‘Worse Than People Can Imagine’: Medicaid ‘Unwinding’ Breeds Chaos in States
As Medicaid programs across the nation review enrollees' status in the wake of the pandemic, patients struggle to navigate the upheaval.
Search
Filter
Clear All61-80 of 139 results
-
-
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 -
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.
-
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.
-
Record Fines Might Mean California Is Finally Serious About Improving Medi-Cal
California regulators issued record fines against L.A. Care, the state’s largest Medi-Cal managed-care plan, for providing inadequate care to its enrollees. But whether the penalties are a sign that the state will make a more forceful effort to improve Medi-Cal’s overall quality of care remains to be seen.
-
Centene Agrees to $215 Million Settlement With California for Alleged Medicaid Overbilling
The nation’s largest Medicaid insurer denies wrongdoing after the California attorney general’s office investigated it for inflating prescription drug costs.
-
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.
-
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.
-
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.
-
What the Federal ‘No Surprises Act’ Means in California
The new federal law will provide protection against surprise medical bills for between 6 million and 7 million Californians who are not covered under state law.
-
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.
By Samantha Young and Angela Hart -
Listen: How Does Human Composting Work?
California Healthline’s Bernard J. Wolfson went on the air to explain a new California law that will allow people to have their bodies reduced to compost after death, an alternative to the traditional-but-toxic methods of cremation and burial.
-
Covered California’s Insurance Deals Range From ‘No-Brainer’ to Sticker Shock
Families of four with incomes of less than about $40,000 a year can pay no premiums and have low deductibles. For some others, health insurance in 2022 will cost more than in 2021 — in some cases, significantly more.
-
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.
-
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 -
New California Law Eases Aid-in-Dying Process
Nearly 2,000 terminally ill Californians have used a 2015 law to end their lives with a doctor’s assistance. A revision of the law will make it easier to do so.
-
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.
-
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.
-
Your Out-of-Pocket Health Care Costs Need Not Be a Mystery
A new California law requires health insurance companies to notify consumers how much remains on their deductibles and how close they are to their annual out-of-pocket spending limits.
-
California Law Aims to Strengthen Access to Mental Health Services
The law doesn’t take effect until July, but its passage should force insurers to expand their rosters of therapists. Here’s how you can challenge your health plan’s mental health services until then.