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California Watch

News stories in this section spotlight activities in California, including actions by the state Assembly and state Senate; proposed legislation; regulators like the Department of Managed Health Care and Department of Insurance; and the state ACA exchange, Covered California.

Obamacare Exchanges In Limbo, Covered California Seeks Clarity, Examines Options

California’s Obamacare exchange scrubbed its annual rate announcement this week, the latest sign of how the ongoing political drama over the Affordable Care Act is roiling insurance markets nationwide.

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Brokers Talking Tech

For businesses with up to 100 employees, many of which lean heavily on the advice of their broker, technology can transform an adviser from a once a year sales person into an invaluable, year-round business consultant. Those who are reluctant to jump on the technology train must adapt or die off, as they live in a world and work in an industry that is increasingly taking advantage of online tools and resources.

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Health Care Overhaul Collapses as Two Republican Senators Defect

Two more Republican senators declared on Monday night that they would oppose the Senate Republican bill to repeal the Affordable Care Act, killing, for now, a seven-year-old promise to overturn President Barack Obama’s signature domestic achievement.

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Senate to Take Up Bill to Repeal Obamacare Without Replacement Plan

Senate Majority Leader Mitch McConnell announced late Monday that the Senate will give up on its bill to replace Obamacare and vote instead on legislation to repeal the law within two years.

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California Hits Nerve By Singling Out Cardiac Surgeons With Higher Patient Death Rates

Michael Koumjian, a heart surgeon for nearly three decades, said he considered treating the sickest patients a badge of honor. The San Diego doctor was frequently called upon to operate on those who had multiple illnesses or who’d undergone CPR before arriving at the hospital.

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One Child, a $21-Million Medical Bill: How a Tiny Number of Patients Poses a Huge Challenge for Medi-Cal

Somewhere in California, one child’s medical expenses in 2014 totaled $21 million — a bill covered entirely by Medi-Cal, the state’s version of Medicaid.

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Medicare’s Financial Outlook Slightly Improved, Trustees Say

The Trump administration said Thursday that the financial outlook for Medicare’s hospital insurance trust fund improved in the past year due to health costs rising more slowly than expected and predictions that enrollees will use hospital services less often.

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Opinion: Single-Payer is Not a Panacea and Cost is Astronomical

While Congress struggles with what to do with Obamacare, California is playing around with the idea of a single-payer system.

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McConnell is Trying to Revise the Senate Health-Care Bill by Friday

The effort reflects the tight timeline McConnell faces in his attempt to hold a vote in July — and the pressure he is under to change the bill to garner enough support to pass it. With both conservatives and centrists pushing different policy solutions, Senate leaders were struggling to craft a rewrite of the Affordable Care Act on Wednesday that would attract votes without torpedoing the CBO’s official score of how the legislation affects coverage levels and federal spending.

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The Union That Roars: Nurses Aren’t Giving Up On California’s Single-Payer Push

To some, the California Nurses Association’s political tactics in pushing for a single-payer health system seemed a bit, well, extreme.

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