Covered California Tells Insurers To Plan For The Worst

Amid growing uncertainty over federal health care funding, Covered California is calling on health insurers to prepare for the worst. The state health insurance exchange Wednesday instructed participating insurers to submit alternative premium hike proposals for 2018 in the event they lose federal payments for subsidies that reduce some consumers’ out-of-pocket medical expenses. These so-called …

Here’s A Bipartisan Approach Of Simple Fixes To Reform Health Care

When it comes to health reform, we don’t agree on much. As the former executive director of the National Federation of Independent Business in California, and as the former external affairs director for Covered California, we’ve mostly been on opposite sides of the table. In numerous public forums, we’ve debated the question of how best to fix …

A California Fight for Universal Health Care

With the Affordable Care Act facing an uncertain future, could California set up its own universal health care system as an alternative? State senators Ricardo Lara, D-Bell Gardens, and Toni Atkins, D-San Diego, recently introduced a bill to do just that — the most recent of several failed attempts to set up a single-payer system …

Medi-Cal Managed Care Plans: Diabetes Care HEDIS Measures

Both Medi-Cal Managed Care plans and commercial plans are required to report common health outcome measures called HEDIS (Healthcare Effectiveness Data and Information Set) scores. There are 53 Medi-Cal managed care plans that serve over 10 million Californians. The California Department of Health Care Services (DHCS) tracks and publishes HEDIS scores of all Medi-Cal Managed …