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These clinics have long provided health care to low-income patients and enjoyed expansion under the Affordable Care Act. With repeal looming, the centers’ doctors worry about what’s next.
San Mateo Medical Center is among hundreds of safety-net hospitals in California and across the country that stand to lose big if the federal government slashes support for Medicaid and insurance exchanges.
The legislation is only a first step, declaring the “intent” of the state Senate without specifics or a timetable.
Some foreign-born California residents fear they could be penalized for using Medi-Cal and other social benefits. Others, in families of mixed-immigration status, worry about jeopardizing their loved ones’ chances of becoming green-card holders or citizens.
State data show a rise of nearly 40 percent in fall-related visits from 2010 to 2015, a period in which the elderly population grew about 21 percent.
Researchers find that the state’s exchange has succeeded by fostering competition, with a large number of insurers in the mix, aggressively negotiating on premiums and setting conditions for health plan participation.
The state has one of the highest rates of small business owners who get health coverage through the Affordable Care Act.
A new report finds that major insurers like Aetna and UnitedHealth submitted conflicting lists to the state that were off by thousands of doctors.
State data show all but one of Anthem’s Medi-Cal managed care plans rate below average according to widely used measures of patient care. Centene runs the three lowest-performing plans statewide.
New advocacy groups like Indivisible California weigh strategies for long-haul political activism, including protests.