There are legal safeguards to protect patients from big bills like out-of-network air-ambulance rides. But insurers may not pay if they decide the ride wasn’t medically necessary.
Category: California
California’s Expanded Health Coverage for Immigrants Collides With Medicaid Reviews
A state policy to extend Medi-Cal to qualified Californians without legal residency is running up against a federal requirement to resume eligibility checks. The redetermination process is causing many Latinos, who make up a majority of Medi-Cal beneficiaries, to be disenrolled.
Move to Protect California’s Indoor Workers From Heat Upended by Cost Questions
A years-long process that would have created heat standards for California workers in warehouses, steamy kitchens, and other indoor job sites catapulted into chaos Thursday when Gov. Gavin Newsom’s administration pulled its support. Regulators, saying they felt “blindsided,” approved the regulation anyway. It’s unclear what happens next.
Needle Pain Is a Big Problem for Kids. One California Doctor Has a Plan.
The pain and trauma from repeated needle sticks leads some kids to hold on to needle phobia into adulthood. Research shows the biggest source of pain for children in the health care system is needles. But one doctor thinks he has a solution and is putting it into practice at two children’s hospitals in Northern California.
How National Political Ambition Could Fuel, or Fail, Initiatives to Protect Abortion Rights in States
As money flows to abortion rights initiatives in states, some donors focus on where anger over the “Dobbs” ruling could propel voter turnout and spur Democratic victories up and down the ballot, including in key Senate races and the White House.
Secret Contract Aims to Upend Landmark California Prison Litigation
California has commissioned an exhaustive study of whether its prisons provide a constitutional level of mental health care, which it could use to try to end one of the lawsuits that have federal courts overseeing the state’s prisons. But corrections officials won’t disclose even basic details of the consultants’ contract, including its cost to taxpayers.
A New $16,000 Postpartum Depression Drug Is Here. How Will Insurers Handle It?
A pill form of an effective drug for postpartum depression hit the market in December, but most insurers do not yet have a policy on when or whether they will pay for it. The hurdles to obtain its predecessor medication have advocates worried.
California Voters Are Skeptical That More Money Is the Answer to Homelessness
California Gov. Gavin Newsom’s signature ballot measure to address mental illness, addiction, and homelessness with a $6.4 billion bond and other reforms, is barely ahead in the ongoing ballot count. The slim margin reflects a growing unease among Californians over the governor’s homelessness initiatives.
California Attorney General Boosts Bill Banning Medical Debt From Credit Reports
California Attorney General Rob Bonta has thrown his weight behind state Sen. Monique Limón’s legislation to bar unpaid medical bills from showing up on consumer credit reports. If passed, California would join just a few other states with such protections.
Biden Team, UnitedHealth Struggle to Restore Paralyzed Billing Systems After Cyberattack
The cyberattack on a unit of UnitedHealth Group’s Optum division is the worst on the health care industry in U.S. history, hospitals say. Providers struggling to get paid for care say the response by the insurer and the Biden administration has been inadequate.
