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    A UnitedHealthcare and Mount Sinai Dispute May Force Thousands to Switch Doctors

    As Mount Sinai Hospital and UnitedHealthcare haggle over pay rates, patients may have to pay out-of-network prices if they want to keep their doctors.Stalled contract negotiations between UnitedHealthcare, the health insurance giant, and Mount Sinai Health System, a leading New York City hospital system, are forcing tens of thousands of New Yorkers to switch doctors or risk paying out-of-network prices.The impasse has dragged on for months. Mount Sinai has sought to raise prices significantly, but the insurance company has refused to agree to pay the new proposed rates. As a result, Mount Sinai’s hospitals are now out of network for patients insured by UnitedHealthcare or Oxford, which are subsidiaries of the same company. But the issue is about to become even more urgent for many patients because many Mount Sinai affiliated doctors — in addition to the hospitals themselves — are about to be removed from UnitedHealthcare’s network, starting March 22. That means patients with United who have employer-sponsored or individual plans will be billed out-of-network rates when they see a Mount Sinai affiliated doctor at a doctor’s office.The negotiations have sent many patients scrambling to find new doctors. UnitedHealthcare says about 80,000 Mount Sinai patients are affected.What Happened?The dispute between the insurance giant and the hospital system is a rare instance in which health care contract negotiations have spilled into public view.Mount Sinai sought to negotiate better rates with UnitedHealthcare, demanding that the insurance giant pay the hospital more for doctor visits and hospital stays. United claims Mount Sinai was asking for rates to go up some 58 percent over the next four years.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Overwhelmed by War, Another Gazan Hospital Is Declared ‘Not Functional’

    Conditions at Nasser Hospital in the southern Gaza Strip were described as desperate after Israeli forces raided it in search of Hamas militants.The largest medical facility still managing to function in wartime Gaza is now a hospital in little more than name only, the head of the World Health Organization said on Sunday.After a week of siege by the Israeli military, there are only about 20 critically ill patients left at Nasser Hospital — but even that is too many for it to handle, said Tedros Adhanom Ghebreyesus, the W.H.O. director general.“Nasser hospital in Gaza is not functional anymore,” Dr. Tedros said on social media.Dr. Tedros said on Sunday that some 200 patients remained at the hospital in Khan Younis, in the southern Gaza Strip, and that about 20 of them urgently needed to be transferred elsewhere. “The cost of delays will be paid by patients’ lives,” he said.Israel has justified its military actions at the hospital by saying that Hamas militants have been using it and other medical centers to conceal military activities, and on Sunday it said it had found both weapons and Hamas militants at the Nasser complex.Hamas has repeatedly denied using hospitals as cover.On Thursday, after days of repeated orders for the thousands of civilians taking shelter at the hospital to leave, Israeli forces began staging a raid.Asked about the W.H.O. statement, a spokesman for the Israeli military, Lt. Col. Richard Hecht, said in a briefing that “it’s in our best interest that the hospital keeps functioning.” He said that work was being done to fix a broken generator there and that a temporary generator was in use.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Hundreds Flee One of Gaza’s Last Working Hospitals, Fearing Israeli Attack

    Hundreds of displaced Palestinians fled one of the Gaza Strip’s last functioning hospitals on Wednesday, after the Israeli military ordered them to leave and threatened further action to stop what it said was Hamas activity there.Thousands of Gazans have sheltered at the Nasser Medical Complex in the southern city of Khan Younis for weeks, and many are terrified that Israeli forces will bombard or storm the complex, said Mohammed Abu Lehya, a doctor there. Previous Israeli warnings to evacuate hospitals, including Al-Shifa, the largest in Gaza, have often preceded military raids.Hanin Abu Tiba, 27, an English teacher sheltering at the hospital, described dire conditions inside, with food running out and aid convoys all but unable to deliver supplies. In text messages overnight, she said that she had seen an Israeli military vehicle outside the hospital gate.“I’m terrified to leave the hospital and get shot,” she said. But inside the complex, she said, “the electricity is cutting out, and the water, and the canned food is almost gone. We don’t know what to do.”Dr. Abu Lehya, in a WhatsApp message on Wednesday, called conditions at the hospital “beyond imagination.”The tensions at the hospital played out as Israel carried out extensive airstrikes in southern Lebanon on Wednesday in response to a deadly rocket attack on northern Israel. The rocket attack struck a military base near the city of Safed, killing a soldier and wounding eight people, the Israeli authorities said. There was no immediate claim of responsibility, but suspicion quickly fell on Hezbollah, the Lebanese militia allied with Hamas.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    Hundreds Flee Nasser Hospital in Gaza After Israel Orders Evacuation

