Archive | Payment Delivery

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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Covered CA Unveils Next Stage of Delivery System Reform: Highlights from January 21, 2016 Board Meeting

Thursday’s Covered CA Board meeting featured an overview of certification parameters for Qualified Health Plans (QHPs) to be offered in 2017, proposed changes in benefit design, and new data-driven initiatives to improve quality and equity over time. As Governor Brown said proudly in his State of the State address earlier that day, California has “wholeheartedly […]

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Federal Officials Approve New “Medi-Cal 2020” Waiver Renewal

Earlier today the U.S. Centers for Medicaid and Medicare Services (CMS) officially approved California’s “Medi-Cal 2020” waiver renewal for the next five years, providing new resources and new flexibility to deliver better care for the millions of low-income Californians who rely on Medi-Cal for their health coverage. The new waiver also includes support for a […]

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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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DHCS & CMS Agree to Medi-Cal 2020 Waiver Framework!

This past Saturday (Halloween), the California Department of Health Care Services announced it had reached a new “conceptual agreement” with the federal Centers for Medicaid and Medicare Services (CMS) on the general framework of “Medi-Cal 2020,” the renewal of the 2010-2015 Medi-Cal waiver. Toplines With details to be specified in the coming months, the framework is […]

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DHCS Stakeholder Advisory Committee October 14, 2015: Highlights for Consumer Advocates

Update on MCO (Managed Care Organization) Tax DHCS Director Jennifer Kent opened with an update on the MCO tax and the need to revise it to meet new federal guidelines to broaden the base to all health plans (learn more here).  Last Spring, the Governor called a special session to resolve this and related Medicaid financing […]

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Contra Costa Cares: Board of Supervisors Vote 4-1 to Create Primary Care Program for Remaining Uninsured

Earlier today the Contra Costa Board of Supervisors voted 4-1 to authorize a new $1 million pilot program to extend primary health care services for an estimated 3,000 adult immigrants, including undocumented Contra Costa residents. The care will be provided through county-based clinics, serving approximately one-fifth of uninsured adults in need of the services. The Contra […]

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Highlights from California Health Policy Forum Panel on Provider Information Sharing

The California Health Policy Forum held a briefing last week at the Capitol entitled, “Enabling Information Sharing Among California Health Providers: What’s Next?” involving academics, the Department of Health Care Services and community clinics. Panelists provided an overview of the federal and state health information technology (health IT) landscape and perspectives on what’s next in […]

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