Posts Tagged: medi-cal

News

Rebooting huge Medi-Cal system puts pressure on health plans

Photo illustration of a card identifying the recipient of Medi-Cal services. (Image: California Healthline)

When Denise Williams’ baby boy was 2 months old, she became alarmed by a rattling sound in his lungs and took him to the emergency room. While undergoing treatment, he spiraled into a disabling neurological disorder.

Opinion

Expanded access to substance abuse treatment is critical

An Illustration of prescription pain killers spilled on a table. (Image: Kimberly Boyles, via Shutterstock)

OPINION: Amid an opioid and alcohol use disorder crisis exacerbated by the COVID-19 pandemic, California health advocates are calling for the Centers for Medicare and Medicaid to expand coverage of Medication Assisted Treatment and behavioral health care for Medi-Cal recipients.

Opinion

State must keep Medi-Cal funding for phone appointments

A physician uses his cell phone for a medical discussion. (Photo: apr.org)

OPINION: The mother on the other end of the phone call was worried about her newborn’s increased fussiness and stomach issues.  After taking a thorough history, the problem became clear: The mother had switched from breastmilk to a formula that triggered symptoms related to the baby’s known history of milk protein allergy. I advised a switch to a hydrolyzed formula.

Opinion

We should delay Jan. 1 launch of Medi-Cal Rx drug program

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.

Podcast

Capitol Weekly Podcast: COVID-19 Special Episodes

This week we posted four special editions of the Capitol Weekly Podcast, broadcasting the content from our September 17 conference on health care in the Golden State. We focused this year on the unprecedented public health emergency: COVID-19. Exactly six months and one day after the first Shelter-in-Place order, we examined the response to the crisis and looked at what comes next.

Opinion

Telehealth: Keep it robust after the pandemic

A photo illustration of a doctor using telehealth to provide care to a patient via the internet. (Image: Agenturfotografin, via Shutterstock)

OPINION: The need for infection prevention opened the door for telehealth, and we cannot let that door slam shut after the pandemic. Telehealth is essential to expanding people’s access to health care and the health system’s capacity.

News

Health care: Nurse practitioners push for greater role

A medical practitioner checks the blood pressure on an older patient. (Photo: Alexander Raths, via Shutterstock)

As California contends with a shortage of primary care doctors, some legislators are pushing to have nurse practitioners fill in the gaps. Assembly Bill 890, which is now headed to the Senate, would remove the requirement that nurse practitioners practice under a physician’s supervision.

Opinion

Lost in translation: Information for Medi-Cal’s beneficiaries

A photo illustration of language diversity. (Image: Lonely Walker, via Shutterstock)

OPINION: For most patients, interpreting medical information can feel like interpreting a new language – the jargon and industry language requires reading comprehension comparable to the SATs. But imagine if that challenge also included interpreting mistranslated language. What’s a health consumer to do?

News

PPIC: Federal money, California and the census

An illustration of the 2020 census. (Image: Maria Dryfout, via Shutterstock)

In the most recent year for which an estimate is available (2015), California received about $77 billion in census-related funding—more than 80% of the total federal funds the state received that year. A number of federal programs draw on population estimates derived from the 2010 Census to calculate the share of federal funding for each state. The 2020 Census will soon update these estimates.

Opinion

Health care and the pain of losing Medi-Cal coverage

A doctor examines a young patient at a hospital. (Photo: wavebreakmedia, via Shutterstock)

OPINION: A few months ago, I turned 19 years old. Approaching the last year of my teenage years should have been exciting, but instead it was bittersweet. On my birthday, I lost access to my Medi-Cal coverage and all of the preventative health care services that it provided. I spent the days leading up to my birthday rushing to complete all of the final health check-ups I could fit in, before I lost coverage – possibly forever.

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