Latest Morning Briefing Stories
California Medicaid Ballot Measure Is Popular, Well Funded — And Perilous, Opponents Warn
Proposition 35, which would use revenue from a tax on managed-care plans to raise the pay of health care providers who serve Medi-Cal patients, has united a broad swath of California’s health care, business, and political establishments. But a newly formed, smaller group of opponents says it will do more harm than good.
California Becomes Latest State To Try Capping Health Care Spending
California is the ninth state to set annual health spending targets for the industry. Already hospitals and doctors are voicing resistance to the fledgling Office of Health Care Affordability, even as they avoid overtly opposing its goals.
First Responders, Veterans Hail Benefits of Psychedelic Drugs as California Debates Legalization
California lawmakers have modified a psychedelic drug bill that was vetoed last year, narrowing it to allow only supervised use of psilocybin mushrooms, ecstasy, and other hallucinogens rather than decriminalize more broadly. The current bill would establish new state agencies to regulate the program.
New Eligibility Rules Are a Financial Salve for Nearly 2 Million on Medi-Cal
Nearly 2 million Medi-Cal enrollees, mainly people who are aged, disabled, or in long-term care, can now accumulate savings and property without limitations and still qualify for the state’s health insurance program for low-income residents. They join an additional roughly 12 million enrollees who already had no asset limits.
Se avecinan cambios para Medi-Cal en 2024, pero ¿beneficiarán a los pacientes?
A partir del próximo año, más de 700,000 inmigrantes sin papeles serán elegibles para una cobertura completa de Medi-Cal.
Bold Changes Are in Store for Medi-Cal in 2024, but Will Patients Benefit?
California’s Medicaid program is undergoing major changes that could improve health care for residents with low incomes. But they are happening at the same time as several other initiatives that could compete for staff attention and confuse enrollees.
Los nuevos inscritos se sumarán a más de 655,000 niños, adultos jóvenes de hasta 25 años y adultos de 50 años y más que ya se han registrado en Medi-Cal a través de expansiones anteriores para residentes sin papeles.
In New Year, All Immigrants in California May Qualify for Medicaid Regardless of Legal Status
In the new year, California’s Medicaid program will open to otherwise eligible immigrants ages 26 to 49 without legal residency. They will join children, young adults, and adults over 50 enrolled in Medi-Cal through previous expansions to residents lacking authorization. The change is expected to add over 700,000 first-time enrollees.
New California Law Offers Fresh Protection From Steep Ambulance Bills
The law, which takes effect Jan. 1, prohibits out-of-network ground ambulance operators from billing patients more than they would pay for in-network rides. It also caps how much the uninsured must pay.
When You Think About Your Health, Don’t Forget Your Eyes
Americans think losing their eyesight would be one of the worst possible health outcomes, yet millions lack a fundamental understanding of eye health.
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.
Medi-Cal Enrollees in California: Here’s How to Verify Your Eligibility
California’s safety-net health program has resumed annual eligibility checks after three years, which means beneficiaries will need to provide updated personal information to maintain coverage. Here’s what to watch for.
Many Families With Unaffordable Employer Coverage Now Eligible for Covered California Subsidies
If family coverage on an employer-sponsored plan is too expensive, a worker’s spouse and dependents may be eligible for Affordable Care Act subsidies under a new federal rule.
If You’re Worried About the Environment, Consider Being Composted When You Die
The idea of human composting — to help restore a forest or grow flowers — may be a little off-putting to some, but it has many advantages over traditional-but-toxic methods of burial and cremation.
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.
Even Well-Intended Laws Can’t Protect Us From Inaccurate Provider Directories
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.
Computer Glitches and Human Error Still Causing Insurance Headaches for Californians
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 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.
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.
J&J-Vaxxed, mRNA-Boosted, and Pondering a Third Shot
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.
