Latest Morning Briefing Stories

Feds Say Hospitals That Redistribute Medicaid Money Violate Law

Federal officials are trying to clamp down on private arrangements among some hospitals to pay themselves back for the Medicaid taxes they’ve paid. State health officials and the influential hospital industry argue that regulators have no jurisdiction over the agreements.

Patients in California County May See Refunds, Debt Relief From Charity Care Settlement

As hospitals are criticized for skimping on financial assistance, Santa Clara County has agreed to notify 43,000 former patients of possible billing reductions as part of a settlement. Some patients had sued, alleging the county’s hospital system sent them to collections for bills they shouldn’t have received.

Promising Better, Cheaper Care, Kaiser Permanente’s National Expansion Faces Wide Skepticism

Kaiser Permanente, the California-based health care giant, is looking to dramatically expand its national presence. It’s committed $5 billion to a new unit called Risant Health and has agreed to acquire Pennsylvania-based Geisinger, but skeptics wonder how it will export its unique model to other states.

As a Union Pushes to Cap Hospital CEO Pay, It’s Accused of Playing Politics

A union is asking Los Angeles city voters to cap hospital executive pay at the U.S. president’s salary. However, hospitals accuse the union of using the proposal as political leverage, and policy experts question whether the policy, if enacted, would be workable.

Medi-Cal Covers Gender-Transition Treatment, but Getting It Isn’t Easy

Pasha Wrangell has faced delays getting gender-affirming care because of red tape and limited providers. Over more than two years, Wrangell has received only about half the total electrolysis sessions recommended. Wrangell’s insurer through Medi-Cal, California’s Medicaid program, acknowledges the shortage of practitioners.

Repeating History: California County Plugs Budget Gap With Opioid Settlement Cash

State attorneys general vowed that opioid settlement funds — unlike the tobacco settlement of the 1990s — would go toward tackling the underlying crisis. But in Mendocino County, officials have found a way to use some of its share to help fill a budget shortfall — a throwback to what agreement architects hoped to avoid.