Latest California Healthline Stories
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.
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.
Federal Court Upholds 10% Medi-Cal Provider Cut
The United States Ninth Circuit Court of Appeals on Friday upheld the right of California to impose a 10% rate reduction on providers of Medi-Cal services.
The long-awaited ruling is the last judicial step, short of the U.S. Supreme Court, for the controversial cut to hospitals, physicians, emergency transport and dentists. Provider groups have said they would likely appeal the rate reduction to the Supreme Court.
The federal ruling lifted the injunctions on implementing the reductions. Outside of a Supreme Court appeal, the federal judicial panel clearly stated there would be no further appeals considered.
How Obamacare Could Change Medi-Cal For the Better (and Worse)
The Affordable Care Act will help boost Medi-Cal enrollment, which could lead to positive trickle-down effects for California, but observers warn that the program is already dealing with funding and access concerns.
Federal Ruling, State Law May Conflict
In 2011, the Legislature went along with the governor’s plan to cut Medi-Cal provider rates by 10%. Provider groups immediately went to the courts to stop it, saying that patient access to care would be threatened by such a severe reduction. Now the final decision rests with a federal judge. A ruling is expected soon.
If a federal judge signs off on the law, Medi-Cal providers in California will have rates cut by 10% and also will need to pay back two years’ worth of that 10% reduction. The effect would be a 15% rate cut for the next four years and a 10% cut thereafter.
The 10% cut represents about $600 million a year to the California budget.
What the Oregon Study Says (or Doesn’t) About Medicaid
Health care observers have claimed the results of the Oregon Health Study for their own, shaping its findings to fit their arguments about Medicaid and its expansion under Obamacare. Are the results too heavily emphasized considering the study’s limitations?
‘So Many Moving Parts’ To Fit Together
The Department of Health Care Services announced this week that the Cal MediConnect duals demonstration project will not start until at least January, 2014, a delay from its previous expected launch date in October, 2013.
Advocates for seniors’ health care yesterday praised the decision, saying the extra three months will go a long way toward pulling all of the disparate pieces of Cal MediConnect into place.
“I think [the delay] comes from the general recognition that so many things have to happen, for so many people, speaking so many languages,” said Jack Hailey, project manager for Government Action and Communication Institute, and a contributor to the California Collaborative for Long Term Services and Supports.
Provider Cut Repeal Talk Turns to Veto Override
Two bills repealing the 2011 Medi-Cal provider reimbursement rate reductions have sailed through California legislative committees so far in an unusual way: They’ve been approved with unanimous votes in both houses from both parties.
But all those Yes votes could fail on a single No vote if Democratic Gov. Jerry Brown vetoes the bills. He has 50 million reasons every month to use his veto stamp. The savings to the state from the 10% across-the-board Medi-Cal provider rate cut amounts to an estimated $600 million a year.