U.S. Appeals Court Says Medi-Cal Cut to Hospitals Was Illegal

A U.S. appeals court decided Monday that the federal government wrongly approved California’s request to temporarily cut Medi-Cal reimbursement by 10% during the recession for hospital outpatient care.

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Big Health Insurers Exceed Wall Expectations

All six of the major health insurers topped Wall Street expectations in the second quarter as the industry distanced itself from turmoil in Washington. Cigna Corp. was the final insurer in the Standard & Poor’s 500 Index to report on Friday. Its earnings came in higher than analysts anticipated and the company raisedits profit outlook for the year. For-profit ...

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Martin Shkreli Found Guilty of Fraud

Martin Shkreli, the eccentric former pharmaceutical CEO notorious for a price-gouging scandal and for his snide "Pharma Bro" persona on social media, was convicted Friday on federal charges that he deceived investors in a pair of failed hedge funds.

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Want a Better Obamacare Rate? You May Have to Call the Movers

Under preliminary Obamacare rates announced by Covered California, premiums on exchange plans will rise by an average of 5.7 percent in Sacramento, Placer, El Dorado and Yolo counties. That’s less than half of the statewide average of 12.5 percent, and consumers could virtually avoid an increase altogether if they shop around.

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Medicare Advantage: Perfect Insurer Profit Center

Big insurers have retreated from Obamacare’s individual market, where fighting over the future of the health law has contributed to financial losses. They’re focusing instead on Medicare Advantage, a politically popular program that’s being embraced by a growing population of older Americans.

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Behind Kaiser’s $1 Billion Quarterly Operating Gain, and How it Might Repeat It

After all, the Oakland, Calif.-based hospital and managed-care giant is swimming against the same national trends that dented the earnings of investor-owned hospital chains in the second quarter.

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