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Nonprofit Health Plans With $6.8 Billion in Projected Revenue Set to Combine (WSJ)

Insurers SCAN Group and CareOregon would form HealthRight, covering Medicare and Medicaid enrollees. Two nonprofit health plans focused on government-backed coverage are planning to combine in a deal that aims to create a sizable new player in the rapidly growing business of managed Medicare and Medicaid. SCAN Group, based in Long Beach, Calif., and CareOregon,

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Plaintiff whose insurer delayed surgery is awarded $14 million over opioid dependency (LA Times)

CALIFORNIA Plaintiff whose insurer delayed surgery is awarded $14 million over opioid dependency   Health Net was ordered to pay $14.4 million in damages after an L.A. County jury found it had delayed or denied care without proper cause. (Anne Cusack / Los Angeles Times) BY CHRISTIAN MARTINEZSTAFF WRITER  DEC. 15, 2022 5:30 AM PT

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Big Pharma Says Drug Prices Reflect R&D Cost. Researchers Call BS (Wired)

United States. The ALS community rejoiced; the drug’s authorization was described as a “long-sought victory for patients.” But the next day, the price of the medicine was revealed: $158,000 a year. This was far higher than what the Institute for Clinical and Economic Review, an independent nonprofit that analyzes health care costs, had estimated would be a reasonable price, which

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Yes on California Proposition 29: This measure would protect dialysis patients’ lives (San Diego Union Tribune)

BY CARMEN CARTAGENA AUG. 24, 2022 3:45 PM PT Vote Yes on Proposition 29 on the Nov. 8 ballot would make California dialysis clinics have certain reporting requirements, ownership disclosures and at least one physician, nurse practitioner or physician assistant on-site while patients are being treated. Here, two essays argue for and against the ballot

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Some hospitals rake in high profits while their patients are loaded with medical debt (NPR)

September 28, 20225:01 AM ET PROSPER, Texas — Almost everything about the opening of the 2019 Prosper High School Eagles’ football season was big. The game in this Dallas-Fort Worth suburb began with fireworks and a four-airplane flyover. A trained eagle soared over the field. And some 12,000 fans filled the team’s new stadium, a

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Health plan shake-up could disrupt coverage for low-income Californians (LA Times)

BY BERNARD J. WOLFSON KAISER HEALTH NEWS Almost 2 million of California’s poorest and most medically fragile residents may have to switch health insurers as a result of a new strategy by the state to improve care in its Medicaid program. A first-ever statewide contracting competition to participate in the program, known as Medi-Cal, required commercial

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