Latest Headlines

Latest Headlines

Covered California reports modest premium increase of 4 percent

California's state-run health insurance exchange, Covered California,  announced that premiums are set to increase 4 percent statewide, which the federal government hailed as a sign the Affordable Care Act is working as intended.

Care quality no worse for ACA exchange patients

The Affordable Care Act has narrowed patient networks in California, but at no overall cost to care quality, according to a new study published in Health Affairs.

Blue Shield's tax exemption loss could trigger cascade

It came as a bit of a shock when Blue Shield of California--not only one of the state's largest insurers but one of its largest not-for-profit organizations--lost its state tax exemption. But it begs the question--which healthcare entities may be next on the chopping block?  

More patients use ER to treat complex, chronic conditions

The rate of patients in California who visit the emergency department for non-injury conditions has increased, indicating a shift in the ED's role in healthcare, according to a study published in  Health Affairs.

Blue Shield of California pushes nonprofit insurers into spotlight

Now that Blue Shield of California has lost its tax-exempt status and owes tens of millions of dollars in state taxes annually, industry experts predict that other large nonprofit insurance companies could be scrutinized over how they serve the public.

Jury convicts two California residents in $50 million fraud scheme

A jury convicted two Southern California residents last week for orchestrating a $50 million insurance fraud scheme in which they billed various insurance companies for unnecessary procedures.  

California hospital boosts operating margins with hospitalist partnership

In an era of cutbacks and bad financial news for hospitals, one provider has increased its operating margins from negative in 2011 to more than 6 percent in 2013, according to a new case study.

California hospital closes ED after EHR failure

Antelope Valley Hospital in Lancaster, California, suffered a failure of its electronic health record system, prompting the closure of its emergency department Feb. 27, and creating problems with dispensing of medications, review of lab tests and diagnostic procedures, and reading of patient records.

Florida leads in Affordable Care Act enrollment

Florida is leading the pack when it comes to Obamacare enrollment: As of mid-January, 1.27 million residents purchased exchange plans, the Department of Health and Human Services announced. 

California exchange rejects UnitedHealth

The board of Covererd California rejected a bid from UnitedHealth to sell plans on the state exchange in 2016, according to the  Los Angeles Times.