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.
Centene to Pay $166 Million to Texas in Medicaid Drug Pricing Settlement
By Andy Miller and Samantha Young
Texas is at least the 12th state to settle with St. Louis-based Centene Corp. over allegations that it overcharged Medicaid prescription drug programs.
Clinics Say State’s New Medicaid Drug Program Will Force Them to Cut Services
By Samantha Young
On Jan. 1, California started buying prescription drugs for its nearly 14 million Medicaid enrollees, a responsibility that had primarily been held by managed-care insurance plans. State officials estimate California will save hundreds of millions of dollars by flexing its purchasing power, but some health clinics expect to lose money.
Journalists Review Hospital Penalties and Problems Riddling Medicaid Rx Program
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.
After ‘Truly Appalling’ Death Toll in Nursing Homes, California Rethinks Their Funding
By Samantha Young
California wants to hold nursing homes accountable for the quality of care they provide by tying Medicaid funding more directly to performance. But the nursing home industry, an influential player in the Capitol, is gearing up for a fight.
Harris, alguna vez la voz de Biden sobre el aborto, tendría un enfoque abierto en temas de salud
By Stephanie Armour and Julie Appleby and Julie Rovner
Mientras los demócratas reconstruyen su candidatura presidencial a pocos meses de las elecciones, se esperaría que, de ser la nueva nominada, Harris adoptase una postura agresiva en apoyo al acceso al aborto y en otros temas controversiales de salud.
California Moves on Climate Change, but Rejects Aggressive Cuts to Greenhouse Emissions
By Samantha Young
Drought, wildfires, extreme heat: California lawmakers cast climate change as the culprit in an emerging series of public health threats, setting aside billions to help communities respond. But they stopped short of more aggressively reducing the state’s share of the greenhouse emissions warming the planet.
Centene Showers Politicians With Millions as It Courts Contracts and Settles Overbilling Allegations
By Samantha Young and Andy Miller and Rebecca Grapevine
Centene, the largest Medicaid managed-care company in the U.S., has thrown more than $26.9 million at political campaigns across the country since 2015, especially focused on states where it is wooing Medicaid contracts and settling accusations that it overbilled taxpayers. Among its tactics: Centene is skirting contribution limits by giving to candidates through its many subsidiaries.
Facing Recall, Newsom Draws Support from Health Care Allies
By Samantha Young
California Gov. Gavin Newsom faces a recall election in September, fueled in part by anger over his pandemic policies. The health care industry has ponied up more than $4.8 million so far to defend the first-term Democrat.
Olympic Dream Dashed After Bike Crash and Nightmare Medical Bill Over $200K
By Samantha Young
A bicyclist from California competed in a Pennsylvania race that could have landed him in this month’s Tokyo Olympics. Instead, a crash on the velodrome track landed him in two hospitals where his out-of-state, out-of-network surgeries garnered huge bills.