{"type":"rich","version":"1.0","provider_name":"Transistor","provider_url":"https://transistor.fm","author_name":"KZYX News","title":"Hospital and insurer in negotiations that could leave public employees paying out of network costs","html":"","width":"100%","height":180,"duration":389,"description":"July 20, 2022 — A recent announcement by Adventist Health about its negotiations with Anthem Blue Cross, the county’s main insurance provider, has caused widespread panic. The contract between Anthem and Adventist, a faith-based nonprofit hospital system that manages all three of the county’s hospitals, was originally due to expire on July 18, but has been extended to August first.\r\nAdventist posted FAQs on its website this week, directing patients to call the number on their insurance card for answers to most questions. But patients are advised that if they are in the hospital after midnight on August first, Anthem could choose to transfer them to another hospital. Some patients may be able to continue receiving care for some time as a “continuity of care service.” \r\nIn a letter to patients last month, Adventist claimed that Anthem has enjoyed record profits for the past two years, but continues to pay Adventist “substantially less than other hospital systems. Anthem is one of our lowest-paying health plans, and we can’t continue to provide quality care for patients at such significantly reduced rates.”\r\nAdventist offered to be interviewed on this subject, but we declined because President Judson Howe refuses to speak to us about the faith-based hospital’s policies on abortion, which remains legal in the state of California.\r\n\r\nRecent studies show that much of the high cost of doing medicine in the state of California is due to a lack of competition, both in healthcare and insurance markets. \r\n\r\nAccording to a study by the California Healthcare Foundation, titled, “Markets or Monopolies,” “the preponderance of evidence suggests that hospital consolidation leads to higher prices… Furthermore, workers bear the burden of these increased premiums as employers depress wages to pay more for health insurance coverage.” The MediCare Payment Advisory Commission told Congress in 2018 that “hospitals with large market shares have the leverage to negotiate relatively high...","thumbnail_url":"https://img.transistorcdn.com/xZpAumwbhFUpJUYcwaQ1-q6snzOyqAm13l7cW6AWPCM/rs:fill:0:0:1/w:400/h:400/q:60/mb:500000/aHR0cHM6Ly9pbWct/dXBsb2FkLXByb2R1/Y3Rpb24udHJhbnNp/c3Rvci5mbS9mMzkz/NjAwNjc2OWMyZmFk/YWY2YTdmYjI5M2Mz/YWMxNy5qcGc.webp","thumbnail_width":300,"thumbnail_height":300}