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California's attorney general sued Sutter Health, accusing the hospital giant of illegally quashing competition and for years overcharging consumers and employers.The lawsuit marked a bold move by state Attorney General Xavier Becerra against the dominant health care system in Northern California as concerns mount nationally about consolidation among hospitals, insurers and other industry middlemen."It's time to hold health care corporations accountable," Becerra said at a news conference Friday. "We seek to stop Sutter from continuing this illegal conduct."The antitrust suit, filed in San Francisco County Superior Court, asks the court to prevent Sutter from engaging in anticompetitive practices and "overcharges."It said Sutter employs a variety of improper tactics, such as gag clauses on prices, "punitively high" out-of-network charges and "all-or-nothing" contract terms that require all of its facilities to be included in insurance networks.Taken together, Sutter's actions "improperly block any and all practical efforts to foster or encourage price competition between Sutter and any rival Healthcare Providers or Hospital Systems," according to the state's complaint. "Sutter's conduct injured the general economy of Northern California and thus of the state.Sutter, which owns 24 hospitals, reported net income of 3 million last year on .4 billion in revenue. Sutter's nonprofit health system also has 35 surgery centers, 32 urgent-care clinics and more than 5,000 physicians in its network.In a statement, Sutter it was reviewing the complaint and couldn't comment on specific claims.Overall, Sutter said, "healthy competition and choice exists across Northern California" for consumers seeking medical care. It also said its charges for an inpatient stay are lower than what other nearby hospitals charge."Sutter Health is proud to save patients, government payers and health plans hundreds of millions of dollars each year by providing more efficient and integrated care," the statement said.This high-profile legal fight caught the attention of employers and policymakers across the country amid growing alarm about the financial implications of industry consolidation. Large health systems are gaining market clout and the ability to raise prices by acquiring more hospitals, outpatient surgery centers and physicians' practices.Martin Gaynor, a health care economist at Carnegie Mellon University, said California's lawsuit may portend more litigation at the state level."There are a number of markets in the U.S. that are dominated by one very large, powerful health system," Gaynor said. "It could be that we're going to see a new level of activity by state antitrust enforcers looking at competition in their own backyards."Glenn Melnick, an economist and expert on hospital finances at the University of Southern California, said if the state prevails against Sutter it could put "a chill on anticompetitive practices that are being adopted across the U.S. and that could help slow down hospital price increases. That would be good news for consumers."The complaints about Sutter's high prices and market power have persisted for years.The state said its investigation started in 2012 under Kamala Harris, California's previous attorney general and now a U.S. senator. Six years ago, her office sent subpoenas to several health systems and insurers seeking information about market concentration and its effect on medical prices.A 2016 study found that hospital prices at Sutter and Dignity Health, the two biggest hospital chains in California, were 25% higher than at other hospitals around the state. Researchers at the University of Southern California said the giant health systems used their market power to drive up prices — making the average patient admission at both chains nearly ,000 more expensive.Last week, researchers at University of California, Berkeley issued a report that examined the consolidation of the hospital, physician and health insurance markets in California from 2010 to 2016. The authors said 44 of California's 58 counties had "highly concentrated" hospital markets.After the report was issued Monday, Becerra said his office would be reviewing those findings and pledged to apply more scrutiny to health care mergers and anti-competitive practices across the state.Sutter Health has gobbled up doctors' practices across the Bay Area, gaining market muscle that has pushed costs upward. Obstetricians employed by Sutter Health, for example, are reimbursed about three times more for the same service than independent doctors, according to a KHN review of OB-GYN charges on several insurers' online cost estimators. It's a key reason why Northern California is the most expensive place in the country to have a baby.At his news conference, Becerra said he's committed to scrutinizing other players besides Sutter in the health care industry who may be engaging in anticompetitive behavior and potentially harming consumers.Consumer advocates and state lawmakers applauded Becerra's aggressive action because of the toll high prices take on millions of Californians. Many residents struggle to pay rising insurance premiums and out-of-pocket expenses for emergency room visits or routine hospital tests."Consumers bear the burden of these monopolistic activities," said state Sen. Ed Hernandez (D-West Covina), chairman of the Senate health committee. "To ensure health care is affordable and accessible to all, we have to get a handle on predatory pricing."In many ways, Becerra's lawsuit mirrors a similar civil case filed in 2014 by a grocery workers' health plan.The attorney general's office filed a motion in court asking for its lawsuit and the class action to go to trial together before the same judge. The trial is scheduled for June 2019 in San Francisco."While we certainly would have preferred this happened earlier, we respect the attorney general's care in conducting a thorough investigation before filing charges," said Richard Grossman, the lead plaintiffs' lawyer representing the class of more than 1,500 employer-funded health plans.In its lawsuit, the attorney general's office blamed Sutter for much of the increase in health care costs across Northern California because "Sutter embarked on an intentional, and successful, strategy of securing market power in certain local markets." State lawyers also pointed out that Sutter's conduct triggered an "umbrella effect" by encouraging other providers to raise their own prices.The state's lawsuit said Sutter used its windfall from excessive prices to acquire more hospitals and medical groups. It also enabled Sutter to "bestow extremely high salaries for its officers and upper management," according to the state complaint.Patrick Fry, Sutter's chief executive from 2005 to 2016, had .4 million in total compensation during his last year there, according to Sutter's 990 tax filing for 2016, the most recent year available.Overall, 18 executives at Sutter had million or more in total compensation during 2016, the federal tax filing shows.Karen Garner, a Sutter spokeswoman, said Fry's compensation in 2016 reflects retirement benefits he accrued over many years. She added that "industry comparisons show our salaries are reasonable and competitive, given the size, scope and complexity of our organization." 7370

