Lawsuit Accuses Las Vegas Surgeons, Hospitals of Health Care Fraud

A California lawsuit accuses two surgeons and four hospitals in Las Vegas of participating in a massive health care fraud scheme that involved implanting counterfeit spinal hardware into unsuspecting patients. The case, filed in February by dozens of insurance companies in Los Angeles County Superior Court, was recently unsealed. According to the lawsuit, California-based Spinal ...

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Richard Whitley to Direct Nevada Health and Human Services

Gov. Brian Sandoval on Monday appointed Richard Whitley director of the Department of Health and Human Services. Whitley, former administrator of the Division of Public and Behavioral Health, has been interim director of the huge state agency since February. “Richard has proven to be a steady and capable leader and I am pleased to make ...

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Nevada Insurance Chief Resigns; No Reason Given

Nevada Commissioner of Insurance Scott J. Kipper announced Thursday his resignation effective July 2. “It has been an honor to have served the state of Nevada as commissioner,” Kipper said. “I am proud of the division’s accomplishments. I am certain that the Division of Insurance will continue to serve the consumers, protecting the rights of ...

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High Court Upholds Health Law Subsidies

The Affordable Care Act survived its second Supreme Court test in three years, raising odds for its survival but by no means ending the legal and political assaults on it five years after it became law.

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Defeat By Deductible: Millennials Aren’t Hip To Health Insurance Lingo

Coinsurance? Premium tax credit? HMO and PPO? Swimming through the health insurance word soup can be frustrating for anyone. Even though I cover health, I couldn’t define “cost-sharing reduction plan” until I Googled it just now. And it seems I’m not the only clueless 20-something here. Young adults, who generally have little experience managing their ...

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Obamacare’s First Year Brought Health Insurance To Millions

WASHINGTON — Millions of people gained health insurance last year as Affordable Care Act benefits took effect, according to the first official accounting by the federal government. In 2014, 36 million U.S. residents, or 11.5 percent of the population, were uninsured on the day they were surveyed, a decline of 8.8 million people and 2.9 ...

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California Budget Deal Grants Health Coverage to Children in U.S. Illegally

Immigrant children who are in the country illegally would receive public healthcare coverage in California under a budget deal announced Tuesday by Gov. Jerry Brown and legislative leaders. An estimated 170,000 immigrants 18 and younger could qualify, marking another victory for advocates and lawmakers who have worked to make the state more welcoming to unauthorized ...

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Auditor Slams California’s Oversight Of Medi-Cal Plans Used By 9 Million

California health officials failed to ensure that more than 9 million residents enrolled in Medi-Cal managed care plans had access to doctors when they needed them, the state auditor said in a stinging report Tuesday. Health officials might have learned about those problems from calls to an ombudsman’s office – but thousands went unanswered every ...

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Blaming Drug Costs, CalPERS Considers 7% Hike in HMO Premiums

The California Public Employees’ Retirement System is poised to raise HMO premiums for state employees an average of 7.21 percent in 2016. The move shows that rising hospital and drug costs could mean higher premiums in the private sector, too. The proposed HMO rate hike is up from a 3.9 percent hike in 2015. Premiums ...

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Covered California Negotiated Lower Rates by Providing Data to Insurers

Providing data to insurers on Covered California enrollees’ use of health care services helped to lower premiums, according to a recent study, the Sierra Sun Times reports. Details of Study For the study, researchers from UC-San Francisco, the state Department of Health Care Services and the state exchange examined data from the Office of Statewide ...

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