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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 Insurers Want to Build a Huge Data Exchange … Will Providers Come?

Two of California's largest insurers are trying to build one of the country's most comprehensive health information exchanges, but they're facing reluctance from providers who are hesitant to share their data.

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Sutter Health says its new HMO is ahead of projected growth

The new health maintenance organization launched by Sutter Health in 2014 more than doubled its membership in 2015, Sutter Health Plus officials say.

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Aetna CEO Answers Burwell’s Call, Vows Support For Exchanges Amid Losses

The head of Aetna Inc., the nation’s third-largest health insurer, said he supports insurance exchanges, even though he questioned their sustainability earlier this month and lost money in the marketplaces last year.

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Obamacare ‘Gaming’ Update: Feds, California Tighten Up On Documentation for Special Enrollments

The notion that mobs of Americans are actively plotting to cheat the Affordable Care Act by waiting until they get sick and then finding an excuse to sign up for health insurance is cherished by two groups: anti-Obamacare conservatives and insurance companies.

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State Legislature Passes New MCO Tax, Rescues Over $1 Billion for Medi-Cal

The California legislature Monday approved a new health care tax, capping a months-long quest to safeguard over $1 billion in annual Medi-Cal funding the federal government had threatened to take away.

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Why This Move By Covered California Could Mean Big Business for VSP

Covered California on Wednesday announced it selected VSP Vision Care as its vision insurance provider for adults statewide.

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Health Plans’ Finances A Big Unknown In California Tax Swap Package

A $2.4 billion managed-care organization tax package awaiting votes in the California Legislature reflects the heavy imprint of the state’s health insurance industry, which pushed for major changes to avoid any tax hit that could be passed on to customers.

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Are Covered California’s Numbers Plateauing?

With Covered California's announcement Wednesday that 1.57 million Californians selected health plans during its third open enrollment period, at least one health care expert believes that the nation's bellwether state in implementing the Affordable Care Act is now essentially running in place.

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Vote on MCO Tax Looming in the California Legislature

The California state legislature could vote this week on a proposed tax on health insurance plans that would fund the Medicaid (called Medi-Cal) program to the tune of $1.27 billion annually.

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California Marketplace May Require Insurers To Pay Agent Commissions

California’s health exchange may require its health plans to pay sales commissions to insurance agents to keep insurers from shunning the sickest and costliest patients.

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