Latest California Healthline Stories
States Try A Gentler Approach To Getting Medicaid Enrollees To Work
Facing GOP pressure to install work requirements for adults getting Medicaid coverage, some states seek instead to offer more opportunities for job training.
Suicide Risk Grew After Missouri Medicaid Kids Shifted To Managed Care, Hospitals Say
Psychiatric treatment for children in Medicaid managed-care plans in Missouri has declined and suicide risks are up, reveals a study sponsored by the state hospital association.
Coverage Denied: Medicaid Patients Suffer As Layers Of Private Companies Profit
Managed-care plans, which reap billions in taxpayer dollars to coordinate care for low-income Americans on Medicaid, outsource crucial treatment decisions to subcontractors that aren’t directly accountable to the government. In California, health officials say one firm improperly withheld or delayed care for hundreds of people.
Billions In ‘Questionable Payments’ Went To California’s Medicaid Insurers And Providers
The money was paid on behalf of more than 400,000 people who may have been ineligible for the public program, a state audit found. One had been dead for four years before payments stopped.
Matrimonio gana millones a costa de Medicaid
Norma Díaz y su esposo, Joseph García, han dedicado sus carreras a administrar una aseguradora de salud sin fines de lucro que cubre a residentes carenciados de California. Y en el proceso, han ganado millones de dólares.
Couple Makes Millions Off Medicaid Managed Care As Oversight Lags
How a California health plan’s CEO and her husband, an executive consultant, got rich off the taxpayer-funded program for the poor. Critics see a conflict of interest, the plan doesn’t, and the state has no rules either way.
California Firm Running Physician Practices Is Closing Down As Scrutiny Ramps Up
State regulators and insurers are looking into SynerMed, which medical groups depend upon to handle their finances and business operations. The groups, serving 1 million patients, fear a messy fallout.
Patients, Health Insurers Challenge Iowa’s Privatized Medicaid
Complaints are rising against for-profit insurance companies that manage Medicaid for about 600,000 Iowans. The privatization of Medicaid is a national trend affecting more than half of the 74 million Americans,and 13.5 Californians, who get their health care through the state-federal program.
Calif. Hits Kaiser With $2.2 Million Fine For Failing To Provide Required Medicaid Data
It’s the second fine this year for California’s largest health plan, the only one to be penalized by Medi-Cal officials since at least 2000. The HMO says it will hand the information over by next month.
Medi-Cal Sued For Pushing Patients Into Managed Care Despite Judges’ Orders
Advocates say California’s Medicaid program is violating its own rules by overturning decisions that would allow seriously ill patients to stay out of managed care and keep their doctors.