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California health care plans announce new standards.(Knight Ridder Newspapers)Feder, Barbara
California residents can apply for Affordable Care Act (ACA) health insurance plans, also known as Obamacare plans, during the annualOpen Enrollment Period, which usually occurs from November 1 – December 15 each year. If you don’t have health insurance, an ACA health plan could be the rig...
Health plans are classified under five major categories. This makes comparisons easier. The categories are divided according to the percentage of health care costs that consumers pay. Bronze Plan This Plan Pays 60% Of Your Health Costs.
The end of the public health emergency in 2023 brought new challenges to California’s successful push to reach universal health care coverage. The Medi-Cal eligibility redetermination process restarted, endangering health coverage for millions of Californians. Health plans worked in partnership with th...
John Baackes, CEO of L.A. Care Health Plan, the state's largest Medi-Cal plan with nearly 2.6 million members, said roughly 20,000 members have lost their Medicaid coverage during the review process this past year and are looking to secure new insurance plans. His organ...
As a recent Office of Civl Rights Report recently pointed out, 2016 was a record year for enforcement: “OCR has been on a tear, settling 11 cases in 2016 with resolution agreements and corrective action plans. The agency also won a decision by an administrative law judge in an enforcement...
analyze medical necessity as part of utilization review or management functions. Under the California Health and Safety Code, HCSPs include both in-state and out-of-state plans that solicit or contract with a subscriber or enrollee in California to pay or reimburse costs for health care s...
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The measure makes permanent a tax on certain managed health insurance plans, such as Kaiser Permanente. Currently, the tax is slated to expire at the end of 2026. The measure also requires revenues to be used for certain Medi-Cal services, including primary and specialty care, mental healt...