Archive | Cost

Budget Deal Reached!

The Legislature and the Governor have reached a budget deal! The Budget Conference Committee convened on Thursday night to take final action on budget issues in Conference Committee, which is described below. See how health priorities fared in our budget scorecard. The revised budget includes several limited but important investments in health and human services, […]

Continue Reading

Covered CA Board Takes Big Steps on Standardized Benefit Design and Quality/Equity Measures; Considers New Barriers to Special Enrollment

Thursday’s Covered California Board meeting, the first since the last day of open enrollment 2013, offered a deep dive on the standardized benefit designs and the quality/equity framework that will guide contracting with insurers for the next 3-year cycle (2017-2019), and a heated discussion about the new documentation requirements that insurers are calling for to qualify […]

Continue Reading

Obamacare in the Ballot Box: Quick Take on Kentucky Governor’s Race from California

Heading into last Tuesday’s mid-term election, there was plenty at stake for the future of health reform (HBO’s John Oliver tried to warn us), particularly in states that have refused or have yet to decide whether to implement the optional Medicaid expansion—or had decided, like Kentucky, to opt in, not because the political winds were blowing […]

Continue Reading

Senate Appropriations Committee Hears Key Health Access Bill and Special Session Tobacco Control Legislation

Yesterday, the Senate Appropriations Committee heard Health Access sponsored bill, AB 533 (Bonta) on “surprise billing” and select special session tobacco control bills. AB 533 (Bonta), which would protect consumers from surprise bills from out-of-network doctors when a consumer does the right thing by going to an in-network hospital, lab or imaging center was not voted […]

Continue Reading

Close-up on AB 533 (Bonta): Protecting Consumers from Surprise Medical Bills

Consumers know they can save money and limit their out-of-pocket costs by going to an in-network provider.  Too often, however, consumers who do the right thing by going to an in-network hospital or facility end up getting a surprise bill by a doctor who turns out not to be in-network. According to a recent survey […]

Continue Reading

Close Up on A Key Consumer Protection Bill: AB 339 Prescription Drug Cost Sharing

Today many more Californians have access to health care coverage under the Affordable Care Act, however many premium-paying patients who are covered still struggle with out-of-pocket costs. Some practices by providers and health insurers unfairly burden patients with unmanageable cost-sharing, interfering with access to care people need. AB339 (Gordon), a Health Access sponsored bill moving […]

Continue Reading
CityOptionUpgrade_HealthySF

Healthy San Francisco 2.0: SF Health Commission Votes to Modernize Healthy San Francisco, Mainly by Upgrading Affordability Standards

This blog was written by Rose Auguste and Judi Hilman of Health Access. Graphic courtesy of San Francisco Department of Public Health. On Tuesday, August 4th San Francisco’s Health Commission authorized the first major upgrades to Healthy San Francisco and City Option, the main platforms for universal coverage in San Francisco, since full implementation of […]

Continue Reading

Health Reform 2.0: New Efforts on Value-Based Health Care

Health Access, California Pan-Ethnic Health Network (CPEHN), and Consumers Union and other groups are teaming up to improve health and health equity for California consumers through transparency, benefit design, and Medi-Cal reforms. Through our new Value-Based Health Care initiative, supported by the Robert Wood Johnson Foundation and working with the national group Community Catalyst, Health Access and CPEHN […]

Continue Reading

Legislative Recap at Halfway Point: Key Bills Pass Floor Votes

In this article… SB 4 Would Take Historic Steps to Cover Remaining Uninsured Patient Protection Bills to Limit Out-of-Pocket Costs Other bills on transparency, Medi-Cal, and more This blog entry was written by Sawait Hezchias-Seyoum, Health Care Policy Advocate, Health Access. The Senate and Assembly adjourned yesterday, one day ahead of the June 5th deadline to […]

Continue Reading

Kaiser Family Foundation Survey Findings Affirm Results of State Reform Efforts to Date and Consumer Advocates’ Legislative Focus Two Years into Affordable Care Act

Findings from a recent Kaiser Family Foundation survey of low and moderate income California residents, released yesterday, suggest the state is generally on the right track in ACA implementation, specifically in its choice to build a robust “active purchaser” exchange and to target communities with the largest coverage gaps. Those and other priorities of Covered […]

Continue Reading