Medi-Cal

Latest KFF Health News Stories

Two Counties Square Off With California Over Mental Health Duties

KFF Health News Original

The state wants to stop paying Kaiser Permanente for treating severely mentally ill Medi-Cal patients in Sacramento and Solano counties and force the counties to take on the task. The counties’ leaders say they can’t afford it.

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

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.

Trabajadores comunitarios persuaden a inmigrantes mayores de tener cobertura de salud

KFF Health News Original

Hasta octubre, el mes más reciente para el que hay disponibles datos, más de 300,000 adultos mayores inmigrantes que no tienen residencia legal se habían inscrito en el Medi-Cal completo, un 30% más que la proyección original del estado.

Community Workers Fan Out to Persuade Immigrant Seniors to Get Covered

KFF Health News Original

California has enrolled into Medi-Cal more than 300,000 older immigrant adults lacking legal residency since May, but the state doesn’t know how many more might be eligible. Community workers are now searching for them.

California Explores Private Insurance for Immigrants Lacking Legal Status. But Is It Affordable?

KFF Health News Original

Nearly half a million Californians without legal residency make too much to qualify for Medicaid yet they can’t afford to buy coverage. A state lawmaker is proposing to open up the state’s health insurance exchange as a first step to providing them affordable insurance.

California Dangles Bonuses for Nursing Homes That Add Staff

KFF Health News Original

Rather than simply reward top-performing facilities, the state’s Medicaid program will hand bonuses to nursing homes — even low-rated ones — for hiring more workers and reducing staff turnover.

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

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.

California Senate’s New Health Chair to Prioritize Mental Health and Homelessness

KFF Health News Original

California state Sen. Susan Talamantes Eggman of Stockton has been appointed chair of the Senate’s influential health committee. A licensed social worker, Eggman said she will make mental health care and homelessness front-burner issues.

Watch: The Politics of Health Care in California

KFF Health News Original

KHN senior correspondent Angela Hart discussed the most pressing health care issues in California with the nonpartisan group Democracy Winters in mid-November, touching on a variety of issues, from the state’s effort to transform its Medicaid program to its plan to produce generic insulin.

Centene Showers Politicians With Millions as It Courts Contracts and Settles Overbilling Allegations

KFF Health News Original

Centene, the largest Medicaid managed-care company in the U.S., has thrown more than $26.9 million at political campaigns across the country since 2015, especially focused on states where it is wooing Medicaid contracts and settling accusations that it overbilled taxpayers. Among its tactics: Centene is skirting contribution limits by giving to candidates through its many subsidiaries.

Ambulance Company to Halt Some Rides in Southern California, Citing Low Medicaid Rates

KFF Health News Original

American Medical Response, the largest U.S. ambulance company, is ending nonemergency transportation for 12 hospitals in Los Angeles and Orange counties, saying the state doesn’t pay enough to transport low-income patients. The state is pushing back.

‘Separate and Unequal’: Critics Say Newsom’s Pricey Medicaid Reforms Leave Most Patients Behind

KFF Health News Original

MLK Community Hospital in South Los Angeles is surrounded by poverty, homeless encampments, and food deserts. Even though California Gov. Gavin Newsom is funneling billions of taxpayer money into an ambitious initiative to provide some low-income patients with social services, hospital executives and other critics say it won’t improve access to basic care.

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

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.

Medi-Cal Will Cover Doulas at More Than Twice California’s Initial Proposed Rate

KFF Health News Original

Under a budget passed by California lawmakers, the state will pay nonmedical workers who assist in pregnancy and labor up to $1,154 per birth through Medi-Cal, which is up significantly from Gov. Gavin Newsom’s initial offer of $450. Though it’s more than what most other states pay, many doulas say it falls short of the $3,600 they sought.

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

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.

Computer Glitches and Human Error Still Causing Insurance Headaches for Californians

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.