BUFFALO, N.Y. (WKBW) — Hockey is back! The National Hockey League and their players' association announced Sunday the 2020-2021 season will begin on January 13th and will be reduced to 56 games.Training camp for the seven 2020 non-playoff teams will begin on December 31st.The agreement includes a realignment of the divisions, and limiting game schedules to intradivisional. The move was done to minimize travel for the teams, as well as to account for the ongoing closure at the U.S.-Canada border because of concerns for the spread of the coronavirus. 563

California, get ready for nonstop flights to Hawaii on Southwest Airlines. Southwest Airlines announced on Thursday that four California cities will serve nonstop flights to Daniel K. Inouye International Airport in Honolulu (HNL), Kahului Airport on Maui (OGG), Lihue Airport on Kauai (LIH), and Ellison Onizuka Kona International Airport at Keahole (KOA). Southwest Airlines plans to fly to those Hawaiian cites from Oakland Metropolitan Airport (OAK), San Diego International Airport (SAN), Mineta San Jose International Airport (SJC) and Sacramento International Airport (SMF). The Texas-based airline plans to sell tickets to Hawaii sometime in 2018. The service plans are pending FAA approval.  743

Catastrophic wildfires continue to ravage California, as one blaze nearly doubled in size over the last three days, making it the largest in the state's history.No one has been injured in the Mendocino Complex Fire, which consists of two fires -- the Ranch Fire and the River Fire -- burning around Clear Lake, in several counties in Northern California.Combined, they form the biggest blaze that California firefighters are currently battling. Altogether, the Mendocino Complex Fire has burned 283,800 acres -- growing about 80% since Friday night. As of Monday evening, it was 30% contained and had destroyed 75 residences.The Mendocino Complex Fire has now surpassed last year's Thomas Fire, which burned 281,893 acres in Ventura and Santa Barbara counties, as the largest fire in Cal Fire history.Exhausted firefighters across the state are trying to contain 16 major fires that are burning in hot, dry and windy conditions.On Monday, another fast-moving fire ignited in the state -- this time in Orange County, where firefighters battled the Holy Fire that expanded to more than 4,000 acres. That fire started in the Cleveland National Forest and evacuations in the nearby areas have been ordered, according to the Orange County Fire Authority.Trump blames California's 'bad environmental laws'In Northern California's Shasta County, the devastating Carr Fire claimed its seventh victim Saturday when a Pacific Gas & Electric worker died while working with a crew to restore power, utility spokesman J.D. Guidi said.Over the weekend, the White House approved a disaster declaration for Shasta County, allowing affected residents from the Carr Fire to apply for federal disaster assistance such as temporary housing, home repairs and other programs.At the same time, President Donald Trump blamed the state's environmental laws for the wildfires."California wildfires are being magnified & made so much worse by the bad environmental laws which aren't allowing massive amount of readily available water to be properly utilized," he tweeted Sunday. "It is being diverted into the Pacific Ocean. Must also tree clear to stop fire spreading!"It wasn't immediately clear what California laws Trump was referring to. Henri Grissino-Mayer, a geography professor at the University of Tennessee, said he had "no clue" what Trump was referring to in his tweet."California does NOT divert water to the ocean," he told CNN in an email. "Ridiculous. It's true that water is diverted to the coastal cities for a constant water supply but all such water is used by the coastal communities."More than 14,000 firefighters are battling the wildfires across California."Battling these relentless fires requires a Herculean effort," California Gov. Jerry Brown had written in his request to Trump for a presidential major disaster declaration.Fire crews from Australia and New Zealand arrived in California to help. They came to Redding, on Monday, according to the US Forest Service-Pacific Southwest Region.Parts of Redding were damaged by the Carr Fire, which has burned more than 164,413 acres. The fire was 47% contained as of late Monday, according to Cal Fire.The Carr Fire, now in its third week, is the sixth most destructive in the state's history, having destroyed more than 1,600 structures, according to Cal Fire.Parts of Yosemite National Park closed indefinitelyAnother major fire also burning in Northern California, the Ferguson Fire, extended into its third week.This fire has killed two people and injured 11 others. And it prompted the indefinite closure of some of the most popular parts of Yosemite National Park, officials announced on Sunday."Over the past 48 hours, fire has impacted all of the roads used to access Yosemite Valley, burning dead and downed trees that can become very explosive and fall without warning," according to the National Park Service.Yosemite Valley is home to some of the most famous destinations of the park."There are also significant terrain hazards for firefighters. These hazards, along with extreme fire behavior and frequent weather changes, have made this an extremely difficult fire fight," according to the NPS statement.The Ferguson Fire started on July 13. Of the 94,331 acres burned, firefighters have contained 39%, according to authorities.The-CNN-Wire 4320

CHICAGO, Ill. – The McRib is coming back to McDonald's on Dec. 2 and it’s returning to restaurants nationwide this year.The fast-food chain announced the return of its McRib on Friday and said it will be the first time the elusive sandwich will be sold across the country since 2012.good morning to everyone who asked how i was doing last weekand to everyone else...McRib is back 12.2— McDonald's (@McDonalds) October 30, 2020 As in years past, the item will only be around in the U.S. for a limited time. However, customers in Germany can enjoy the sandwich year-round.The McRib made its national debut at McDonald's in 1982. Over the years, it has become a fan favorite. The sandwich features seasoned boneless pork slathered in barbecue sauce, topped with onions and pickles."The McRib has been a beloved menu item at McDonald's since its inception nearly 40 years ago," said Vice President of Menu Innovation, Linda VanGosen. "There's nothing quite like the taste of the McRib. To our customers, it's become more than a delicious, saucy moment… it's a season, and it's taking the internet by storm. That's why this year, we're proud to serve the McRib nationwide for everyone to enjoy." 1198

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