"Narrowing of networks" was an abstract concept to me until Blue Shield narrowed my own network of healthcare providers, most of whom I have been seeing for 18 years.
Healthcare Regulation and Reform
A recent California survey found that even the highest-rated provider group received only a C+ rating from its patients. Does this reveal deep flaws in the way care is delivered or have patients come to expect too much from health care providers?
As a federal "funding bump" expires, the payments California doctors receive for seeing Medicaid patients are dramatically decreasing. At the same time, the state is imposing a 10 percent fee cut that was approved in 2011 but is just now taking effect.
A strongly reported series examining a new program targeting 'super-utilizers' in Pennsylvania debunks a number of myths about the system's sickest and most vulnerable patients. Timothy Darragh tells the story behind the story and the lessons he learned along the way.
The ACA expanded insurance coverage, but many children throughout the country are still not receiving important health care benefits. The extent of the coverage exclusions varies widely depending upon which state a child calls home.
As the pool of uninsured shrinks, public hospital systems must increasingly compete for newly insured patients. “We're forcing public hospitals to compete in one of the most competitive industries that has ever existed in the economy,” said one county health director.
After months of reporting on immigrants' experiences in enrolling for health coverage, reporter Momo Chang still didn't have the long cover story she'd envisioned. But she stayed flexible and ended up with a compact news story that focused on a single facet of immigrant enrollment.
With millions of their patients newly insured because of health care reform, community health centers, once viewed as providers of last resort, are remaking themselves as providers of choice.
As the number of California Medicaid enrollees signing up for coverage has grown, the number of doctors hasn't always been able to meet the demand for care. The problem has been especially acute among Chinese-Americans, many of whom struggle to find physicians willing to see them.
With Obamacare's second season of open enrollment underway, advocates remain focused on signing up the remaining uninsured. In California, the uninsured rate is projected to drop to 6 percent by 2019. But getting it much lower will require creative new strategies.