Latest California Healthline Stories
Judge Strikes Down ACA Putting Law In Legal Peril — Again
The case is not expected to have an immediate effect on coverage for people who buy plans on the federal health law marketplaces because the case is likely to go to the Supreme Court — the third time that the justices will decide the fate of the landmark health law.
Health Care Industry ‘Pays Tribute’ To California’s Influential Lawmakers
The leaders of California’s legislative health committees who wield power over state health policy have been showered with money from the health care sector, with drug companies, health plans, hospitals and doctors providing nearly 40 percent of their 2017-18 campaign funds.
Must-Reads Of The Week From Brianna Labuskes
Newsletter editor Brianna Labuskes wades through hundreds of health articles from the week so you don’t have to.
Feds Say California May Have Spent Nearly $1B On Ineligible Medi-Cal Beneficiaries
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.
Sign-ups for insurance under the Affordable Care Act are still well behind last year’s mark with just a week until the end of open enrollment in most states. The Supreme Court declines a case that could have allowed states to defund Planned Parenthood. And the Trump administration gets hundreds of thousands of comments about its proposed changes to immigration rules that could penalize people who use government-funded health care and other social service programs. Alice Ollstein of Politico, Anna Edney of Bloomberg News and Rebecca Adams of CQ Roll Call join KHN’s Julie Rovner to discuss these issues and, for “extra credit,” provide their favorite health policy stories of the week.
Feds Join Lawsuit Alleging Sutter Health Padded Revenue With False Patient Data
The whistleblower complaint says that Sutter, one of the largest health systems in the U.S., exaggerated how sick certain Medicare patients were in order to collect higher payments from the government-funded program.
In California, Doctors Accused Of Sexual Misconduct Often Get Second Chances
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.
In Grandma’s Stocking: An Apple Watch To Monitor Falls, Track Heart Rhythms
The new-generation gadget is designed to alert and protect wearers from falls and heart problems, expanding Apple’s target audience beyond the usual, tech-savvy, early adopters to those with older tickers.
Blue Shield’s Trims To Out-Of-State Coverage Give Some Californians The Blues
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.
One Implant, Two Prices. It Depends On Who’s Paying.
Breast implants — used for both cancer and cosmetic surgeries — give a glimpse into how hospitals mark up prices of medical devices to increase their bottom lines.
