Category: Timely Access

Medi-Cal, Prevention, Quality, Timely Access, Uninsured

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 […]

Legislation, Medi-Cal, Network Adequacy, Prescription Drugs, Prevention, Quality, Timely Access, Uninsured

DHCS Stakeholder Advisory Committee October 14, 2015: Highlights for Consumer Advocates

Update on MCO (Managed Care Organization) Tax DHCS Director Jennifer Kent opened with an update on the MCO tax and the need to revise it to meet new federal guidelines to broaden the base to all health plans (learn more here).  Last Spring, the Governor called a special session to resolve this and related Medicaid financing […]

Legislation, Prescription Drugs, Surprise Bills, Timely Access, Undocumented

Key Health Care Consumer Protections to Prevent Unfair Out-of-Pocket Costs Advance to Final Floor Votes

SB137 (Ed Hernandez), to require updated, standardized & accurate health plan provider network directories, passed out of Assembly Appropriations Committee. AB533 (Bonta), to stop “surprise” billing from out-of-network doctors; AB339 (Gordon) to prevent unfair cost-sharing for specialty drugs, and AB1305 (Bonta) to limit out-of-pocket costs for individuals in family plans, passed out of Senate Appropriations Committee. SB248 (Roger Hernández), a bill to prevent […]

Insurers, Legislation, Timely Access, Undocumented

Assembly Health Committee Gives Green Light to Key Consumer Health Bills

Earlier today the Assembly Health Committee voted on several priority bills impacting health care consumers and the remaining uninsured, including SB 4 (Lara) For those who keep score, here’s how key consumer protection bills came out in today’s vote: SB 4 (Lara) Health Care Coverage, Immigration Status: 10-6 SB 137 (Hernandez) Accurate Provider Directories 16-2 […]

Insurers, Medi-Cal, Mergers, Network Adequacy, Timely Access

DMHC Hearing on Blue Shield Acquisition of Care1st Gets at Larger Questions on Nonprofit Obligations

Yesterday’s hearing (covered today in the LA Times) on nonprofit Blue Shield of California and its bid to acquire for-profit Medicaid managed care plan Care1st provided better clarity on the issues at stake in the $1.25 billion transaction, and little reason to doubt whether the assets Blue Shield proposes to use should be subject to charitable trust obligations. The comment period […]

Network Adequacy, Timely Access, Undocumented, Uninsured

Kaiser Family Foundation Survey Findings Affirm Results of State Reform Efforts to Date and Consumer Advocates’ Legislative Focus Two Years into Affordable Care Act

Findings from a recent Kaiser Family Foundation survey of low and moderate income California residents, released yesterday, suggest the state is generally on the right track in ACA implementation, specifically in its choice to build a robust “active purchaser” exchange and to target communities with the largest coverage gaps. Those and other priorities of Covered […]