Medi-Cal Makeover

California’s Medicaid program, Medi-Cal, is the largest in the nation, serving roughly 14 million low-income people, including nearly 40% of the state’s children. The state is embarking on a massive transformation of the program, which has been slammed for providing subpar care and limited access to specialty treatment. The goal is to improve health care quality and save money. Will it work?

Medi-Cal’s Dental Care Gap: Getting a Tooth Pulled Is Easy — Much Harder To Get an Implant

KFF Health News Original

California is among a growing number of states that offer dental benefits to low-income residents, but some lawmakers want the state to go further by covering more cleanings and costlier implants. Dentists and health experts worry the approach doesn’t address the root of the problem: Many providers don’t accept Medicaid.

Prescription for Housing? California Wants Medicaid to Cover 6 Months of Rent

KFF Health News Original

Gov. Gavin Newsom is making a bold push for Medicaid health plans to provide more housing support. He argues it’s cheaper to pay for rent than to allow homeless people to fall into crisis, which requires costly care in hospitals, nursing homes, and jails.

California’s Massive Medicaid Program Works for Some, but Fails Many Others

KFF Health News Original

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.

California’s Resolve Questioned After It Grants Medi-Cal Contract Concessions

KFF Health News Original

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.

‘Separate and Unequal’: Critics Say Newsom’s Pricey Medicaid Reforms Leave Most Patients Behind

KFF Health News Original

MLK Community Hospital in South Los Angeles is surrounded by poverty, homeless encampments, and food deserts. Even though California Gov. Gavin Newsom is funneling billions of taxpayer money into an ambitious initiative to provide some low-income patients with social services, hospital executives and other critics say it won’t improve access to basic care.

Health Plan Shake-Up Could Disrupt Coverage for Low-Income Californians

KFF Health News Original

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.

Taco Bowls and Chicken Curry: Medi-Cal Delivers Ready Meals in Grand Health Care Experiment

KFF Health News Original

California has embarked on an ambitious five-year initiative to improve the health of its sickest Medicaid patients by introducing nontraditional services. In the Inland Empire, where many residents have diabetes, one health plan is diving into the experiment by delivering healthy, prepared meals to those lucky enough to get them.

Layers of Subcontracted Services Confuse and Frustrate Medi-Cal Patients

KFF Health News Original

Many of the 14 million patients in Medi-Cal are in managed care health plans that outsource their care to subcontractors or sub-subcontractors. For patients with difficult health care needs, it can be hard to know where to turn.

Mattresses and Mold Removal: Medi-Cal to Offer Unconventional Treatments to Asthma Patients

KFF Health News Original

In January, California’s Medicaid program will begin offering nontraditional services —such as ridding homes of roaches, replacing mattresses and installing air purifiers — to some low-income asthma patients. But the rollout could be chaotic, with insurance companies struggling to identify groups that can deliver the services.

California’s Reboot of Troubled Medi-Cal Puts Pressure on Health Plans

KFF Health News Original

The nine commercial insurers in Medi-Cal must reapply by submitting bids for new contracts. The state hopes the process will improve care for low-income residents and tighten accountability, something critics say has been missing.

California Set to Spend Billions on Curing Homelessness and Caring for ‘Whole Body’ Politic

KFF Health News Original

California is embarking on a five-year experiment to infuse its health insurance program for low-income people with billions of dollars in nonmedical services spanning housing, food delivery and addiction care. Gov. Gavin Newsom said the goal is to improve care for the program’s sickest and costliest members and save money, but will it work?