ER Doctors Vow to Pursue Case Against Envision Despite Bankruptcy
The lawyer for an emergency physicians group says its lawsuit against Envision Healthcare should be allowed to proceed even though the company has filed for Chapter 11 protection.
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Medi-Cal Enrollees in California: Here’s How to Verify Your Eligibility
California’s safety-net health program has resumed annual eligibility checks after three years, which means beneficiaries will need to provide updated personal information to maintain coverage. Here’s what to watch for.
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California’s Covid Misinformation Law Is Entangled in Lawsuits, Conflicting Rulings
A state law says giving false information to patients about covid-19 constitutes unprofessional conduct for which regulators can discipline doctors. Vaccine skeptics, including Robert F. Kennedy Jr., join civil liberties groups and others in arguing that it violates free speech.
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California’s Massive Medicaid Program Works for Some, but Fails Many Others
Medi-Cal serves more than one-third of the state’s population — offering a dizzying range of care to a diverse population. In the new “Faces of Medi-Cal” series, California Healthline will assess the program’s strengths and weaknesses through the lives and experiences of its enrollees.
By Angela Hart and Bernard J. Wolfson -
California’s Resolve Questioned After It Grants Medi-Cal Contract Concessions
After the Department of Health Care Services canceled Medi-Cal contract awards under pressure from major insurers, some consumer advocates question the administration’s willpower to improve care in the safety-net program.
By Bernard J. Wolfson and Samantha Young -
Many Families With Unaffordable Employer Coverage Now Eligible for Covered California Subsidies
If family coverage on an employer-sponsored plan is too expensive, a worker’s spouse and dependents may be eligible for Affordable Care Act subsidies under a new federal rule.
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ER Doctors Call Private Equity Staffing Practices Illegal and Seek to Ban Them
Doctors, consumer advocates, and some lawmakers are looking forward to a California lawsuit against private equity-backed Envision Healthcare. The case is part of a multistate effort to enforce rules banning corporate ownership of physician practices.
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Postcard From California
Election Canvassers Want Latinos to Know Voting Is Good for Their Health
One of the nation’s largest community clinic chains is running a get-out-the-vote campaign in Los Angeles and Orange counties this election, targeting primarily Latino communities, where turnout tends to be low.
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If You’re Worried About the Environment, Consider Being Composted When You Die
The idea of human composting — to help restore a forest or grow flowers — may be a little off-putting to some, but it has many advantages over traditional-but-toxic methods of burial and cremation.
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Health Plan Shake-Up Could Disrupt Coverage for Low-Income Californians
Four managed-care insurance plans may lose contracts with California’s Medicaid program, which would force nearly 2 million low-income residents to switch their health plans — and possibly their doctors. The plans are fighting back.
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Shift in Child Hospice Care Is a Lifeline for Parents Seeking a Measure of Comfort and Hope
Terminally ill children, unlike adults, can get hospice services while continuing to receive life-extending or curative care. More than a decade after the inception of the federal policy, it is widely credited with improving the quality of life for ailing children and their families, even as some parents find themselves in a painful stasis.
By Bernard J. Wolfson Photos by Heidi de Marco -
Timely Mental Health Care Is a Key Factor in Strike by Kaiser Permanente Workers
A new California law requires timely follow-up appointments for mental health and addiction patients. But striking workers at Kaiser Permanente in Northern California say patients continue to wait up to two months.
By Bernard J. Wolfson and Zinnia Finn -
The Time Has Come for DIY Mandates on Covid
Yes, lots of us suffer from pandemic fatigue and have been getting sloppy about precautions in recent months. But with covid an ongoing menace — and governments reluctant to return to sweeping mandates — it’s time for all of us to step up our game.
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Even Well-Intended Laws Can’t Protect Us From Inaccurate Provider Directories
State and federal laws require health plans to offer accurate lists of participating doctors and facilities, but consumers still struggle to get timely appointments with providers.
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No-Bid Medicaid Contract for Kaiser Permanente Is Now California Law, but Key Details Are Missing
California Gov. Gavin Newsom signed a bill last month that authorizes a statewide Medicaid contract for HMO giant Kaiser Permanente. But details still need to be worked out in a memorandum of understanding.
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Computer Glitches and Human Error Still Causing Insurance Headaches for Californians
Covered California and Medi-Cal share a computer system for eligibility and enrollment. Nearly a decade since the Affordable Care Act expanded coverage options in the state, enrollees can be diverted to the wrong program — or dropped altogether — if erroneous information gets into the system.
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New Covered California Leader Urges Renewal of Enhanced Federal Aid for Health Premiums
Jessica Altman took over in March as executive director of California’s health insurance marketplace, which serves 1.8 million people. She warns that if Congress does not renew the tax credit enhancements that have made health plans more affordable, consumers will face significantly higher premiums, which could cause many to forgo coverage.
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California Opens Medicaid to Older Unauthorized Immigrants
Starting May 1, low-income unauthorized immigrants over age 49 became eligible for full Medicaid health coverage, a significant milestone in California’s effort to expand coverage.
By Bernard J. Wolfson Photos by Heidi de Marco -
Battle Lines Are Drawn Over California Deal With Kaiser Permanente
A controversial proposal to grant HMO giant Kaiser Permanente a no-bid statewide Medicaid contract is headed for its first legislative hearing amid vocal opposition from a coalition of counties, competing health plans, community clinics, and a national health care labor union.
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How a Former Catholic Priest Is Navigating a California Medicaid Plan Through Big Changes
Michael Hunn left the clergy and became a hospital and health system executive. He’s been named CEO of CalOptima, Orange County’s Medi-Cal health insurance plan for low-income residents, and his spiritual background is helping him guide the publicly run plan into the future.
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