Covered California to Cut Patient Costs After Democratic Lawmakers Win Funding From Gov. Newsom
California’s health insurance exchange will reduce how much some patients pay for care next year, including hospital deductibles, appointment copays, and prescription drugs. Lawmakers pressed Gov. Gavin Newsom to make good on a four-year-old pledge to use proceeds from a tax penalty on uninsured people to help people pay for treatment.
Pain Clinic Chain to Pay $11.4M to Settle Medicare and Medicaid Fraud Claims
The owner of one of California’s largest chains of pain management clinics has agreed to pay California, Oregon, and the federal government to settle Medicare and Medi-Cal fraud allegations.
Giant Health System Almost Saved a Community Hospital. Now, It Wants to ‘Extract Every Dollar.’
A bankruptcy judge will soon decide whether a Central Valley hospital needs to liquidate to repay its creditors. Its largest creditor, St. Agnes Medical Center, is the very entity that backed out of purchasing the Madera Community Hospital last December.
Industry Groups in California Vie for New Medicaid Money
State officials have promised to boost funding for California’s Medicaid program by $11.1 billion starting next year, with most of that money earmarked for higher payments to doctors, hospitals, and other providers. But the details have yet to be worked out, and powerful health industry groups are jockeying for position.
Excessive Drinking During the Pandemic Increased Alcoholic Liver Disease Death Rates
The number of Californians dying from alcoholic liver disease rose dramatically in the last decade, sped by the pandemic.
Medi-Cal’s Fragmented System Can Make Moving a Nightmare
When Medi-Cal beneficiary Lloyd Tennison moved last year from Contra Costa County to San Joaquin County, he was bumped off his managed care plan without notice before his new coverage took effect. His case highlights a chronic issue in California’s fragmented Medicaid program.
California Promises Better Care for Thousands of Inmates as They Leave Prison
California officials recently agreed to give new parolees a 60-day supply of their prescriptions and promised to replace lost medical equipment in the month after they’re released from prison. The state also agreed to submit Medi-Cal applications on their behalf at least 90 days before they are released.
As Low-Nicotine Cigarettes Hit the Market, Anti-Smoking Groups Press for Wider Standard
The first FDA-authorized cigarettes with 95% less nicotine than traditional smokes will go on sale in California, Florida, and Texas starting in early July. Anti-smoking groups oppose greenlighting just one plant biotech’s products and instead urge federal regulators to set a low-nicotine standard for the entire industry.
Advocates Call for 911 Changes. Police Have Mixed Feelings.
Though most California counties are experimenting with dispatching health professionals rather than law enforcement to respond to people experiencing mental health crises, powerful police unions fear defunding.
California’s Homelessness Crisis Is Homegrown, Study Finds
University of California researchers found at least 90% of adults experiencing homelessness became homeless while living in the state, and many suffer depression and anxiety living without stable housing.
On the Brink of Homelessness, San Diego Woman Wins the Medi-Cal Lottery
Annie Malloy, of San Diego, is among the first to receive a new housing move-in benefit from Medi-Cal, California’s Medicaid program. It’s an effort to help homeless and near-homeless people who might otherwise rack up huge medical bills.
Personal Medical Debt in Los Angeles County Tops $2.6 Billion, Report Finds
Medical debt is a leading public health problem, researchers say. Despite the county’s ongoing expansion of health coverage, the prevalence of medical debt remained unchanged from 2017 to 2021.
Recovery From Addiction Is a Journey. There’s No One-and-Done Solution.
Drug use has become a major public health crisis, but effective treatment remains hard to find. It does exist though. Columnist Bernard J. Wolfson offers advice on finding help and says not to expect a quick solution.
California Confronts the Threat of ‘Tranq’ as Overdose Crisis Rages
California officials are stepping up efforts to combat the spread of xylazine, a powerful animal sedative that’s increasingly being used by people, often with devastating results. It’s mostly been an East Coast phenomenon, but ‘tranq,’ as it is known, is beginning to appear in the Golden State.
Health Care Coalition Jockeys Over Medi-Cal Spending, Eyes Ballot Initiative
California Healthline has learned that a coalition of doctors, hospitals, insurers, and community clinics want to lock in a tax on health insurance companies to draw in extra Medicaid funding. It also wants to make the tax permanent.
Mammograms at 40? Breast Cancer Screening Guidelines Spark Fresh Debate
There is no direct evidence that screening women in their 40s will save lives, yet modeling suggests expanding routine mammography to include them might avert 1.3 deaths per 1,000. Highlighting the risk of false positives, some specialists call for a more personalized approach.
California Governor and Democratic Lawmakers at Odds Over Billions in Health Care Funds
Gov. Gavin Newsom is getting pressure from his political allies to begin spending money on health care that the state raised by fining Californians who go without health insurance. But Newsom says the state can’t afford to.
¿Mamografías a los 40? Nueva pauta para la detección del cáncer de seno genera debate
Algunos médicos e investigadores que están interesados en un enfoque más individualizado para encontrar tumores problemáticos se muestran escépticos y plantean preguntas sobre los datos y el razonamiento detrás del cambio radical del Grupo de Trabajo de Servicios Preventivos de Estados Unidos
Los líderes demócratas dijeron que la táctica de Newsom de retener el dinero para el fondo general es una “estafa”.
California Hospitals Seek a Broad Bailout, but They Don’t All Need It
As hospitals squeeze Democratic leaders in Sacramento for more money, health care finance experts and former state officials warn against falling for the industry’s fear tactics. They point to healthy profits and a recession-era financing scheme that allows rich hospitals to take tax money from poorer ones.
