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Crews will begin building a new section of the pipelines on Monday, May 10. The new facility is replacing Morro Bay’s current wastewater treatment plant and will add a water purification element to provide up to 80% of the city’s water needs. Pipeline construction for the plant started February 2021 on Quintana Road, moving southeast from La Loma to South Bay Boulevard. webpage Construction to extend and connect the pipelines begins May 10 at Main Street and Quintana Road. Northbound traffic on Quintana Road will be detoured at Kennedy Way to Dunes Street and Main Street, and Southbound traffic on Quintana Road will remain open. Morro Bay City Manager Scott Collins said progress on the main facility is going well. He said building the pipelines is the next step, but that comes with challenges. “It’s sort of like the transcontinental railroad system, where you’re starting to build things together to a connecting point,” Collins said. “Naturally, when you’re building a pipeline through the middle of town in one of the core business corridors, there’s trepidation and concern.” There will be two pipelines: one to move wastewater discharge and one for the purified water. Construction will include trenching, installation, soil filling and transportation, and road restoration. Paul Amico is the project manager for the pipeline construction. He said businesses, residences and visitors can expect some disturbance in this next phase of construction, but everything will still be accessible. “It’s going to be challenging. Please be patient with us,” Amico said. “We will continue to communicate the best we can about how the construction is going to progress. But also expect some delays. Expect some disruption because it’s a tight area for them to be working in.” Construction is scheduled on weekdays from 7 a.m. to 5:30 p.m. Crews are expected to move construction locations along the road every few weeks and then return incrementally until the project’s completion.

https://www.kcbx.org/post/traffic-issues-expected-during-morro-bay-water-reclamation-facility-pipeline-construction

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The higher than anticipated profits prompted UnitedHealth Group to raise its projections for the year. CVS Health, which owns the Aetna health insurance provider and drugstores, reported $2.2bn in profits, up from $2bn in the same quarter a year before. Cigna said on Friday its net income fell to $1.17bn from $1.19bn in the same period last year, but it still raised its forecasts for the year. Together, the companies represent the country’s five biggest health insurers by membership. Insurers’ financial success is not reflected across the healthcare system. Small healthcare providers such as independent doctor’s office and rural hospitals have been in a financial crunch, or closed, during the pandemic. Emergency medical service systems and some larger hospitals have also been under severe financial pressure. Health insurers have been insulated from this stress because there were sharp declines in expensive, elective procedures, such as hip replacement surgery. People also delayed or skipped doctor’s appointments because of fears of Covid-19’s spread or concerns about the cost of medical care during a recession. Allison Hoffman, a health law expert at the University of Pennsylvania, explained: “Insurers’ Covid-related costs have been far smaller than their pandemic-related savings.” Last year, insurers warned medical use could soar when Covid-19 cases decrease and people are more comfortable visiting a doctor’s office. In earnings calls this quarter, health insurance executives said they expect medical use to be normal or slightly above normal, but not extreme, in the second half of the year. Anthem’s executive vice-president and chief financial officer, John Gallina, said it was too early to see pent-up demand. “Folks were able to get access to care in 2020 when a lot of the stay-at-home rules were relaxed,” Gallina told analysts. “So at this point in time, we are taking a very cautious approach, certainly monitoring all of the variables, but we still believe that our original outlook for utilization is appropriate and prudent.” CVS Health’s chief financial officer and executive vice-president, Eva Boratto, said in an earnings call this week: “Covid-19 is expected to have a minimal impact on consolidated financial results for the year.” Insurers are required to return part of the profits to the individuals and employers who use their services because of the Affordable Care Act’s cap on insurance company profits. Some insurers potentially offset some share of the rebates by reducing premiums or providing a premium credit to people in 2020. Many also waived treatment fees for insured patients with Covid-19 . Those waivers are now being phased out . Anthem, UnitedHealth and Aetna rolled back the waivers this year, while Humana has dropped them for some customers. Covid-19 vaccinations and most coronavirus tests are still free for people under federal law. The California representative Katie Porter was one of 10 Democratic representatives to write to Anthem, UnitedHealth and CVS Health last week to ask them to continue covering costs for Covid-19 treatment. “To do anything less can and will harm the members who pay your salaries and who you are committed to serve,” wrote the members, including Pramila Jayapal, of Washington, and Cori Bush, of Missouri.

https://www.theguardian.com/business/2021/may/08/us-health-insurance-companies-2021-first-quarter
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