The aptly named Program of All-Inclusive Care for the Elderly provides services funded by Medicaid and Medicare that range from medical and mental health care to hot lunches, recreation, transportation and haircuts. California’s newest PACE center opened recently in San Diego County.
A New York City woman, worried that her sore throat might be strep, got swabbed at her doctor’s office. The sample was sent to an out-of-network lab for sophisticated DNA tests ― with a price tag similar to a new SUV.
Sutter Health will pay $575 million to settle a high-profile antitrust case filed by California’s attorney general. In addition, it has agreed to end a host of practices that the state alleged unfairly stifled competition.
After the state legalized recreational marijuana in 2016, new taxes and regulations decimated an ad hoc network that had donated cannabis for medical purposes to patients who could not afford it. A recent law seeks to revive the network, but hurdles remain.
The Texas Medical Board bowed out of the rule-making process for a new law protecting consumers from surprise medical bills. Advocates hailed the new rules written by the state insurance regulators.
Methodist Le Bonheur Healthcare in Memphis, Tenn., sued thousands of patients for unpaid medical bills. Journalist Wendi Thomas wrote about it. Months later, the hospital dropped 6,500 lawsuits.
The administration’s proposed rule to allow states to bring in prescription medications isn’t expected to provide immediate relief.
Interviews with dozens of Kaiser Permanente therapists, patients and industry experts reveal superficial changes that look good on paper but do not translate into more effective and accessible care.
After my husband had a bike accident, we were subjected to medical bills that no one would accept if they had been delivered by a contractor, or a lawyer or an auto mechanic. Such charges are sanctioned by insurers, which generally pay because they have no way to know whether you received a particular item or service — and it’s not worth their time to investigate the millions of medical interactions they write checks for each day.
The Affordable Care Act has been on the books for nearly a decade. Parts of it have become ingrained in our health system ― and in our everyday life. But this could change, depending on a long-awaited 5th Circuit Court of Appeals decision regarding the law’s constitutionality.
