Un sistema de salud gigante casi salvó a un hospital de Madera. Ahora quiere “sacarle cada dólar”
By Bernard J. Wolfson and Melissa Montalvo, The Fresno Bee
Problemas como el de Madera son comunes en otros hospitales pequeños con situaciones financieras precarias en California, y en todo el país.
California’s Resolve Questioned After It Grants Medi-Cal Contract Concessions
By Bernard J. Wolfson and Samantha Young
After the Department of Health Care Services canceled Medi-Cal contract awards under pressure from major insurers, some consumer advocates question the administration’s willpower to improve care in the safety-net program.
Even Well-Intended Laws Can’t Protect Us From Inaccurate Provider Directories
By Bernard J. Wolfson
State and federal laws require health plans to offer accurate lists of participating doctors and facilities, but consumers still struggle to get timely appointments with providers.
No-Bid Medi-Cal Contract for Kaiser Permanente Is Now Law, but Key Details Are Missing
By Bernard J. Wolfson
Gov. Gavin Newsom signed a bill last month that authorizes a statewide Medi-Cal contract for HMO giant Kaiser Permanente. But details still need to be worked out in a memorandum of understanding.
Doctors, Nurses Press Ahead as Wildfires Strain Los Angeles’ Health Care
By Bernard J. Wolfson and Molly Castle Work and Emily Alpert Reyes, Los Angeles Times
A primary care clinic burned, medical offices closed, and hospitals struggled with possible evacuations. The wildfires that have incinerated large swaths of Los Angeles County are stressing the region’s health care infrastructure. Still, providers continue to find ways to deliver vital care.
Médicos y enfermeras siguen haciendo su trabajo, mientras los incendios jaquean el sistema de salud de Los Ángeles
By Bernard J. Wolfson and Molly Castle Work and Emily Alpert Reyes, Los Angeles Times
Los incendios que se propagan rápidamente y han transformado gran parte del condado de Los Ángeles en un infierno están poniendo a prueba a hospitales, clínicas de salud, socorristas y hogares de adultos mayores.
Computer Glitches and Human Error Still Causing Insurance Headaches for Californians
By Bernard J. Wolfson
Covered California and Medi-Cal share a computer system for eligibility and enrollment. Nearly a decade since the Affordable Care Act expanded coverage options in the state, enrollees can be diverted to the wrong program — or dropped altogether — if erroneous information gets into the system.
Fallas informáticas y errores humanos en la cobertura de seguros siguen siendo un dolor de cabeza para los californianos
By Bernard J. Wolfson
Es cierto que pequeños cambios en los ingresos pueden hacer que la elegibilidad cambie, pero si se ingresa información incorrecta en un sistema informático compartido por Covered California y Medi-Cal, o se elimina información precisa, eso les puede causar grandes dolores de cabeza a los afiliados.
KHN on the Air This Week
KHN and California Healthline staff made the rounds on national and local media this week to discuss their stories. Here’s a collection of their appearances.
New Covered California Leader Urges Renewal of Enhanced Federal Aid for Health Premiums
By Bernard J. Wolfson
Jessica Altman took over in March as executive director of California’s health insurance marketplace, which serves 1.8 million people. She warns that if Congress does not renew the tax credit enhancements that have made health plans more affordable, consumers will face significantly higher premiums, which could cause many to forgo coverage.