Latest Morning Briefing Stories
‘I’m So Burned Out’: Fighting to See a Specialist Amplified Pain for Riverside County Woman
Teresa Johnson has been in extreme pain for more than a year after what she believes was a severe allergic reaction to iodine. Her Medi-Cal plan approved her referral to a specialist, but it took her numerous phone calls, multiple complaints, and several months to book an appointment.
Feds Say Hospitals That Redistribute Medicaid Money Violate Law
Federal officials are trying to clamp down on private arrangements among some hospitals to pay themselves back for the Medicaid taxes they’ve paid. State health officials and the influential hospital industry argue that regulators have no jurisdiction over the agreements.
Medi-Cal Covers Gender-Transition Treatment, but Getting It Isn’t Easy
Pasha Wrangell has faced delays getting gender-affirming care because of red tape and limited providers. Over more than two years, Wrangell has received only about half the total electrolysis sessions recommended. Wrangell’s insurer through Medi-Cal, California’s Medicaid program, acknowledges the shortage of practitioners.
Industry Groups in California Vie for New Medicaid Money
State officials have promised to boost funding for California’s Medicaid program by $11.1 billion starting next year, with most of that money earmarked for higher payments to doctors, hospitals, and other providers. But the details have yet to be worked out, and powerful health industry groups are jockeying for position.
Medi-Cal’s Fragmented System Can Make Moving a Nightmare
When Medi-Cal beneficiary Lloyd Tennison moved last year from Contra Costa County to San Joaquin County, he was bumped off his managed care plan without notice before his new coverage took effect. His case highlights a chronic issue in California’s fragmented Medicaid program.
California Promises Better Care for Thousands of Inmates as They Leave Prison
California officials recently agreed to give new parolees a 60-day supply of their prescriptions and promised to replace lost medical equipment in the month after they’re released from prison. The state also agreed to submit Medi-Cal applications on their behalf at least 90 days before they are released.
On the Brink of Homelessness, San Diego Woman Wins the Medi-Cal Lottery
Annie Malloy, of San Diego, is among the first to receive a new housing move-in benefit from Medi-Cal, California’s Medicaid program. It’s an effort to help homeless and near-homeless people who might otherwise rack up huge medical bills.
Health Care Coalition Jockeys Over Medi-Cal Spending, Eyes Ballot Initiative
California Healthline has learned that a coalition of doctors, hospitals, insurers, and community clinics want to lock in a tax on health insurance companies to draw in extra Medicaid funding. It also wants to make the tax permanent.
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.
Beneficiarios de Medi-Cal: cómo verificar si eres elegible
Medi-Cal, la versión de Medicaid en California, puso en marcha una iniciativa de 14 meses para reexaminar la elegibilidad de sus casi 15.8 millones de miembros.
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.
For California Teen, Coverage of Early Psychosis Treatment Proved a Lifesaver
A Medi-Cal patient illustrates how early schizophrenia treatments can yield big benefits. Advocates want California to expand such services to more people living with severe mental illness, which they argue will not only improve lives but also save money over time.
California’s Medicaid Experiment Spends Money to Save Money — And Help the Homeless
Gov. Gavin Newsom’s ambitious experiment in health care is supposed to cut costs as it fills the needs of hard-to-reach people. The program’s start is chaotic and limited, but it shows promise.
Gov. Newsom Wanted California to Cut Ties With Walgreens. Then Federal Law Got in the Way.
Gov. Gavin Newsom declared that California would cut ties with Walgreens after the company said it would not distribute abortion pills in some states. But federal rules make it difficult for the state to unwind its Medicaid prescription drug agreement, which paid Walgreens $1.5 billion last year.
Prescription for Housing? California Wants Medicaid to Cover 6 Months of Rent
Gov. Gavin Newsom is making a bold push for Medicaid health plans to provide more housing support. He argues it’s cheaper to pay for rent than to allow homeless people to fall into crisis, which requires costly care in hospitals, nursing homes, and jails.
Two Counties Square Off With California Over Mental Health Duties
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
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
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
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?
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.
