Out of pocket 

The U.S. Department of Justice is investigating $665 million in payments to Sentara


Ian Dixon (left), Karl Quist, and Sara Stovall formed Charlottesville for Reasonable Health Insurance after Optima Health Plan, now owned by Sentara, raised premiums to nearly $3,000 a month in 2017. Optima was the only health insurance provider in the area. Photo by Eze Amos.

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