    Hundreds of displaced Palestinians were fleeing a major hospital in the Gaza Strip on Wednesday, according to doctors and videos from the scene, after Israeli forces ordered them to leave and threatened military action to stop what it said was Hamas activity at the hospital.Thousands of Gazans have been sheltering at the Nasser Medical Complex in Khan Younis for weeks, having been forced to flee their homes and other parts of Gaza by Israel’s intense bombardment of the territory and military orders to leave their towns and cities. Hospitals have become places of refuge during the war, even as they have often become a focus of Israel’s military offensive.Inside Nasser, which is one of the last functioning hospitals in Gaza, there was terror that Israeli forces would bombard or storm the complex, said Mohammed Abu Lehya, a doctor there. Previous Israeli warnings to evacuate hospitals, including Al-Shifa, the largest in Gaza, have often preceded military raids on the facilities.“The situation is very difficult, difficult, difficult, difficult,” Dr. Abu Lehya said in a WhatsApp message Wednesday morning. “It’s beyond the imagination or description.”An injured person arriving at Nasser Medical Complex in Khan Younis in December. The hospital is one of the last functioning medical facilities in the Gaza Strip.Yousef Masoud for The New York TimesA video shared on social media on Wednesday and verified by The New York Times shows crowds of people carrying belongings and bedding leaving the hospital as explosions are heard in the background. The Israeli military called for those sheltering to evacuate but said it had not called on patients and medical staff to leave the hospital.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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    A Tunnel Offers Clues to How Hamas Uses Gaza’s Hospitals

    Gaza’s hospitals have emerged as a focal point in Israel’s war with Hamas, with each side citing how the other has pulled the facilities into the conflict as proof of the enemy’s disregard for the safety of civilians. In four months of war, Israeli troops have entered several hospitals, including the Qatari Hospital, Kamal Adwan […] More

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    A Crisis at Gaza’s Hospitals, and More

    The New York Times Audio app is home to journalism and storytelling, and provides news, depth and serendipity. If you haven’t already, download it here — available to Times news subscribers on iOS — and sign up for our weekly newsletter.The Headlines brings you the biggest stories of the day from the Times journalists who are covering them, all in about 10 minutes.The Indonesian Hospital in Gaza earlier this month. The enclave has 36 hospitals.Anas al-Shareef/ReutersOn Today’s Episode:Critical Trauma Care Is Not Possible at Any of Gaza’s Hospitals, the W.H.O. Says, by Farnaz FassihiFederal Court Moves to Drastically Weaken Voting Rights Act, by Nick Corasaniti‘Lost Time for No Reason’: How Driverless Taxis Are Stressing Cities, by Yiwen LuEmily Lang More

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    Crisis at Gaza’s Main Hospital, and More

    The New York Times Audio app is home to journalism and storytelling, and provides news, depth and serendipity. If you haven’t already, download it here — available to Times news subscribers on iOS — and sign up for our weekly newsletter.The Headlines brings you the biggest stories of the day from the Times journalists who are covering them, all in about 10 minutes.Intense, close-quarters combat is taking place near Al-Shifa Hospital, the largest in the Gaza Strip.Khader Al Zanoun/Agence France-Presse — Getty ImagesOn Today’s Episode:Crisis Heightens at Gaza’s Main Hospital Amid Dispute Over Desperately Needed FuelTim Scott Suspends 2024 Campaign, After Sunny Message Failed to ResonateCan’t Think, Can’t Remember: More Americans Say They’re in a Cognitive FogEmily Lang More

