Category: Timely Access

Access, Affordability, Budget, Care4AllCA, Cost Containment, Covered California, DMHC, Equity, Expanding Coverage, Health Reform, Health4All, Insurers, LGBT, Medi-Cal, Prescription Drugs, Quality, Timely Access, Undocumented, Uninsured

Major Health Care Consumer Wins this #CALeg and #CABudget Session

With the Governor’s final actions on bills last week, health consumer advocates applauded a major year in health reform, where California continued its leadership on health care access, affordability, and equity. Californians will see both short and long-term benefits from the bills and budget items adopted by Governor Newsom and the state legislature this year […]

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 […]

Language Access, Legislation, Prescription Drugs, Surprise Bills, Timely Access, Transparency, Uncategorized

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 […]

Medi-Cal, Timely Access

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 […]

Insurers, Mergers, Network Adequacy, Quality, Timely Access

Anthem Blue Cross-Cigna’s Troubling Track Records Spotlighted at DMHC Public Meeting

On March, 4, 2016, the Department of Managed Health Care (DMHC) held a public meeting on the proposed takeover of Cigna by Anthem Blue Cross. The public meeting was requested by consumer groups including Health Access, Consumers Union, and others to raise questions about the structure of the deal, its potential impact on California’s patients […]

Hospitals, Medi-Cal, Medicare, Network Adequacy, Prevention, Quality, Timely Access

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 […]

Hospitals, Insurers, Language Access, Network Adequacy, Prescription Drugs, Quality, Timely Access

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 […]