Latest News On Managed Care

Latest California Healthline Stories

Industry Groups Vie for New Medi-Cal Money

State officials have promised to boost funding for California’s Medicaid program by $11.1 billion starting next year, with most of that money earmarked for higher payments to doctors, hospitals, and other providers. But the details have yet to be worked out, and powerful health industry groups are jockeying for position.

Health Care Coalition Jockeys Over Medi-Cal Spending, Eyes Ballot Initiative

California Healthline has learned that a coalition of doctors, hospitals, insurers, and community clinics want to lock in a tax on health insurance companies to draw in extra Medicaid funding. It also wants to make the tax permanent.

Record Fines Might Mean California Is Finally Serious About Improving Medi-Cal

California regulators issued record fines against L.A. Care, the state’s largest Medi-Cal managed-care plan, for providing inadequate care to its enrollees. But whether the penalties are a sign that the state will make a more forceful effort to improve Medi-Cal’s overall quality of care remains to be seen.

California’s Reboot of Troubled Medi-Cal Puts Pressure on Health Plans

The nine commercial insurers in Medi-Cal must reapply by submitting bids for new contracts. The state hopes the process will improve care for low-income residents and tighten accountability, something critics say has been missing.

A Switch To Medicaid Managed Care Worries Some Illinois Foster Families

Illinois is moving thousands of children into its Medicaid managed-care program. Proponents say the approach can cut costs while increasing access to care. But after a phase-one rollout of the new health plans caused thousands to temporarily lose coverage, some question whether it’s the right move.

California Nursing Home Residents Told To Find New Homes

Dozens of frail nursing home residents have been informed by their Medi-Cal managed-care plans that they are no longer eligible for long-term care. Some health care advocates and legal aid attorneys fear that such terminations will increase as the state implements mandatory managed care for nursing home residents.