California Gov. Gavin Newsom signed a bill last month that authorizes a statewide Medicaid contract for HMO giant Kaiser Permanente. But details still need to be worked out in a memorandum of understanding.
Category: Medicaid
No-Bid Medicaid Contract for Kaiser Permanente Is Now California Law, but Key Details Are Missing
California Gov. Gavin Newsom signed a bill last month that authorizes a statewide Medicaid contract for HMO giant Kaiser Permanente. But details still need to be worked out in a memorandum of understanding.
‘Free’ Screening? Know Your Rights to Get No-Cost Care
Even a decade in, the Affordable Care Act’s recommendations to simply cover preventive screening and care without cost sharing remain confusing and complex.
Medi-Cal Will Cover Doulas at More Than Twice California’s Initial Proposed Rate
Under a budget passed by California lawmakers, the state will pay nonmedical workers who assist in pregnancy and labor up to $1,154 per birth through Medi-Cal, which is up significantly from Gov. Gavin Newsom’s initial offer of $450. Though it’s more than what most other states pay, many doulas say it falls short of the $3,600 they sought.
Medical Bills Can Shatter Lives. North Carolina May Act to ‘De-Weaponize’ That Debt.
Medical debt is most prevalent in the Southeast, where states have not expanded Medicaid and have few consumer protection laws. Now, North Carolina is considering two bills that could change that, making the state a leader in protecting patients from high medical bills.
States Extend Medicaid for New Mothers — Even as They Reject Broader Expansion
Most of the dozen states that haven’t fully expanded eligibility for Medicaid have extended or plan to extend the postpartum coverage window for new mothers. That could mean improved maternal health, but it’s only part of the puzzle when it comes to reducing the number of preventable maternal deaths in the U.S.
Buy and Bust: When Private Equity Comes for Rural Hospitals
Noble Health swept into two small Missouri towns promising to save their hospitals. Instead, workers and vendors say it stopped paying bills and government inspectors found it put patients at risk. Within two years — after taking millions in federal covid relief and big administrative fees — it locked the doors.
Medicaid Weighs Attaching Strings to Nursing Home Payments to Improve Patient Care
The Biden administration is considering whether Medicaid, which pays the bills for 62% of nursing home residents, should require that most of that funding be used to provide care, rather than for maintenance, capital improvements, or profits.
A Deep Dive Into the Widening Mortality Gap Across the Political Aisle
Research out this week examines how an area’s political environment can affect its mortality rate.
Computer Glitches and Human Error Still Causing Insurance Headaches for Californians
Covered California and Medi-Cal share a computer system for eligibility and enrollment. Nearly a decade since the Affordable Care Act expanded coverage options in the state, enrollees can be diverted to the wrong program — or dropped altogether — if erroneous information gets into the system.
