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Covered California August 2014 Board Meeting

After the cancellation of July’s meeting, the Board of Covered California had a number of topics to address yesterday at the organization’s new offices. Here is a review: Resolving Eligibility Inconsistencies In line with the federally administered Exchanges, Covered California is contacting enrollees whose self reported citizenship/immigration status and income […] more

Are Physicians Willing to Accept Medi-Cal Patients?

Looking at California’s remarkable Medi-Cal enrollment numbers, the million-dollar question is whether there will be enough physicians available to meet increased demands. Traditionally, physician participation in the Medi-Cal program, especially among non-primary care physicians, is low. One arguable reason for low participation is low reimbursement rates. Physicians may be unable […] more

Get ready for Cal Index! It’s more revolutionary than it sounds.

Anthem Blue Cross and Blue Shield of California announced last week that they are launching Cal Index, a digital health information system that shares patients’ health data among all of the two plans’ contracted providers. The two insurers have set up the entity as a nonprofit organization, with $80 million […] more

No, not that CHCF

Have you heard of the California Health Care Facility? Aside from it sharing an acronym with the California HealthCare Foundation, you may not know much about this almost-purposefully-blandly-named facility. But if you knew more about it, you may develop some strong feelings on the matter. Some facts. 1. It is […] more

2015 Covered California Prices Revealed

Last week Covered California announced the 2015 plan rates. Good news: prices stayed low with a modest 4.2% increase statewide and even rate decreases in some area. The price changes vary across regions. San Francisco and Orange will see higher rate increases (6.6% and 6.3%, respectively), while Alameda (2.8%) and […] more

Proposition 45

The ongoing debate of insurance rate review will finally be in the hands of the voters come November 4 when the Insurance Rate Public Justification and Accountability Act, or Proposition 45, will be on the ballot. If approved, the measure would require health insurance companies to justify rate increases, under […] more

Creative Innovations in Oral Health Care

During a time when many in health policy stakeholders are emphasizing health integration and whole-person care, it is surprising that dental care is not more often a part of this discussion. There has been an overwhelming amount of chatter regarding workforce shortages and how to make care accessible to more […] more

Expanding Primary Care Through Nurse Practitioners

A soon-to-be implemented law in Kentucky alters the flexibility and scope of practice of nurse practitioners, allowing them to prescribe drugs (except those that are at high risk for abuse) without physician oversight after four years of direct supervision. This shift aims to mitigate the effects of a shortage of […] more

Nine months later, what impact has the ACA had on California’s uninsured?

Nine months ago millions of Americans gained access to health care coverage through Medicaid programs and health insurance exchanges. Millions of Americans also endured the technical glitches, remained persistent, and completed the application process. Today we learned from a Commonwealth Fund survey that the uninsured rate for those 19 to […] more

Is Florida Showing Us the Future of Behavioral Health Care in Medicaid?

This month Florida began offering its Medicaid beneficiaries with serious mental illnesses a choice to enroll in a special comprehensive and integrated managed care plan that coordinates physical and mental health services. The move could be a big deal for people in Medicaid who have a serious mental illness. Since […] more