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Industry Updates

This broad category includes articles concerning health insurance costs, carrier and health plan news, changing benefits technology, and surveys by the Kaiser Family Foundation and others on employee benefits.

California Setting Up Statewide Medical Data-Exchange Grid

California is developing a long-sought statewide health information exchange for providers and payers to deliver better care for patients. The health information exchange, or HIE, has received little public attention. But it would cover 40 million people in California’s 58 counties, and would in part quickly inform emergency room doctors and nurses of a patient’s ...

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CalChamber Releases 2022 Job Killer List

The California Chamber of Commerce yesterday released the first wave of bills to be included on its 2022 job killer list. The preliminary list includes 9 new bills and two carry-over proposals from 2021. The CalChamber expects several additions to the list in the coming weeks.

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DMHC Reverses Course – No Surprises Act Does Not Apply to Out-of-Network Emergency Services Governed by the Knox-Keene Act

The DMHC issued its final guidance on the No Surprises Act, confirming that the Knox-Keene Act constitutes a “specified state law” under the Act. The out-of-network reimbursement requirements for emergency services and the dispute resolution process in the NSA will therefore not apply to DMHC claims. Instead, health plans must continue to comply with the Knox-Keene Act ...

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New Job Killer Bill Allows Employees to Refuse to Show Up for Work

A newly identified California Chamber of Commerce job killer bill that is opposed by more than 60 organizations passed the Senate Labor, Public Employment and Retirement Committee yesterday. The bill, SB 1044 (Durazo; D-Los Angeles), allows employees to leave work or refuse to show up to work if the employee subjectively feels unsafe regardless of existing health and ...

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Single-Payer Gets A Price Tag

It would cost California between $494 billion and $552 billion annually to operate the single-payer health care system envisioned in a bill that died last month in the supermajority-Democratic Legislature, according to a Tuesday analysis. The cost estimate from the nonpartisan Legislative Analyst’s Office is significantly higher than one prepared by committee staffers in January.

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California Employers Without Retirement Plans Must Enroll In State Program By 6/30/2022

California enacted a new law in 2016 requiring employers that do not already sponsor an employee-retirement plan to participate in a state-run retirement program called CalSavers. Employers with 5 or more employees (of any type – full time, part time, seasonal) must enroll in the program by June 30, 2022.

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California Unemployment Rate Holds Amid Inflation Worries

California’s unemployment rate held steady in January as the nation’s most populous state added 53,600 jobs in a sign the economy is slowly returning to pre-pandemic levels.

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California Aims To Limit Health Care Costs With New Office

Now, instead of relying on the market or the courts to keep health care prices in check, California Gov. Gavin Newsom wants to order the state’s hospitals, doctors’ offices and insurance companies to keep their costs below a certain level. If they don’t, the state could impose a hefty fine.

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Sacramento’s Sutter Health Defeats Federal Antitrust Challenge Filed By Employers, Patients

Sacramento-based Sutter Health successfully defeated a class-action lawsuit alleging that it had used its market power to negotiate higher rates from major insurers, thereby assuring inflated premiums for roughly 3 million employers and individuals. Jurors returned a verdict Friday in the antitrust trial before Federal Magistrate Laurel Beeler in U.S. District Court in San Francisco. ...

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Millions In California Will Lose Health Care Coverage If Pandemic’s Stopgap Measures Expire

Millions of Californians face the prospect of losing health coverage this year as federal measures that vastly expanded the ranks of the insured amid the COVID-19 pandemic are set to expire this year.

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