Latest California Healthline Stories
Blue Shield Improperly Denied Mental Health, Drug Treatment Claims, Suit Alleges
Blue Shield of California and Magellan, its mental health administrator, violated accepted professional standards in its criteria for residential treatment and intensive outpatient care, according to a class-action suit. The insurer disputes the allegations.
Two Medicare Advantage Insurers Settle Whistleblower Lawsuit For $32 Million
Freedom Health and Optimum HealthCare agreed to settle a lawsuit alleging they overbilled Medicare.
Death By 1,000 Cuts: How Republicans Can Still Alter Your Coverage
There are many ways beyond legislative repeal for the Trump administration and congressional Republicans to unravel the Affordable Care Act.
The Next Obamacare Battleground: Subsidies For Out-Of-Pocket Costs
Exchange enrollees and insurers fret over a lawsuit that could end federal help with copays and deductibles.
Justice Department Joins Lawsuit Alleging Massive Medicare Fraud By UnitedHealth
The Department of Justice is joining a whistleblower lawsuit in a fraud case against UnitedHealth in which damages could top $1 billion.
California Medical Board President Faces Questions Over Vote In Sexual Misconduct Case
After the medical board reinstated the license of doctor who molested patients, one member — now president — secured a $40 million donation for a pet project from the doctor’s relative. He says the two events are unrelated. Critics are demanding an investigation.
Judge Accepts Medicare’s Plan To Remedy Misunderstanding On Therapy Coverage
Many seniors are denied coverage because therapists mistakenly believe that they must be making improvements to qualify for coverage.
Medicare’s Coverage Of Therapy Services Again Is In Center Of Court Dispute
According to a settlement four years ago, Medicare was supposed to make clear to therapists that their services are covered even if beneficiaries are not improving. But that is not yet widely accepted.
Los Angeles Doctor Sues Molina Healthcare Over Medi-Cal Reimbursements
A high-profile whistleblower attorney representing the physician is seeking class action status.
University of California OKs $8.5 Million For Two Patients Suing Over Financial Conflicts
The patients allege that Dr. Jeffrey Wang, former executive director of UCLA’s spine center, failed to disclose his conflicts of interest with device maker Medtronic before using the company’s devices in surgeries that left them in chronic pain. Both UCLA and Medtronic deny wrongdoing.