Giving Medicaid Enrollees Something To Smile About
More than 7 million California adults enrolled in Medi-Cal regained coverage for critical dental care, including crowns and partial dentures, this month.
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More than 7 million California adults enrolled in Medi-Cal regained coverage for critical dental care, including crowns and partial dentures, this month.
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Dental hygienists who treat frail and elderly residents in nursing homes and other facilities are dropping out of California’s publicly funded dental program for the poor because of recent changes that cut their pay and create more administrative hurdles.
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"'Fingers crossed' that I haven’t authorized something the FTC will hunt me down for,” a staffer wrote after destroying the documents. Sutter, a huge Northern California Health system with 24 hospitals, said it destroyed them by mistake.
Many states have adopted strong consumer regulations, but they don’t protect the millions of Americans with a specific type of job-based coverage.
The Department of Managed Health Care cited one example in which consumers and advocates had to call the insurer 22 times to contest a decision. Still, the complaint still was not resolved until the department became involved.
State regulators and insurers are looking into SynerMed, which medical groups depend upon to handle their finances and business operations. The groups, serving 1 million patients, fear a messy fallout.
A handful of Silicon Valley start-ups are trying to usher medical billing into the 21st century by creating smartphone apps to help consumers navigate their health insurance paperwork.
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