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Anthem Blue Cross patients regain access to Scripps Health

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Anthem Blue Cross patients regain access to Scripps Health


Four months after the contract between Scripps Health and Anthem Blue Cross lapsed, forcing an estimated 125,000 San Diego County residents to consider changing their coverage or finding different doctors, the medical provider announced Tuesday afternoon that the previous relationship has been restored.

Scripps notified patients by email that those with Anthem Blue Cross health insurance coverage can immediately resume making appointments with its approximately 3,000 affiliated doctors and using its network of hospitals and medical offices throughout the region.

In the fall of 2024, Scripps notified patients that the contract with Anthem might not be renewed, citing disagreement with the carrier over reimbursement rates and what the provider said were burdensome requirements for prior approval of billable medical procedures.

Richard Neale, a corporate executive vice president and Scripps’ chief growth officer, said Tuesday afternoon that the new agreement with Anthem simply extends the terms of the previous contract through Sept. 30, 2026.

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Disagreements over reimbursement and prior medical approval remain unresolved.

“This is an extension, it is not a new agreement,” Neale said. “So, in a long-term sustainable agreement … those two priorities, which are really breaking down the barriers that interfere with the patient’s ability to get the care that their physician is recommending and to ensure that Scripps gets fair payment, those will be the focal points … that we will be focused on negotiating during the extension period.”

Little information was available on just how many of the more than 125,000 local Anthem beneficiaries stayed with the carrier, hoping for a quick resolution and how many decided to choose a different carrier during the annual open enrollment period, which usually occurs in the fall.

Anthem did not provide information on how many changed carriers or how many health management organization beneficiaries it switched to different local medical providers when Scripps went out of network on Jan. 1.

“We are pleased Scripps Health has rejoined our local network of care providers in San Diego and we look forward to continuing our partnership,” said Beth Andersen, president of Anthem Commercial Health Plans in California, in a statement. “Our members and employer customers remained our number one priority as we worked hard and in good faith to find common ground and reach agreement with Scripps.”

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The news came as a relief to many patients Tuesday.

Ron Stolberg of Rancho Penasquitos said that he left Scripps for Sharp HealthCare while his wife tried to stay with Scripps as much as was possible, though some tests needed in the past four months went to Sharp.

“I think it’s great news for those of us that value our history with Scripps, but for many of us, we have gone on and made new relationships with health care providers in other systems,” Stolberg said. “If this was going to get worked out, it would have been great to do it before over 100,000 consumers stressed other health care systems.

“It’s hard to know what to do now, be faithful to a new provider who took us in, or the one we know better but dismissed us over a contract dispute.”

While he said he is on the fence, he said his wife plans to return to Scripps as soon as possible.

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Why not extend the contract last year rather than waiting for four months? Neale said that an extension was not on the table.

“We had actually recommended or proposed to Anthem at that time to extend the terms of the existing agreement to negotiate that long-term agreement,” Neale said. “At that time, they turned us down.”

It does not appear that Scripps suffered much financially during the short-lived Anthem divorce. Revenue from third-party payors, for the most part commercial health insurance companies, actually increased slightly in the first three months of 2025 compared to the same period in 2024, according to quarterly financial reports filed with the state. Scripps confirmed the trend in an email Tuesday.

Neale said that patients with preferred provider or exclusive provider organization insurance, which allows beneficiaries to self-refer to any doctor in their network, immediately gain access, while those with health management organization coverage must go through Anthem.

“For EPO or PPO members, they can call (Scripps) today to get an appointment,” Neale said. “HMO members, they need to call Anthem to seek reassignment to a Scripps provider.”

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The new contract does not include Anthem plans on the Covered California health insurance exchange. Neale declined to elaborate on why these plans will not regain Scripps in their provider networks. The executive did say that there were about 14,000 Scripps patients in Covered California Anthem plans at the end of 2024, though some may have switched health insurance companies during annual open enrollment in the fall and early winter of 2024 to retain access to Scripps.

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San Diego, CA

Mayor Gloria defends Balboa Park paid parking, blames council for rocky rollout

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Mayor Gloria defends Balboa Park paid parking, blames council for rocky rollout


San Diego will put off issuing citations for paid parking in Balboa Park for about one month while improvements are made, but Mayor Todd Gloria says the new system is functioning well and being “actively adopted.”

In a long and harshly worded memo released Thursday, Gloria said recent calls by City Council members to suspend the program were politically motivated and examples of bad governance and erratic decision-making.

Gloria also deflected blame for the chaotic way enforcement began Monday, when city officials raced to put stickers about resident discounts on parking kiosks and lobbied a vendor to deliver crucial missing signs.

The mayor said the council had “shaped, amended and approved” paid parking in Balboa Park and contended an accelerated timeline chosen by the council made it hard for his administration to implement it flawlessly.

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The mayor’s memo came in response to a Tuesday memo from Councilmembers Kent Lee and Sean Elo-Rivera in which they called implementation of paid parking “haphazard” and “not ready for prime time.”

