Cost Containment

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

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

Health Reform 2.0: New Efforts on Value-Based Health Care

Health Access, California Pan-Ethnic Health Network (CPEHN), and Consumers Union and other groups are teaming up to improve health and health equity for California consumers through transparency, benefit design, and Medi-Cal reforms. Through our new Value-Based Health Care initiative, supported by the Robert Wood Johnson Foundation and working with the national group Community Catalyst, Health Access and CPEHN […] Read More

Legislative Re-Cap: After the First Deadline…

Last Friday was the deadline for all policy committees in the California legislature to hear and report on all bills with fiscal implications–and the good news is that many key bills of interest to health care consumers have passed their first critical hearing. While some bills stalled (including almost all of those Health Access opposed but […] Read More