Low Medi-Cal, Insurance Payments Hamper Access to Specialists
Access to specialty care in California likely will become more difficult as more residents gain coverage under the Affordable Care Act. Observers say low reimbursements from health plans offered through Covered California and a cut to Medi-Cal reimbursements are hindering access to specialists. Los Angeles Daily News.
LA Care Passes Duals Readiness Review
CMS officials gave the green light yesterday for LA Care to participate in California's duals demonstration project, though the insurer still will miss half a year of automatic enrollment.
Calif. Court Rejects Pharmacies' Medi-Cal Rate Challenge
A California appeals court has ruled that managed health care plans in the state do not have to consider pharmacies' costs for obtaining prescription drugs when setting their Medi-Cal reimbursement rates. A lawyer for the Medicaid Defense Fund said he will take the case to the state Supreme Court. San Francisco Chronicle.
HHS: More Than 8.9M Deemed Eligible for Medicaid, CHIP
HHS recently announced that more than 8.9 million U.S. residents have been determined eligible for Medicaid or the Children's Health Insurance Program between Oct. 1, 2013, and the end of January, with 2.6 million of those decisions coming in January. The figure includes the individuals who renewed their Medicaid coverage. The Hill's "Healthwatch."
Medi-Cal Cuts Undermining Senior Programs, Facilities, Advocates Say
The 10% reduction in Medi-Cal reimbursements has undermined the viability of long-term care programs in California, according to advocates for seniors and the disabled who predict looming and continued closures could lead to a lack of access.
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