Unwilling to wait for federal action, California Gov. Gavin Newsom says he has a plan that could extract discounts from drugmakers and save the state money — one he hopes other states can join.
Category: California
Patients Suffer When Health Care Behemoths Quarrel Over Contracts
The latest example is Sutter Health and Anthem Blue Cross, whose failure to seal a deal is causing Anthem members to worry they may not have access to one of the dominant hospital chains in Northern California. Across the U.S., the stakes in such contract fights have risen, as health systems and insurers battle to increase their market share.
Nonprofit Dental Insurer Under Scrutiny For ‘Flagrant’ Spending
Delta Dental of California, with more than 36 million enrollees across the country, is looking to buy a stake in a for-profit insurance company based in Oregon. Consumer advocates are calling on regulators to scrutinize the transaction, arguing that it is just the latest questionable move by the nonprofit dental insurer whose corporate practices may be out of step with its tax-exempt status.
New Covered California Sign-Ups Plummet
New enrollment in Covered California plans plunged by nearly a quarter this year compared with last year, posting a bigger drop than the federal health insurance exchange, healthcare.gov, which saw a 16 percent decrease. Officials largely blame the elimination of the tax penalty for people without insurance.
Providers Walk ‘Fine Line’ Between Informing And Scaring Immigrant Patients
Some doctors and clinics are proactively informing patients about a proposed policy that could jeopardize the legal status of immigrants who use public benefit programs such as Medicaid. Others argue that because this “public charge” proposal isn’t final — and may never be adopted — disseminating too much information could create unnecessary alarm and cause some patients to drop benefits.