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Even Well-Intended Laws Can’t Protect Us From Inaccurate Provider Directories

By Bernard J. Wolfson July 26, 2022 KFF Health News Original

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.

Giant Health System Almost Saved a Community Hospital. Now, It Wants to ‘Extract Every Dollar.’

By Bernard J. Wolfson and Melissa Montalvo, The Fresno Bee July 21, 2023 KFF Health News Original

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.

Un sistema de salud gigante casi salvó a un hospital de Madera. Ahora quiere “sacarle cada dólar”

By Bernard J. Wolfson and Melissa Montalvo, The Fresno Bee July 21, 2023 KFF Health News Original

Problemas como el de Madera son comunes en otros hospitales pequeños con situaciones financieras precarias en California, y en todo el país.

Al planificar tu muerte, ¿considerarías que tu cuerpo se usara como fertilizante?

By Bernard J. Wolfson October 11, 2022 KFF Health News Original

California se ha convertido en el quinto estado que permite este método de eliminación de cadáveres, conocido comúnmente con el nombre más científico de “reducción orgánica natural”.

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

By Angela Hart and Bernard J. Wolfson March 2, 2023 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.

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

By Bernard J. Wolfson September 27, 2022 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.

Padres con hijos muy enfermos encuentran consuelo y esperanza en la ayuda de hospicio en el hogar

By Bernard J. Wolfson September 22, 2022 KFF Health News Original

Si bien el cáncer es una de las principales enfermedades que afectan a los niños en cuidados paliativos, muchos otros tienen defectos congénitos raros, deficiencias neurológicas graves o deficiencias metabólicas poco comunes.

Computer Glitches and Human Error Still Causing Insurance Headaches for Californians

By Bernard J. Wolfson June 2, 2022 KFF Health News Original

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.

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

By Bernard J. Wolfson and Samantha Young January 27, 2023 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.

The Time Has Come for DIY Mandates on Covid

By Bernard J. Wolfson August 2, 2022 KFF Health News Original

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.

No-Bid Medicaid Contract for Kaiser Permanente Is Now California Law, but Key Details Are Missing

By Bernard J. Wolfson July 19, 2022 KFF Health News Original

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.

Record Fines Might Mean California Is Finally Serious About Improving Medi-Cal

By Bernard J. Wolfson April 4, 2022 KFF Health News Original

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.

California Opens Medicaid to Older Unauthorized Immigrants

By Bernard J. Wolfson Photos by Heidi de Marco May 2, 2022 KFF Health News Original

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.

How a Former Catholic Priest Is Navigating a California Medicaid Plan Through Big Changes

By Bernard J. Wolfson April 14, 2022 KFF Health News Original

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.

Fallas informáticas y errores humanos en la cobertura de seguros siguen siendo un dolor de cabeza para los californianos

By Bernard J. Wolfson June 2, 2022 KFF Health News Original

Es cierto que pequeños cambios en los ingresos pueden hacer que la elegibilidad cambie, pero si se ingresa información incorrecta en un sistema informático compartido por Covered California y Medi-Cal, o se elimina información precisa, eso les puede causar grandes dolores de cabeza a los afiliados.

New Covered California Leader Urges Renewal of Enhanced Federal Aid for Health Premiums

By Bernard J. Wolfson May 18, 2022 KFF Health News Original

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.

J&J-Vaxxed, mRNA-Boosted, and Pondering a Third Shot

By Bernard J. Wolfson March 1, 2022 KFF Health News Original

Many of the nearly 17 million U.S. members of J&J Nation, myself included, are wondering whether to set aside the current official guidance and get a second booster. Some experts say: Chill out.

Timely Mental Health Care Is a Key Factor in Strike by Kaiser Permanente Workers

By Bernard J. Wolfson and Zinnia Finn August 24, 2022 KFF Health News Original

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.

Battle Lines Are Drawn Over California Deal With Kaiser Permanente

By Bernard J. Wolfson April 18, 2022 KFF Health News Original

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.

Vacunados con J&J, reforzados con ARNm, y pensando en la tercera dosis

By Bernard J. Wolfson March 1, 2022 KFF Health News Original

Cerca de 17 millones de personas que recibieron la vacuna de Johnson & Johnson contra covid se preguntan cuántas dosis necesitan.

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