A Backdoor Attack on Health Care – Just Say No

Like drunken sailors on holiday, the Republican Congress and President Trump are poised to enact a massive, end-of-the year tax give-away. The top 1% of American taxpayers benefit the most with hopes that some will trickle down. After spending years touting their fiscal responsibility and railing against the federal deficit, their tax proposal is expected …

Fixing Obamacare: It Can Be Done

Health care is something that should transcend political parties, ideological doctrines and beltway politics. As crazy as that sounds, Democrats and Republicans have found ways in the past to bridge the partisan divide on major health policy issues such as insurance for low-income children, the expansion of Medicare to include drugs, and changing the way …

Medi-Cal Enrollees and Emergency Department Utilization: Encounters as a Rate Remains Flat

Despite recent media coverage about increased emergency department (ED) use among Medi-Cal enrollees since expanding coverage in 2014, the data tell a much different story when put into context. Emergency department encounters for Medi-Cal enrollees grew from 800,000 in 2013 to 1.4 million in 2016, and Medi-Cal enrollment grew from 9.9 million to 13.5 million …

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 …

Medi-Cal Managed Care and Foster Care Issues in Los Angeles County

In Los Angeles County, almost 21,000 children are in foster care, which is about one-third of the statewide total. Foster care children rely on the State’s Medi-Cal program to obtain health care services, but they are generally not mandatorily enrolled in a Medi-Cal managed care plan, except for dependents in County Organized Health Service (COHS) …