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Monthly Archives: June 2011

More on Medicaid: Blended Rates

June 30, 2011 Posted by Alison Klurfeld under Blog

With enhanced FMAP rates expiring tomorrow, another potential Medicaid payment change could further shift costs from the federal government to the states. The Obama administration has proposed combining the various matching rates that states receive for different populations into one “blended rate” and eliminating state Medicaid provider taxes. Right now,… more

6th Circuit Court Upholds Individual Mandate

June 29, 2011 Posted by Kiwon Yoo under Blog

The 6th Circuit Court of Appeals upheld the ACA’s individual mandate, which requires most Americans to have health insurance. The 6th Circuit upheld a lower court ruling in a suit brought by the Thomas More Law Center. The three-judge panel, which includes two Republican nominees, voted 2-1 in favor of… more

Just in Time: California Has a Budget

June 29, 2011 Posted by Ashley Cohen under Blog

Last night, lawmakers approved an $86B package using spending cuts, tax revenues and new fees. Democratic lawmakers used their majority vote to fill in the remaining $9.6B deficit without renewals to state sales and vehicle taxes (set to expire Thursday). The end of these taxes will save the average Californian… more

Budget Update

June 28, 2011 Posted by Christina Vane under Blog

Yesterday, Governor Brown and Democratic lawmakers agreed on a budget plan that does not include a special election on taxes, but rather relies on assumed tax revenues. After having their initial proposal vetoed by Brown, legislators have refocused to find common ground in order to close the remaining $9.8 billion… more

Exchange Board Approves Level I Grant Application

June 28, 2011 Posted by Ashley Cohen under Blog

The California Health Benefit Exchange board met as a 5-member entity for the first time this morning in Sacramento. The Board and public were pleased to welcome Dr. Robert Ross of the California Endowment as the final appointment. The purpose of this morning’s meeting was to approve the California’s Level… more

Reconsidering Regulatory Separation

June 24, 2011 Posted by Alison Klurfeld under Blog

A new report from the California Health Care Foundation spurred discussion yesterday about California’s dual regulators of health insurance. For the past decade, California’s Department of Insurance (CDI) and Department of Managed Health Care (DMHC) shared oversight of the health insurance market even as distinctions between PPOs and HMOs blurred.… more

Dr. Robert Ross Named Fifth Exchange Board Member

June 23, 2011 Posted by Kiwon Yoo under Blog

Dr. Robert K. Ross, president and CEO of The California Endowment, has been appointed the fifth and final member of the Exchange Board by the California Senate Rules Committee. Dr. Ross previously served as the director of Health and Human Services for San Diego County, and currently serves on the… more

The Changing Face of Medicaid

June 23, 2011 Posted by Kandis Driscoll under Blog

Medicaid has undergone a number of cuts and proposed changes at the federal and state level. On July 1st, the FMAP for Medi-Cal will revert back to 50% from the enhanced 62% match that resulted from the American Recovery and Reinvestment Act of 2009 (ARRA). This decreased match marks the… more

Anthem Blue Cross Settles Lawsuit

June 22, 2011 Posted by Alison Klurfeld under Blog

Anthem Blue Cross recently settled a class-action lawsuit filed on behalf of 122,000 individual policyholders who alleged that the insurer violated state law by closing their plans to new members without offering comparable coverage options. The company admitted no wrongdoing, but will now offer consumers the option of remaining in… more

Exchange: Level 1 Grant App. Nears Completion

June 20, 2011 Posted by Alison Klurfeld under Blog

HBEX held a webinar today on the Federal Level 1 Establishment Grant. It expands on a preliminary outline shared at the most recent board meeting. Patricia Powers, Acting Administrative Officer, presented a comprehensive breakdown of the Exchange’s $40 million request to enable planning activities between July 1, 2011 and June… more

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