For 23 years, the private ambulance industry in California had gone without an increase in the base rate the state pays it to transport Medicaid enrollees. At the start of the year, it asked the state legislature to more than triple the rate, from around $110 to $350 per ride. The request went unheeded.

In September, American Medical Response, the largest U.S. provider of ambulance services, announced it had “made the difficult decision” to end nonemergency transports in Los Angeles County and blamed the state for having one of the lowest Medicaid reimbursement rates in the country. “What’s more,” the company, which sold for $2.4 billion in 2017 to private equity firm KKR, said, “we are not subsidized by taxpayer funds like public agencies, and almost 80% of our patients pay nothing or below cost for our services.”

The company, which also cited high operational costs, said

Casi tres años después de que la pandemia de covid-19 alterara para siempre los lugares de trabajo, la cobertura de salud mental sigue siendo una prioridad para los empleadores, según la encuesta anual realizada por KFF.

Casi la mitad de los grandes empleadores encuestados, con al menos 200 trabajadores, informaron que una proporción cada vez mayor de sus empleados utilizaba servicios de salud mental. Sin embargo, casi un tercio de ese grupo dijo que la red de su plan médico no tenía suficientes proveedores en esta área, como para que los empleados tuvieran acceso oportuno a la atención que necesitaban.

A medida que millones de empleados cambiaban las oficinas cerradas por sus casas, o se arriesgaban a infectarse trabajando en frentes de batalla contra covid, los problemas de salud mental se dispararon.

Ahora, aunque muchos lugares de trabajo han vuelto a una apariencia de “normalidad”, algunos trabajadores todavía

As the covid-19 pandemic worsened a mental health crisis among America’s young people, a small group of states quietly withdrew from the nation’s largest public effort to track concerning behaviors in high school students.

Colorado, Florida, and Idaho will not participate in a key part of the Centers for Disease Control and Prevention’s Youth Risk Behavior surveys that reaches more than 80,000 students. Over the past 30 years, the state-level surveys, conducted anonymously during each odd-numbered year, have helped elucidate the mental health stressors and safety risks for high school students.

Each state has its own rationale for opting out, but their withdrawal — when suicides and feelings of hopelessness are up — has caught the attention of school psychologists and federal and state health officials.

Some questions on the state-level surveys — which can also ask students about their sexual orientation, gender identity, sexual activity, and drug use