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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
CARLSBAD (KGTV) — A woman visiting Legoland in Carlsbad was stunned when she spotted someone angling their phone into her changing stall at the water park. "I saw a phone at the corner, which is under the divider of the stalls. So I called out to that person, 'Excuse me, what's that phone doing there?'" Carisma Jucaban recalled.She thought it may have been a child or just an accident, but it was not."As soon as I heard the door open, I ran out to take a look, but he was already making a turn. And I was kind of standing there like, 'What just happened?' My husband is looking at me like, What's going on?' I was like, 'Did you see that guy?'" Jucaban explained.Jucaban immediately reported the man to Legoland security and within hours they found him. Carlsbad police arrested 26-year-old Anthony Galindo of Los Angeles. "They looked through his phone and found a bunch of disturbing — they didn't really specify what it was — I don't really want to know. And from there, the police arrested him," she said.Legoland released a statement that reads in part: "Park staff acted promptly as the safety and security of park guests is the number one priority. Park officials are assisting Carlsbad police with the investigation."The information about the suspect's phone was given to Jucaban by security. It has not been verified by Carlsbad police. 1356

Caregivers already deal with a lot of stress and it's rising.The Caregiver Action Network has been seeing more calls coming into its free help desk recently. It says one out of every three has something to do with a challenge raised by the pandemic.“By the end of the call, I actually will hear them breathing like a deep breath of like sigh of relief almost and that they're actually feeling better at the end of the call, having been able to express some of their thoughts, some of their worries,” said Jennifer Piscitello, caregiving expert with the Caregiver Help Desk.Piscitello says people calling in are expressing a lot of pandemic fatigue. They're overwhelmed, because they don't have the same resources or outlets they had previously.The pandemic may also be keeping loved ones at home longer.“Aging in place has gone from being a desire, a wish, to almost a mandate or something that really has to happen because families are just afraid to have their elderly loved ones put in a nursing home,” said John Schall, CEO of the Caregiver Action Network.Schall says we need more training and financial support for the caregivers in this situation.The expansion of telehealth has been helpful, but one challenge is when caregivers can't be present when that virtual visit is happening, like they would be with an in-person doctor's visit.Experts at the help desk are making sure caregivers focus on their self-care now more than ever. They say you can help any caregivers you know by checking in on them and offering whatever support they need.The number for the help desk is 855-227-3640. You can also find more resources specific to the pandemic at CaregiverAction.org. 1684
CARLSBAD (KGTV) -- A San Diego couple is missing their cruise over coronavirus concerns after they say the cruise company changed the itinerary without a refund.Lisa and Luis Revilla are cruise ship connoisserus. They've sailed through the Greek Islands and along the Italian coast. Their next trip was supposed to be through the Pacific Islands on the Norwegian Jade. But, due to coronavirus concerns that ship set sail without them. RELATED: Second case of coronavirus confirmed in San Diego County"I don’t need to go and risk my life," said Lisa Revilla. "We were sailing from Singapore and were being dropped off in Hong Kong. Hong Kong in the end closed their port."So, Norwegian changed the itinerary to leave Singapore, spend time at sea and head back to Singapore. It also wouldn't be your typical trip. "They were gonna implement certain temperature gauges, every time we got off and got back on from every port we were traveling to," said Revilla. RELATED: Mislabeled sample led to release of San Diego coronavirus patientBut to get over there they were planning on flying from LAX to Hong Kong, but American Airlines canceled their flights. So, they couldn't have taken the cruise even if they tried. "Basically I'm out almost ,000 from this voyage we were going to take," said Revilla. "What if we’re quarantined and I cant get back to my job I mean who’s going to pay for that?"Norwegain sent us this statement:“We always strive to do right by our guests while maintaining the business policies and practices we have in place to help us manage through situations just like this. It is because of the very nature of unexpected situations that we strongly recommend that guests obtain travel protection insurance. As a convenience to our guests, we offer a few travel protection plans at the time of booking, as well as during several follow-up communications. The plans allow for coverage in many situations. Some plans offer guests the opportunity to cancel for any reason. In addition, as is common in the travel and tourism industry, we have developed cancellation policies.They are communicated to our guests at time of booking and can be found on our website here: https://www.ncl.com/sites/default/files/Guest_Ticket_Contract_04-2017_2.pdfRevilla told 10News they were traveling with another couple who even purchased insurance through Norwegian and were told it wouldn't apply here. "We’ve been saving our money for a whole year and planning this whole trip. And it just didn’t happen," said Revilla. RELATED: Child returns to hospital after showing possible coronavirus symptomsRevilla was able to get the money from her flights refunded as well as a hotel they had booked in Hong Kong. 2716
CARLSBAD, Calif. (KGTV) - The dollar value racked up by the Apple store bandits is now climbing toward the million-dollar mark.Surveillance images from an Apple store in Carlsbad in May show a group of men in hoodies walking in and immediately getting to work."They quickly grab the products on display near the front of the store," said Mark Herrring, coordinator of the San Diego County Crime Stoppers program.Investigators believe the same men hit the same store in June and several times in July."They flee the store, usually to a vehicle that is waiting for them," said Herring.The thieves have apparently shopped around for local targets. Authorities released more images from a similar case at an Apple store at Westfield North County on July 9. Detectives believe the local cases are linked to other grab-and-runs from across the state this year."Currently there are approximately 30 cases throughout the state. The merchandise is valued at about 0,000."In some cases, people have gotten hurt. In a theft in Costa Mesa, the thieves punched and kicked an off-duty police officer trying to stop them before they ran off. Sources tell 10News the thieves hit three stores last Friday night, including one in Temecula. "Most likely an arrest in this case is the only way this stops," said Herring.In one of the cases outside San Diego County, witnesses saw the men take off in a silver Infiniti sedan. If you have any information, call Crime Stoppers at 888-580-8477. 1548
来源:资阳报