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California Watch

News stories in this section spotlight activities in California, including actions by the state Assembly and state Senate; proposed legislation; regulators like the Department of Managed Health Care and Department of Insurance; and the state ACA exchange, Covered California.

California Health Plan Leaders Unite for the First Time to Launch New Payment Model Demonstration Project to Fortify Primary Care

In an unprecedented collaboration, three leading California health plans — Aetna, Blue Shield of California and Health Net — have united to co-implement a shared value-based payment model under the California Advanced Primary Care Initiative’s Payment Model Demonstration Project. Led by the California Quality Collaborative (CQC) and the Integrated Healthcare Association (IHA), the new payment model will span 11 provider ...

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Employee Benefit Strategies to Aid Workers During 2025 California Wildfires

The wildfires moving through Southern California have destroyed communities and displaced countless individuals. While the nation’s first responders are tirelessly working to contain and neutralize the devastation, many employers are grappling with how best to provide support for their affected employees. Disaster Assistance to Employees Employers may consider offering the following disaster assistance directly to ...

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Covered California Hits Record Enrollment, but Key Subsidies in Jeopardy

Covered California, the state’s health insurance marketplace, has hit a record 1.8 million enrollees and the number could climb higher ahead of a Jan. 31 open enrollment deadline, due in large part to enhanced subsidies that have made plans more affordable. But the state’s progress in extending health coverage to all residents could come to ...

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Additional Resources to Aid Your Clients, Colleagues, and Others Needing Assistance Due to California Wildfires

As part of our ongoing commitment to provide you with information and resources to assist your clients, colleagues, and others who may need help in connection with the current Southern California wildfires, you should find the following helpful.

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Blue Shield Of California Restructures, Launches Health Services Business And Names First Female CEO

The bevy of changes for the massive California nonprofit is meant to improve operations, and should also give Blue Shield a financial leg-up as it competes with well-funded for-profit peers.

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Some Health Care Facilities Remain Closed Amid California Wildfires

Health care centers and medical facilities remain closed as the devastating California wildfires spread. Several health care centers are rescheduling non-emergency procedures.

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After 2 Years Of Shortfalls, California Governor Proposes $322B Budget With No Deficit

California Gov. Gavin Newsom has proposed a $322 billion budget without a deficit, a welcome change after two years of significant budget shortfalls in the nation’s most populous state. But the budget Newsom announced Monday is mostly a placeholder as California waits to see if incoming President Donald Trump will follow through on threats to revoke billions ...

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New California Law Prohibits Using AI As Basis To Deny Health Insurance Claims

Last year, about a quarter of all health insurance claims were denied in California — a reality mirrored nationwide that has stoked public anger toward health care companies, and led to accusations that such decisions lack human empathy.

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Gov. Gavin Newsom Announced A $322.2 Billion Budget With No Deficit. Here’s What’s In It

California no longer faces a budget deficit, Gov. Gavin Newsom said Monday, two months after budget officials projected a $2 billion deficit that had left little room for additional government spending.

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Sansum/Sutter and Anthem Reach Agreement on Health Insurance Contracts for 2025

As a contract deadline approached on December 31, 2024, negotiations between Sansum Clinic/Sutter Health and Anthem Blue Cross reached a new agreement that could affect more than 129,000 patients. Sansum is the largest nonprofit medical group for outpatient care in the Santa Barbara area. The agreement allows patients to keep their in-network doctors and care ...

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