Lee and Elo-Rivera said the process for city residents to get approved for discounts was so complex, cumbersome and confusing that Gloria should waive fees for residents until they have had time to adapt and learn.

While Gloria rejected that suggestion in part of his memo, he later said “enforcement remains focused on education, not punishment, during this early phase, to ensure park users are aware of the new parking fees.”

Dave Rolland, a spokesperson for Gloria, said Thursday that no specific date had been set for when the city would shift from education to enforcement. But he added that “about a month” would be an accurate timeline.

City officials have already corrected one key mistake: Signs that were missing Monday — alerting drivers that the 951-space lower Inspiration Point lot is free for three hours — have since been installed.

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Lee and Elo-Rivera in their memo decried “an inadequate effort to educate the public on how to use this new system.”

They said San Diegans had not been clearly informed about when a portal for city resident discounts would go live or how to use it.

And they complained that residents weren’t told they couldn’t buy discounted parking passes in person, or when enforcement with citations would actually begin.

City residents must apply for discounts online, pay $5 to have their residency verified, then wait two days for that verification and choose the day they will visit in advance.

Lee and Elo-Rivera called the city’s efforts “a haphazard rollout that will surely lead to San Diegans missing out on their resident discount and paying higher parking rates than they have to.”

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Gloria said the city collected $23,000 in parking fees on Monday and Tuesday and another $106,000 in daily, monthly and quarterly passes — mostly from residents who get discounts on such passes.

“Early data shows that the program is functioning and being used,” he said. “These are not the metrics of a system that is failing to function. They are the metrics of a system that is new, actively being adopted, and continuing to improve as public familiarity increases.”

While Gloria conceded that some improvements are still necessary, he rejected calls from Lee and Elo-Rivera for a suspension, citing his concerns it would jeopardize city finances and confuse the public.

“Your proposal to suspend paid parking for residents two days into the new program would have immediate and serious fiscal consequences,” Gloria said. “This reversal could introduce confusion among park users and would disregard investments already made to establish the system, potentially compromising the program’s effectiveness.”

Paid parking in Balboa Park is expected to generate about $3.7 million during the fiscal year that ends June 30, but revenue is expected to rise substantially when the fees are in place for a full fiscal year.

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Gloria said the money is a small part of the city’s overall solution to recurring deficits it faces of more than $100 million per year.

“What we will not do is reverse course days into implementation in a way that undermines fiscal stability, creates uncertainty, and sends the message that addressing a decades-old structural budget deficit that has plagued our city is optional because it is politically uncomfortable,” he said. “That kind of erratic decision-making is not good governance, and San Diegans deserve better.”

Meanwhile, a spokesperson for the San Diego Zoo said Thursday that paid parking there has continued to go smoothly since it began on Monday.

The zoo, which is using Ace Parking for enforcement, opted for immediate citations instead of an educational grace period.

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San Diego, CA

Barricaded individual in custody following police response in Mission Valley

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Barricaded individual in custody following police response in Mission Valley


SAN DIEGO (FOX 5/KUSI) — San Diego Police responded to a barricaded individual in the Mission Valley area Thursday afternoon, prompting a heavy law enforcement presence.

  • The Nexstar Media video above details resources for crime victims

The department confirmed around 1 p.m. that officers were on scene in the 1400 block of Hotel Circle North, and are working to safely resolve the situation. Authorities asked the public to avoid the area and allow officers the space needed to conduct their operations.

Police described the incident as a domestic violence restraining order violation. At this time, it’s unknown if the person is armed.

No injuries have been reported.

The suspect was taken into custody within an hour.

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Further details about the barricaded person were not immediately released. Police say updates will be shared as more information becomes available.

This is a developing story. Check back for updates.



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San Diego, CA

Padres roster review: Luis Campusano

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Padres roster review: Luis Campusano





Padres roster review: Luis Campusano – San Diego Union-Tribune


















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LUIS CAMPUSANO

  • Position(s): Catcher
  • Bats / Throws: Right / Right
  • 2026 opening day age: 27
  • Height / Weight: 5-foot-10 / 232 pounds
  • How acquired: Second round of the draft in 2017 (Cross Creek HS, Ga.)
  • Contract status: Will make $900,000 after agreeing to a one-year deal to avoid arbitration; Will not be a free agent until 2029.
  • fWAR in 2025: Minus-0.4
  • Key 2025 stats: .000 AVG, .222 OBP, .000 SLG, 0 HRs, 0 RBIs, 0 runs, 6 walks, 11 strikeouts, 0 steals (10 games, 27 plate appearances)

 

STAT TO NOTE

  • 1 — The number of plate appearances for Campusano while in the majors between June 1 and June 13 and the one at-bat resulted in a weak, pinch-hit groundout against a position player (Kike Hernandez) on the mound in mop-up duty. Campusano was recalled to the majors four times in 2025 but did not get a real opportunity get settled after he went 0-for-6 with four walks and a strikeout in three straight starts as a DH in early May. Of course, hitting .227/.281/.361 with eight homers over 299 plate appearances after getting the first real chance to start in 2024 likely informed how the Padres viewed his opportunity in 2025.

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