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Kamala Harris fought health care consolidation during her tenure as California’s attorney general, and she could escalate the fight nationally if she wins in November. Still, the pace of mergers has accelerated.
Gov. Gavin Newsom wants to pull funds earmarked for new investment in Medi-Cal to help plug California’s $45 billion deficit. A state budget passed June 13 by the legislature largely endorsed Newsom’s plan. Voters could settle the matter in an industry-backed initiative that has qualified for the November ballot.
California is the ninth state to set annual health spending targets for the industry. Already hospitals and doctors are voicing resistance to the fledgling Office of Health Care Affordability, even as they avoid overtly opposing its goals.
California lawmakers have modified a psychedelic drug bill that was vetoed last year, narrowing it to allow only supervised use of psilocybin mushrooms, ecstasy, and other hallucinogens rather than decriminalize more broadly. The current bill would establish new state agencies to regulate the program.
Jian Zhang, an immigrant from China with a doctorate in nursing, leads the 88-bed Chinese Hospital in San Francisco. The facility faces financial constraints like other independent hospitals, but its strong community support and partnerships have helped it weather tough times.
American Advanced Management, a steadily growing operator of small hospitals, is expected to get the green light from a bankruptcy court next week to take over the shuttered Madera Community Hospital. Some community groups worry about the company’s track record.
The cyberattack on a unit of UnitedHealth Group’s Optum division is the worst on the health care industry in U.S. history, hospitals say. Providers struggling to get paid for care say the response by the insurer and the Biden administration has been inadequate.
Nearly 2 million Medi-Cal enrollees, mainly people who are aged, disabled, or in long-term care, can now accumulate savings and property without limitations and still qualify for the state’s health insurance program for low-income residents. They join an additional roughly 12 million enrollees who already had no asset limits.
The Medical Board of California, which licenses MDs, is developing a program to evaluate, treat, and monitor doctors with alcohol and drug problems. But there is sharp disagreement over whether those who might volunteer for the program should be subject to public disclosure and over how much participants should pay.
California’s Medicaid program is undergoing major changes that could improve health care for residents with low incomes. But they are happening at the same time as several other initiatives that could compete for staff attention and confuse enrollees.
In the new year, California’s Medicaid program will open to otherwise eligible immigrants ages 26 to 49 without legal residency. They will join children, young adults, and adults over 50 enrolled in Medi-Cal through previous expansions to residents lacking authorization. The change is expected to add over 700,000 first-time enrollees.
The law, which takes effect Jan. 1, prohibits out-of-network ground ambulance operators from billing patients more than they would pay for in-network rides. It also caps how much the uninsured must pay.
Both sides, still at loggerheads over pay and staffing, agreed to keep bargaining after unions announced a possible strike Oct. 4-7. If no deal is reached, a walkout by about 75,000 KP workers in five states could disrupt care.
Americans think losing their eyesight would be one of the worst possible health outcomes, yet millions lack a fundamental understanding of eye health.
California’s new lending program for distressed hospitals will provide Madera Community Hospital with interest-free loans of up to $52 million if it can agree on a viable reopening plan with Adventist Health. The state will offer an additional $240.5 million in interest-free loans to 16 other troubled hospitals.
Pasha Wrangell has faced delays getting gender-affirming care because of red tape and limited providers. Over more than two years, Wrangell has received only about half the total electrolysis sessions recommended. Wrangell’s insurer through Medi-Cal, California’s Medicaid program, acknowledges the shortage of practitioners.
A bankruptcy judge will soon decide whether a Central Valley hospital needs to liquidate to repay its creditors. Its largest creditor, St. Agnes Medical Center, is the very entity that backed out of purchasing the Madera Community Hospital last December.
When Medi-Cal beneficiary Lloyd Tennison moved last year from Contra Costa County to San Joaquin County, he was bumped off his managed care plan without notice before his new coverage took effect. His case highlights a chronic issue in California’s fragmented Medicaid program.
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