Latest California Healthline Stories
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.
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.
LogistiCare often shows up late, if at all, and compromises patient safety, according to a public interest firm’s lawsuit. The company says the allegations are inaccurate.
The California Nurses Association, representing some 100,000 registered nurses, is regarded statewide and nationally as a progressive political powerhouse. “Politicians are afraid” of the activists they turn out, said one critic.
The health insurance company, which operates in 12 states plus Puerto Rico, grew out of a network of Southern California clinics founded in 1980. Despite lower-than-expected profits in 2016, Molina’s track record of working with low-income patients has generally served it well under Obamacare.
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.
The HMO blew two deadlines to supply information required by the state to monitor Medi-Cal managed care plans. Kaiser says it is “taking steps” to resolve the problem.
Medi-Cal’s controversial program to go after your assets when you die will be significantly curtailed starting in January, but some enrollees could be hit by new claims.
California law dictates that Medi-Cal patients with mild and moderate mental health conditions are covered by managed care plans and those with severe disorders by county agencies. But the real-life distinction is not that clear.
Some families of medically fragile kids are worried.