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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.

Blue Shield of California Agrees To Limit Premiums, Recalculate Rebates

Blue Shield of California has agreed to limit its premiums for certain policies next year and in 2017, Payers & Providers reports. Background On Oct. 5, the California Department of Managed Health Careissued an order addressing Blue Shield’s premiums and medical loss ratio calculations. DMHC spokesperson Rodger Butler said the agency had “significant concerns with ...

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Insurance Commissioner Slams Aetna’s Small-Business Rate Hike

California Insurance Commissioner Dave Jones slammed Aetna Thursday for an “unreasonable” quarterly rate hike on small-business owners that brings the annual average increase to more than 27 percent. The hike affects small employers that renew their health insurance policies in the fourth quarter — and an estimated 40,000 employees. Dept. of Insurance actuaries reviewed Aetna’s ...

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Private Health Exchange Has Options for Small Companies Affected by New Mandate

CaliforniaChoice is bullish on expansion of the small-group market. Like its public counterpart, Covered California, the private insurance exchange is prepared to welcome employers with 51 to 100 employees into the program Jan. 1, 2016. California law still requires this group to be considered “small employers” for the purpose of health insurance, starting next year. ...

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53% of Uninsured Californians Eligible for Medi-Cal, ACA Subsidies

More than half of uninsured Californians qualify for either Medi-Cal coverage or subsidies under the Affordable Care Act to help pay premiums, according to a Kaiser Family Foundation report released Tuesday, KPCC’s “KPCC News” reports. Medi-Cal is California’s Medicaid program. For the state-by-state report, KFF reviewed data from the 2015 Current Population Survey Annual Social ...

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Governor’s Vetoes Poke Lawmakers On Special Session Failure

In a series of bundled vetoes, Gov. Jerry Brown sent a hard-to-miss weekend message to state legislators: You dropped the ball before leaving Sacramento for 2015. Brown took action on 80 bills on Saturday, signing landmark legislation on everything from voter registration to farm animal antibiotics. But in a handful of vetoes, the governor quickly ...

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California Doctors’ Lobby Group Pushes Agenda with Swagger

As large clocks around the office counted down to Election Day last year, leading physicians ditched their business meeting and marched downstairs to stuff envelopes with campaign pamphlets in a makeshift war room at the California Medical Association’s Sacramento headquarters. No issue confronting voters threatened the pocketbooks and political prestige of physicians more than Proposition ...

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DMHC Approves Blue Shield’s Acquisition of Care1st Health Plan

Blue Shield of California has won state approval to acquire Care1st Health Plan, but had to make several concessions, including permanently relinquishing its not-for-profit tax exemption, the Los Angeles Times reports. Background Blue Shield proposed the $1.2 billion acquisition of the multi-state Medicaid insurer in December (Terhune, Los Angeles Times, 10/8). Care1st has more than ...

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Drug Companies Donate $10 Million to Oppose California Initiative

It hasn’t qualified for the ballot. And the measure’s implications are so complicated that even the experts at the Legislative Analyst’s Office had a hard time gauging its fiscal effects. But the proposed “California Drug Price Relief Act” already has the attention of the drug industry, with major companies in recent days donating more than ...

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Many Obamacare Dropouts in California Picked Up Employer Coverage, State Says

Nearly half of the estimated 700,000 Californians who have dropped their Obamacare policies during the past two years have enrolled in an employer-based plan, a new report from the Covered California exchange shows. In a news conference Thursday, Peter Lee, the organization’s executive director, said there were about 1.3 million Californians enrolled in the exchange’s ...

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2 Million Uninsured Californians Are Eligible for Obamacare Benefits

In advance of the Nov. 1 start of open enrollment for Covered California, new numbers show that just over half of the state’s remaining uninsured are eligible for health insurance coverage under the Affordable Care Act. The estimate was part of a state-by-state analysis compiled by the Kaiser Family Foundation. Researchers found that California has ...

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