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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.

Brown Administration Continues Efforts To Replace MCO Tax

Officials with Gov. Jerry Brown’s (D) administration say that efforts to rework the expiring managed care organization tax are ongoing, Capital Public Radio’s “KXJZ News” reports (Orr, “KXJZ News,” Capital Public Radio, 11/19). Background The current MCO tax expires in June 2016. In July, federal officials said they would not reauthorize the formula California uses. ...

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UnitedHealth’s Threat To Leave Exchanges Not Expected To Mean Much in California

UnitedHealth Group’s announcement this week that it may pull out of Affordable Care Act exchanges is not expected to have much of an impact on Covered California, experts said, but the move could have serious repercussions in other exchanges. Although the for-profit company hasn’t been a major player in most exchanges and is a late-comer ...

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Biggest Insurer Threatens to Abandon Health Law

The biggest U.S. health insurer said it has suffered major losses on policies sold on the Affordable Care Act’s exchanges and will consider withdrawing from them, adding to worries about the future of the marketplaces at the heart of the Obama administration’s signature health law. The disclosure by UnitedHealth Group Inc., UNH 0.92 % which ...

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Covered California Touts Early Enrollment, But There’s A Cloud on the Horizon

Covered California has signed up more than 34,000 new individuals for health benefits since open enrollment started Nov. 1, exchange officials said Thursday. That’s about 2,000 a day and “very strong enrollment” for so early in the sign-up period that extends through Jan. 31, said executive director Peter Lee. But there’s a cloud on the ...

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New California Color is Gray, Not Gold as ‘Aging Tsunami” Arrives

From the beach party movies of the 1960s to the hippies of the 1970s and Silicon Valley’s baby billionaires today, California has long projected a youthful ambiance. That’s about to change in a big way. The aging of California’s huge post-World War II baby-boom generation, combined with plummeting birth and immigration rates, means the Golden ...

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Legislation Cut California’s Workers’ Compensation Medical Costs

Three years ago, Gov. Jerry Brown and the Legislature enacted a major overhaul of the system that compensates workers for job-related injuries and illnesses. Senate Bill 863, backed by employers and labor unions, affected many specific aspects of the system but was aimed largely at reducing medical costs and redirecting savings into cash benefit increases ...

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95 California Hospitals Named ‘Top Performers’ by Joint Commission

On Tuesday, the Joint Commission recognized more than 1,000 hospitals in California and other states as “Top Performers” for achieving high performance on key quality measures, the Biloxi Sun Herald reports (Biloxi Sun Herald, 11/16). The fifth-annual “Top Performer on Key Quality Measures” list was included in the organization’s 2015 annual America’s Hospitals: Improving Quality ...

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New Data Show Greater Health Disparities Among Ethnic Groups

There are major differences in health care status among different types of Asians and Latinos in California — and yet the state so far has resisted treating those subgroups differently, according to UCLA researchers who released an updated version of health survey data last month. “Data clearly show the need to disaggregate the Asian community ...

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Ballot Measure Would Limit Drug Costs for State Programs

A new poll suggests widespread support for a measure headed for the 2016 ballot that would cap prescription drug prices paid by state programs. The California Drug Price Act would prohibit the state from using taxpayer money to pay more for any prescription drug than the amount paid by the U.S. Department of Veterans Affairs. ...

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Premium Pain for ‘Grandmothered’ Health Plans

If you work at a business with 50 or fewer employees, watch out for grandma this year. By that, we mean if the company has a “grandmothered” health plan, you may be in for some changes in 2016. Grandmothered is the term insurance agents and brokers have been using for pre-Obamacare policies that were allowed ...

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