Archive | Exchange

Budget Focus at Covered California Board Meeting

This post was written by Kate Burch The Covered California board meeting on May 12 addressed several controversial issues. You can find a recording of the board meeting, links to the presentations, reports, proposed regulations, attachments, and other materials here. Market Analysis Covered California contracted with PwC for an in-depth analysis of the direction of the […]

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Covered California Board Addresses 1332 Waiver, Quality Requirements, Special Enrollment Verification and other Hot Topics

This blog was written by Kate Burch On April 7, 2016, the Covered California Board addressed several hot topics at their April meeting. You can find a recording of the board meeting, links to the presentations, and links to all of the proposed regulations, attachments, etc. here. 1332 Waiver Report Stakeholders and experts have been very […]

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The ACA Turns 6: Reflections from California for the 2016 Presidential Election Year

The Affordable Care Act, President Obama’s signature achievement, turns six today, March 23, in the heat of the most contentious and divisive presidential campaigns in recent memory. In the presidential race we see the usual partisan divide with the Democrats wanting to either build on it (Clinton) or move to single-payer health care (Sanders), and the […]

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Health Reform 2.0: California Starts Sec. 1332 Waiver Discussions

As part of California’s ongoing efforts to implement and improve upon health reform, last Tuesday Covered California and the California Department of Health Care Services convened an exploratory discussion of options for California under Section 1332 of the Affordable Care Act (see the panelists’ slide deck and all materials here). Under Section 1332, states may seek […]

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Health Access CA Discussion Paper: Options and Opportunities for California under Section 1332 of the ACA

Covered California is collaborating with the California Department of Health Care Services to explore options for California under Section 1332 of the Affordable Care Act (see Covered CA’s slide deck from last month’s informational webinar). Under Section 1332, states may seek a waiver from the federal government to pursue innovative approaches to achieve the primary […]

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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 […]

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Covered California Open Enrollment Started Sunday!

Yesterday marked the official start of Covered CA open enrollment, which will run through January 31, 2016. For coverage effective January 1, people must enroll by December 31, 2015. As always, Medi-Cal enrollment is open year-round and individuals experiencing any life transitions (losing a job or moving, among many qualifying events for Special Enrollment) may […]

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Q & A with the California Office of the Patient Advocate OPA: 2015-16 Report Cards Release

Background Last week the California Office of the Patient Advocate released the newest edition of its 2015/16 Quality Report Cards. The Report Cards provide a tool to assist Californians in comparing quality scores for health plans and medical groups in order to make fully informed health care decisions based on the latest quality data and not […]

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Covered California Board Meeting Highlights from October 8, 2015

With less than one month before open enrollment (November 1 – January 31), the Board focused mainly on this year’s research-driven “no wrong door” approach to maximizing enrollment and facilitating thoughtful plan selection using shop and compare tools, quality ratings, and reaching out to enrollees who look like they could benefit from enhanced silver plans […]

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Governor Brown Signs Key Patient Protections Bills Against Unfair Out-of-Pocket Costs

California Governor Jerry Brown yesterday signed four patient protection bills that will address unfair out-of-pocket costs, including out-of-network bills due to inaccurate provider directories, huge cost-sharing for specialty drugs, double deductibles in family plans, as well as extend protections against “junk insurance” to benefits offered by large employers. These Health Access-sponsored bills address some of the […]

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