Timely Access

Report: CA Health Plans Still Struggle to Meet Timely Access Standards

CARE DELAYED IS CARE DENIED A new report by California’s Department of Managed Health Care (DMHC) released today is the first of its kind to provide data on timely access to care separating out commercial, individual/family, and Medi-Cal health plans. Health Access sponsored 2014’s SB 964 (Hernandez) that requires this annual report. The report found industry-wide difficulty providing timely […] Read More

Key Patient Rights Legislation Up Next Week

  Yesterday, the Assembly Health Committee passed one consumer protection measure, SB 923 (Hernandez) on a vote of 17-0, to prevent mid-year increases in co-payments and other cost-sharing by a health plan. Other key legislation also authored by Senate Health Committee Chair Dr. Ed Hernandez and sponsored by Health Access California to protect patients from unfair […] Read More

First Patient Protection Bills Up in Committee Next Week

UPDATE: The hearing for these bills has been pushed backed to a later date. Stay tuned for more information. (3/25/2016) When the Legislature comes back from Spring Break next week, the Senate Health Committee will be hearing two consumer protection bills, SB 908 and SB 1135 on Wednesday, March 30. Both of these bills are […] Read More

Budget Subcommittees Review DHCS and DMHC budget items

Last week, the Legislature’s budget subcommittees on health and human services held hearings on the budgets for the Department of Health Care Services (DHCS) and the Department of Managed Health Care (DMHC). Assembly Budget Subcommittee No. 1 (March 14, 2016) The agenda, which includes details about each item heard, can be accessed here. Health Access […] 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

Federal Officials Approve New “Medi-Cal 2020” Waiver Renewal

Earlier today the U.S. Centers for Medicaid and Medicare Services (CMS) officially approved California’s “Medi-Cal 2020” waiver renewal for the next five years, providing new resources and new flexibility to deliver better care for the millions of low-income Californians who rely on Medi-Cal for their health coverage. The new waiver also includes support for a […] Read More