthy character with an ulterior motive — taking a dig at drugmakers.
The policy change is likely to entice younger and healthier people from the general insurance pool by allowing a range of lower-cost options that don’t include all the benefits required by the federal health law.
Orange County Superior Court judge says “media blitzkrieg” jeopardized chances that the nation’s third-largest health insurer could get a fair jury trial if the trial started this week, as planned. The company is being sued by a man who claims it improperly denied him care for a rare immune system disorder.
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.