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    Your Wednesday Briefing: China’s Overwhelmed Hospitals

    Also, Ukraine is fighting to retake a city in the Donbas.Associated PressChina’s hospitals on the front lines of CovidChina’s medical system was already overcrowded, underfunded and inadequately staffed in the best of times. But now with Covid spreading freely for the first time in China, it is being pushed to its limits.The Times examined several videos that showed scenes of desperation and misery at one hospital in northern China. Above, three stills. Sickened patients slump in wheelchairs and lie on gurneys, waiting for help as the corridors ring with the sounds of coughing.There are reports that physicians are being pulled from eastern provinces to help in Beijing as the capital grapples with an explosive outbreak. Doctors and nurses are continuing to work after contracting the virus because of the staff shortage.In Shanghai, one hospital predicted half of the city’s 25 million residents would eventually be infected and warned its staff of a “tragic battle” in the coming weeks. “All of Shanghai will fall, and all the staff of the hospital will be infected!” according to a now-deleted statement the hospital posted last week on the social media platform WeChat.On the brink: A doctor in Wuhan said the hospital staff was so depleted that a neurosurgeon recently had to perform two operations in one day while fighting symptoms of Covid. “About 80 to 90 percent of the people around me have been infected,” the physician said.Soaring cases: Data released by local authorities in recent days seem to confirm that the virus is running rampant, with reports of hundreds of thousands of infections recorded daily. Questions abound about the number of Covid-related deaths because officials count only those who die from respiratory failure directly linked to a Covid infection. Officially, seven people have died from the virus since pandemic rules were relaxed on Dec. 7.A Ukrainian soldier in Lyman, which Ukraine recaptured this fall. Fighting has since spread to Kreminna.Tyler Hicks/The New York TimesUkraine sets its sights on a key city in the eastUkrainian officials say their troops are edging closer to Kreminna, a fiercely defended city in northern Luhansk Province. It’s one of the most hotly contested places in the fight for the Donbas region.Luhansk is almost entirely occupied by Russia and one of the four provinces that Russia illegally annexed in September. Recapturing Kreminna, as well as the neighboring cities of Svatove and Starobilsk, could enable Ukraine to continue its advance toward the Russian border and take back more territory seized by Moscow.Understand the Situation in ChinaThe Communist Party cast aside restrictive “zero Covid” policy, which set off mass protests that were a rare challenge to the Communist leadership.Medicine Shortages: As Covid rips through parts of China, millions are struggling to find treatment — from the most basic cold remedies to take at home to more powerful antivirals for patients in hospitals.Traumatized and Deflated: Gripped with grief and anxiety, many in China want a national reckoning over the hard-line Covid policy. Holding the government accountable may be a quixotic quest.A Cloudy Picture: Despite Beijing’s assurances that the situation is under control, data on infections has become more opaque amid loosened pandemic constraints.In Beijing: As Covid sweeps across the Chinese capital, Beijing looks like a city in the throes of a lockdown — this time, self-imposed by residents.It would also give Ukraine control of a triangle of roads that provide access to two larger cities farther south, Sievierodonetsk and Lysychansk, which fell to Russia this summer. “The Russians understand that if they lose Kreminna, their entire line of defense will ‘fall,’” the regional governor of Luhansk said yesterday.Background: Ukraine’s campaign to recapture Kreminna began this fall, around the time that it reclaimed Lyman, a city in the neighboring Donetsk Province. The campaign started at the end of a sweep through the northeastern region of Kharkiv, which forced Russia back toward the border.Other updates:The Russian opposition leader Aleksei Navalny said that he had been injected with an unknown medication after suffering from bad back pain while in prison.Ukraine’s economy is projected to shrink about 40 percent this year.Ryazan, a city near Moscow, is mourning its fallen soldiers. But residents do