Cost Containment

New CHCF Poll: Increasing Number of Californians Struggle to Pay for Health Care and Over Half Have Delayed Due to Cost

The California Health Care Foundation has released a new poll showing that Californians are increasingly worried about the rising cost of health care, and want the state to take action. The poll, which surveyed a representative sample of Californians, also found that over half of Californians have postponed or skipped care due to cost. Results […] Read More

CA Governor Announces Major New Proposals to Prevent Inflated Health Care Prices

California Governor Gavin Newsom today announced a series of major health care reforms to provide relief to millions of California consumers, employers, and taxpayers struggling with high health care costs. In his 2020-21 budget, the Governor is proposing policy changes to address the price of health plans, providers, and prescription drugs. Health care consumer advocates […] Read More

California Voters Overwhelmingly Support Health Care Price Reform

A new poll finds that increasing price of health care is top-of-mind for many Californians, and most want the state to act and provide needed price relief. This comes as Assemblymember Ash Kalra (D-San Jose) announced today that AB 3087, the Health Care Price Relief Act will move forward next year as stakeholders continue to […] Read More

Labor and Consumer Groups Join Forces to Stop Surprise Medical Bills

This week, consumer and patient advocates re-launched their effort to prevent Californians from facing surprise out-of-network medical bills. Due to the failure of the legislature to act last year, California consumers continue to receive surprise medical bills from out-of-network providers after using in-network medical facilities. These bills could come from an out-of-network anesthesiologist, pathologist, radiologist […] Read More

Health Reform 2.0: California Starts Sec. 1332 Waiver Discussions

As part of California’s ongoing efforts to implement and improve upon health reform, last Tuesday Covered California and the California Department of Health Care Services convened an exploratory discussion of options for California under Section 1332 of the Affordable Care Act (see the panelists’ slide deck and all materials here). Under Section 1332, states may seek […] Read More

DHCS Stakeholder Advisory Committee Digs Deeper into Medi-Cal 2020 Waiver, SB 75 Implementation (Health4Kids), and Other Care Transformation Initiatives

This blog was written by Tam M. Ma (Policy Counsel) and Judi Hilman (Director of Special Projects) DHCS held its quarterly Stakeholder Advisory Committee today, the first time since California’s Medi-Cal 2020 waiver was approved at the end of December, covering a range of topics, including the waiver renewal, SB 75 implementation of Health for […] Read More

Covered CA Board Takes Big Steps on Standardized Benefit Design and Quality/Equity Measures; Considers New Barriers to Special Enrollment

Thursday’s Covered California Board meeting, the first since the last day of open enrollment 2013, offered a deep dive on the standardized benefit designs and the quality/equity framework that will guide contracting with insurers for the next 3-year cycle (2017-2019), and a heated discussion about the new documentation requirements that insurers are calling for to qualify […] Read More

Prescription Costs Transparency Bill Fails in Assembly Health Committee, But Fight Continues

Earlier today the California Assembly Health Committee failed to pass AB 463 (Chiu), a bill introduced last session that would have required greater transparency around the pricing of high-cost medications. Bill author David Chiu pulled the bill because he did not have enough votes, like last year, to get it through committee.  But, as he […] Read More

DHCS & CMS Agree to Medi-Cal 2020 Waiver Framework!

This past Saturday (Halloween), the California Department of Health Care Services announced it had reached a new “conceptual agreement” with the federal Centers for Medicaid and Medicare Services (CMS) on the general framework of “Medi-Cal 2020,” the renewal of the 2010-2015 Medi-Cal waiver. Toplines With details to be specified in the coming months, the framework is […] Read More