Posts Tagged: enrollees
A pharmacist with a digital tablet checks prescription drugs. (Photo: i viewfinder)
OPINION: Millions of low-income Californians are about to have their prescription drug benefit change on January 1, 2021. Yet, you probably have not heard much about it. On his first day in office, Gov. Newsom proposed several bold initiatives to contain the cost of prescription drug prices, including “Medi-Cal Rx”, a change in how the state administers the prescription drug benefit for the nearly 11 million Medi-Cal enrollees who get their coverage through a health plan.
A patient is treated at a dental clinic. (Photo: sirtravelalot, via Shutterstock)
Susan Inglett’s dental coverage changed just after she got a root canal on one of her top teeth. It was 2009, and California was in the midst of a budget crisis. To cut costs, Medi-Cal, the state health insurance program for low-income residents, eliminated non-emergency dental benefits for adults.
An elderly man in his wheel chair, taking a a breath of fresh air. (Phboto: Kazoka, via Shutterstock_)
Many seniors and people with disabilities who need services through Medi-Cal and Medicare struggle every day to navigate complex health and long-term care decisions. Dealing with a serious illness is difficult enough without having your doctors, specialists, long term care providers, and other health care providers disconnected with no overall attention to the holistic needs of the individual.
Three seats on the powerful board that governs California’s multibillion-dollar health insurance exchange are up for grabs, giving the Brown administration – whose allies already comprise a majority on the five-member board — an opportunity to name two new directors. Two seats held by appointees of former Gov. Arnold Schwarzenegger expired last week. A third became vacant following the resignation last month of Robert Ross, the president of the nonprofit California Endowment.
As it turns out, the federal Patient Protection and Affordable Care Act (ACA), known popularly as “Obamacare,” could be a boon to the California budget. Given how the ACA is structured, the state could end up spending less on an unlikely source – prison inmates. The ACA is designed to expand healthcare coverage to low-income