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Battle Lines Are Drawn Over California Deal With Kaiser Permanente
A controversial proposal to grant HMO giant Kaiser Permanente a no-bid statewide Medicaid 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.
How a Former Catholic Priest Is Navigating a California Medicaid Plan Through Big Changes
Michael Hunn left the clergy and became a hospital and health system executive. He’s been named CEO of CalOptima, Orange County’s Medi-Cal health insurance plan for low-income residents, and his spiritual background is helping him guide the publicly run plan into the future.
Record Fines Might Mean California Is Finally Serious About Improving Medi-Cal
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.
When Teens Blow Off Parents’ Pleas to Get Vaccinated, the Consequences Can Be Deadly
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.
J&J-Vaxxed, mRNA-Boosted, and Pondering a Third Shot
Many of the nearly 17 million U.S. members of J&J Nation, myself included, are wondering whether to set aside the current official guidance and get a second booster. Some experts say: Chill out.
What the Federal ‘No Surprises Act’ Means in California
The new federal law will provide protection against surprise medical bills for between 6 million and 7 million Californians who are not covered under state law.
Layers of Subcontracted Services Confuse and Frustrate Medi-Cal Patients
Many of the 14 million patients in Medi-Cal are in managed care health plans that outsource their care to subcontractors or sub-subcontractors. For patients with difficult health care needs, it can be hard to know where to turn.
Covered California’s Insurance Deals Range From ‘No-Brainer’ to Sticker Shock
Families of four with incomes of less than about $40,000 a year can pay no premiums and have low deductibles. For some others, health insurance in 2022 will cost more than in 2021 — in some cases, significantly more.
New California Law Eases Aid-in-Dying Process
Nearly 2,000 terminally ill Californians have used a 2015 law to end their lives with a doctor’s assistance. A revision of the law will make it easier to do so.
Your Out-of-Pocket Health Care Costs Need Not Be a Mystery
A new California law requires health insurance companies to notify consumers how much remains on their deductibles and how close they are to their annual out-of-pocket spending limits.
