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Industry Updates

This broad category includes articles concerning health insurance costs, carrier and health plan news, changing benefits technology, and surveys by the Kaiser Family Foundation and others on employee benefits.

California Health Advocates Urge Bold Action to Improve Quality of Medi-Cal Managed Care Plans

The California Health Care Foundation, working with researchers at the University of California, San Francisco, urged state legislators in a report released Wednesday to take bold steps to improve the quality of Medi-Cal managed care plans.

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Even in Deep Blue California, Medi-Cal Expansion for Undocumented Adults Doesn’t Sit Well with Some

It was a historic move: This summer, California became the first state in the country to offer free or low-cost health insurance to undocumented young adults who qualify.

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Newsom Appoints Richard “Fig” Figueroa Acting Director of DHCS

Gov. Gavin Newsom appointed Richard “Fig” Figueroa to be the acting director of DHCS. He takes over in the interim from Jennifer Kent, who announced her resignation last week.

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Fewer People Maintain Obamacare Coverage Without Auto-Enrollment

Californians who lost the option to automatically re-enroll in an Affordable Care Act exchange plan were less likely to hold on to their insurance coverage than households that could enroll automatically, according to a study published Monday in JAMA Internal Medicine.

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25 Californians Charged With $150M in Health Care Fraud

Twenty-five Southern California doctors and others are accused of billing Medicare and other health plans for $150 million in fraudulent charges.

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California Health Official Quits After Blasting Vaccine Foes as ‘Flat-Earthers’

California’s health care services director announced her resignation Tuesday, a move that came after she mocked opponents of mandatory childhood vaccinations as “flat-earthers” on social media.

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CA Democrats Try Again to Provide Health Care to Needy Undocumented Seniors

Democratic legislators are advancing a bill that aims to provide free health care to low-income undocumented seniors — an idea that they floated earlier this year, but which failed to make it into the state budget because of concerns over its cost.

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California Senate Passes Bill That Would Restrict Dialysis Profits

Despite 52 amendments added to the legislation just last week, the California Senate voted 21-19 on Sept. 9 to accept the changes and approve A.B. 290, a bill aimed at restricting dialysis provider profits in the state and limiting the use of third-party payers, like the American Kidney Fund.

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California Surprise Billing Law Takes Spotlight in Federal Fight

In the battle over what Congress should do to end surprise medical bills, both sides of the debate are pointing to California's experience—and drawing different conclusions. A law enacted in September 2016 put a cap on out-of-network charges, tied either to the median in-network contracted rates with insurers or 125% of Medicare—whichever is higher.

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Will Gavin Newsom’s Plan Lower Prescription Drug Costs in California?

Eight months ago, Gov. Gavin Newsom released a plan to lower the state’s prescription drug costs. The central idea: By consolidating the market power of state agencies into one statewide pool, California could gain greater leverage to negotiate with drugmakers.

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