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.
Biden Team, UnitedHealth Struggle to Restore Paralyzed Billing Systems After Cyberattack
By Darius Tahir and Bernard J. Wolfson and Daniel Chang
The cyberattack on a unit of UnitedHealth Group’s Optum division is the worst on the health care industry in U.S. history, hospitals say. Providers struggling to get paid for care say the response by the insurer and the Biden administration has been inadequate.
California Opens Medi-Cal to Older Unauthorized Immigrants
By Bernard J. Wolfson
Starting May 1, low-income unauthorized immigrants over age 49 become eligible for full Medi-Cal health coverage, a significant milestone in California’s effort to expand coverage.
Battle Lines Are Drawn Over California Deal With Kaiser Permanente
By Bernard J. Wolfson
A controversial proposal to grant HMO giant Kaiser Permanente a no-bid statewide Medi-Cal contract is headed for its first legislative hearing amid vocal opposition from a coalition of counties, competing health plans, community clinics, and a national health care labor union.
Record Fines Might Mean California Is Finally Serious About Improving Medi-Cal
By Bernard J. Wolfson
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.
Multas récord podrían significar que California finalmente se toma en serio la mejora de Medi-Cal
By Bernard J. Wolfson
El estado impuso una multa de $55 millones a L.A. Care por múltiples violaciones en sus procesos de asistencia médica.
When Teens Blow Off Parents’ Pleas to Get Vaccinated, the Consequences Can Be Deadly
By Bernard J. Wolfson
Kennedy Stonum, a 17-year-old high school junior, resisted getting vaccinated against covid-19, as did 20-year-old Tyler Gilreath, whose mother had nagged him for months to get the shots. Both died.
Cuando los adolescentes no hacen caso al ruego de sus padres para que se vacunen, las consecuencias pueden ser mortales
By Bernard J. Wolfson
Poco más del 57% de los adolescentes de 12 a 17 años y el 62% de los jóvenes de 18 a 24 años están completamente vacunados. Para estas franjas de edad covid también puede ser mortal.
Giant Health System Almost Saved a Madera Hospital. Now, It Wants to ‘Extract Every Dollar.’
By Bernard J. Wolfson and Melissa Montalvo, The Fresno Bee
A bankruptcy judge will soon decide whether a Central Valley hospital needs to liquidate to repay its creditors. Its largest creditor, St. Agnes Medical Center, is the very entity that backed out of purchasing the Madera Community Hospital last December.
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.