Latest California Healthline Stories
Complaints are rising in California and other states about improper evictions and discharges. Advocates say some patients end up in cheap hotels, homeless or back in the hospital.
Dramatic increases in spending that came with the influx of newly insured consumers in 2014 and 2015 appear to be moderating.
Many medical groups and state Medicaid programs are offering gift cards, cash and other rewards to low-income patients if they agree to get preventive screenings and make healthier lifestyle choices.
An explosive report prepared by a SynerMed executive alleges the California firm, which oversaw care for 1.2 million patients, fabricated documents and violated state and federal regulations for years. The state says it left low-income patients on Medicaid managed care in “imminent danger.”
Medicaid is rarely associated with getting rich. But some insurance companies are reaping spectacular profits off the taxpayer-funded program in California, even when the state finds their patient care is subpar.
States are adding a variety of services, including expansions of mental health and substance abuse treatments and dental care, according to a 50-state survey from the Kaiser Family Foundation.
The GOP’s Graham-Cassidy bill would bring dramatic changes to health coverage nationally, especially in states like California, which fully embraced the Affordable Care Act.
Under a five-year agreement with the federal government, California is using Medicaid dollars to expand drug treatment, including more inpatient care and a broader range of medications.
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.