Latest California Healthline Stories
DHCS Transparency Bill Moves Forward
The Senate Committee on Health this week approved a bill that would set new standards of accountability and transparency at the Department of Health Care Services.
AB 209 by Assembly member Richard Pan (D-Sacramento) received unanimous committee approval Wednesday and now heads for a Senate floor vote, the step before it can be sent to the governor’s desk.
The bill wants to hold the department accountable for problems that arise with patients moving to Medi-Cal managed care plans with stronger, measurable benchmarks, Pan said.
Reversing Medi-Cal Cuts Priorty for Latino Lawmakers
Members of the legislative Latino Caucus on Tuesday laid out their agenda that includes some form of reversal of the 10% reduction in payments to Medi-Cal providers.
The Legislature passed the 10% cut in 2011, but it was delayed until a federal appeals court ruling upheld the reduction two weeks ago. State officials said the bulk of the cutbacks will begin in September.
Although the case may be appealed to the U.S. Supreme Court, the federal appeals court ruling May 24 puts pressure on the Legislature to come up with an alternative. Some lawmakers — including the Latino Caucus — have been working to craft a legislative answer. Two members of the Latino Caucus in particular have been front-and-center in efforts to reverse the rate cuts.
Another Arrow in the Quiver for Attempt To Reverse Medi-Cal Cut
After a series of setbacks — legislative and legal — options have dwindled for provider groups trying to reverse a 10% Medi-Cal reimbursement cut. Attention has turned now toward getting the Legislature to include a reversal in the next budget proposal.
Protesters Swarm Sacramento to Protest Medi-Cal Cuts
The Capitol yesterday swarmed with protesters upset about a 10% cut in reimbursements to Medi-Cal providers that has raised concerns about the state’s ability to provide access to Medicaid beneficiaries.
“Health care, especially in the hospitals, it’s not always working,” said Sonia De La Torre, a hospital worker who got on a bus at 4 a.m. yesterday in Corona (Riverside County) to attend the Sacramento rally. “When people come into the hospital with no insurance, they get basic care, at best. We want to make sure people get treatment.”
Police estimated 8,000 people gathered outside the Capitol Building yesterday. Musicians took the main stage early in the day, replaced later by speakers including event organizers and legislators.
Physicians Wary — or Simply Unaware — of ACA Loophole
A little-known Affordable Care Act provision could stick physicians with patients’ treatment bills. Experts warn that doctors could avoid state health insurance exchanges as a result, but perhaps even more troublesome is the number of doctors who are unaware of the loophole.
Medicare And The New Health Law: How It Affects You
Q: I’m a Medicare recipient. How are people like me affected by Obamacare? A: This is no small question. We’re talking more than 50 million Americans and a program that spends more than $500 billion a year. Medicare is the federal health insurance program for people 65 and over, and for people under 65 who have […]
Budget Process Latest Way to Reverse Cuts
Thousands of providers, patients, health care professionals and other protesters are expected to gather today outside the Capitol Building to support the idea of reversing a 10% Medi-Cal provider rate cut. Organizers say it will be the largest health care protest in Sacramento history.
“We have people hopping on buses in Oceanside at 4 in the morning to get here,” said Molly Weedn, director of media relations for the California Medical Association. “People are coming from all over the state, and we’ve seen support from both sides in the Legislature. All of this [support] shows that the public doesn’t want Medi-Cal to be cut, so that’s why we’re doing this.”
It has been a tough couple of weeks for proponents of reversing the rate cut made in 2011 and not yet implemented because of court battles.
Assembly Takes Up Health Care ‘Loophole’
The Assembly this week is expected to debate a bill that would penalize large employers who reduce workers’ hours or wages in an attempt to move those employees off company-sponsored health care and into Medi-Cal coverage.
“We want to close that loophole that allows some of the largest and most profitable businesses in California to skirt their responsibility under the Affordable Care Act,” said Assembly member Jimmy Gomez (D-Los Angeles), author of AB 880.
Some large employers, he said, want to lower wages or hours of employees so those workers would earn a low-enough wage to become eligible for Medi-Cal, “dumping them onto the backs of the taxpayers,” Gomez said.
Agricultural Giant Takes Lead in Keeping Workers Healthy
Paramount Agribusinesses, a large fruit and nut grower in the Central Valley, offers no-cost primary health care to its employees and their families in an effort to increase productivity and improve the health of workers.
Health Insurers Owed $271 Million
State officials this week said the Healthy Families program owes $271 million in services already provided by its network of 20 health care insurers and the program needs legislative help to fix the problem.
Healthy Families’ overall shortfall is projected to be $366 million for the year, a deficit caused by expiration of the managed care organization tax in December. Last week, the Senate budget subcommittee on Health and Human Services delayed a vote on the MCO tax.
“The Legislature failed to extend the MCO tax, therefore MRMIB did not have sufficient cash to pay for the Healthy Families program invoices,” said Tony Lee, deputy director for administration at the Managed Risk Medical Insurance Board, which oversees the Healthy Families program. Lee spoke Wednesday at the monthly MRMIB board meeting.