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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.

Health Net Group Market Exit: Broker & Member FAQs

Health Net has released FAQs to help brokers and members navigate its exit from the California Small Group and Large Group medical markets. These resources provide information directly from Health Net regarding the transition, including important details and guidance for affected groups. View Health Net Broker FAQs View Health Net Member FAQs We encourage brokers ...

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Drugs for Autoimmune Diseases are Pricey. This Bill Could Switch Patients to a Cheaper One

Nearly 25,000 Californians could see their medication switched next year. Doctors can object, but insurers would gain new power over prescriptions.

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Health Net Group Market Exit

Overview Health Net is exiting the California Small Group and Large Group medical markets. The exit impacts all Health Net Small Group and Large Group medical groups, including groups enrolled through CalChoice. This change does not impact the Medi-Cal, Marketplace/Covered California or Medicare lines of business. The final Health Net renewal and new-business effective date is September ...

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‘It’s Triage’: California’s Next Governor Will Face Destabilizing Surge in Uninsured

By the time Democrat Xavier Becerra left Washington, D.C., more Americans than ever had health insurance, owing partly to his work over the years to pass, defend, and expand the Affordable Care Act. It’s an achievement the former congressman and former U.S. secretary of Health and Human Services often touts as he campaigns for California governor against Republican Steve Hilton, a ...

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California’s Healthcare Affordability Office Claims Power to Punish Overspending Hospitals

New penalties can fine hospitals and insurers up to 125% of their overspending, with enforcement starting as early as 2028. Hospital executives argue much of their spending, like drug costs and labor, is outside their control.

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Centene’s Health Net To Exit Commercial Group Market In California, Oregon

Centene subsidiary Health Net is pulling out of the commercial employer group market in California and Oregon, the company confirmed to Becker’s. “Health Net has made the decision to exit the traditional commercial group business in California and Oregon in order to focus on government sponsored healthcare,” a spokesperson for the insurer said in a statement. ...

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In Toss-Up House District, Voters Crave Leadership To Fix Broken Healthcare

Carlos A. grew up in a family on Medicaid, which made healthcare an afterthought since the public insurance is free for low-income enrollees. But when he received a raise two years ago, he found himself earning too much to qualify for the safety net program. And when he browsed Covered California plans, he found that ...

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California Weighs Penalties For Healthcare Providers That Don’t Rein In Costs

California is weighing stiff penalties for hospitals and other healthcare entities that don’t stay under state spending limits, potentially levying hundreds of millions of dollars in fines if these providers don’t take steps to rein in rising healthcare costs. If the state Office of Health Care Affordability adopts the fines next week, hospitals, medical groups, ...

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Will California Vote ‘Progressive’ In Insurance Commissioner Race?

Jane Kim, backed by Bernie Sanders, could ride the progressive wave. Ben Allen has the CA Democratic party’s endorsement for the insurance commissioner job.

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Becerra, Running For Governor Of California, Faces A Health Insurance Problem

By the time Democrat Xavier Becerra left Washington, D.C., more Americans than ever had health insurance, owing partly to his work over the years to pass, defend, and expand the Affordable Care Act. It’s an achievement the former congressman and U.S. secretary of Health and Human Services often touts as he campaigns for California governor against Republican Steve Hilton, a former ...

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