not resent the war. Lee Myung-bak, center, was arrested in 2018.Pool photo by Chung Sung-JunFormer South Korean president pardonedLee Myung-bak, a former president imprisoned for embezzlement and corruption, received a presidential pardon that will go into effect today. Lee, 81, will be released from a hospital in Seoul, where he was treated for chronic illnesses, and will not be returning to prison.The pardon of Lee, who was president from 2008 to 2013, is intended “to restore the potential of a South Korea united through pan-national integration,” the Justice Ministry said in a statement.Critics said the move would be popular among conservative supporters. Both Lee and South Korea’s current president, Yoon Suk Yeol, who granted the pardon, are conservative politicians.Details: Lee was sentenced to a 17-year term in 2020. The pardon will cancel the remaining 15 years of his sentence and nullify the unpaid part of his fine, totaling 8.2 billion won ($6.4 million). The charges against Lee included collecting bribes, mostly from Samsung, and embezzling more than 30 billion won ($23.6 million.)Other pardons: The pardon also applies to more than 1,300 other people convicted of white-collar crimes, including those who served under the former president Park Geun-hye, who was ousted in 2017 on charges of bribery and abuse of power. She was pardoned last year.THE LATEST NEWSAsia PacificThe long-haul Sydney Hobart sailing race is underway. For competitors, it can be a sleepless endeavor.Taiwan’s president said that mandatory conscription on the island would be extended from four months to one year, because of the rising threat from China, Reuters reports.Japan’s prime minister dismissed his fourth minister in two months following a string of scandals, Nikkei reports.Around the WorldThe telescope is on a mission to observe the universe in wavelengths no human eye can see.NASA, ESA, CSA, STScI, Webb ERO Production TeamLaunched a year ago, the James Webb Space Telescope is working even better than astronomers had hoped.The number of Nicaraguans fleeing to the U.S. has surged in recent years.Thousands of holiday travelers remained stranded in the U.S. after more than 2,900 flights were canceled during the winter storm. Most were from Southwest Airlines.A Morning ReadExpect more Japanese-inspired flavors next year.Jenny Huang for The New York TimesHow will we eat in 2023? My colleague Kim Severson spoke to food forecasters about coming fads in a time of inflation, climate change and global tensions.Among their predictions: Briny flavors, chicken skins, high-end Jell-O shots, and Ube, a slightly nutty-tasting, vanilla-scented purple yam from the Philippines. As concerns about the pandemic recede, communal tables may also make a comeback.ARTS AND IDEASKendrick Lamar, left, and Dave Free.Rafael Pavarotti for The New York TimesKendrick Lamar’s next chapterHe is one of the greatest rappers of his generation: In addition to obtaining myriad Grammys, Kendrick Lamar is the first artist outside jazz and classical music to win the Pulitzer Prize. Now at 35, Kendrick has started pushing himself onto unexpected terrain.Notably, he’s opening up. “Mr. Morale & The Big Steppers,” the album he released last spring, is more personal and out-and-out emotional than his previous work.Kendrick shocked the rap world when he left Top Dawg Entertainment, the label that discovered and nurtured his talent. He started his own company, pgLang, with his longtime collaborator, Dave Free. “Everybody got their own journey. I was just fortunate enough to have a group of guys around me that gave me that courage to feed myself with the arts,” Kendrick said.PLAY, WATCH, EATWhat to CookRyan Liebe for The New York TimesChestnut risotto feeds a crowd.What to ReadIn “Have You Eaten Yet?” Cheuk Kwan traces Chinese-owned restaurants from the Arctic to the Amazon.What to Watch“Corsage,” starring Vicky Krieps as the Empress of Austria, is a visually striking and ingeniously anachronistic portrait.HealthProlonged and extreme anger can affect your heart, brain and gut.Now Time to PlayPlay the Mini Crossword, and here’s a clue: Macaroni shape (five letters).Here are the Wordle and the Spelling Bee.You can find all our puzzles here.That’s it for today’s briefing. See you next time. — AmeliaP.S. My colleague Kashmir Hill got help from a special contributor for her story: a 7-month-old baby.“The Daily” is about the first union at Amazon.We welcome your feedback. Email us at briefing@nytimes.com. More