California Healthline: New Legislative Strategies May Emerge To Raise Medi-Cal Reimbursement Rates

by David Gorn Legislative strategy may shift in the coming session over the issue of low Medi-Cal provider reimbursement rates, one lawmaker said. California’s Medi-Cal provider payments are among the lowest Medicaid rates in the nation — and that was true even before the 10% payment cut passed by the Legislature in 2011. The reduction … Continue reading

TSF: Innovative Approaches to Stratification and Rate Setting

From our colleagues at The SCAN Foundation:  Stratifying Medicare-Medicaid enrollees by their level of need may help states and health plans prioritize and promptly address the care management needs of these individuals in order to ensure high-quality, timely care. This new brief from the Center for Health Care Strategies describes how three states – California, … Continue reading

LA Times: Kaiser cuts Obamacare rates 1.4% for 2015; Anthem hikes rates 4.6%

Kaiser Permanente, among the highest-priced health plans in 2014, is lowering its premiums for next year. Above, Kaiser seeks enrollment last fall in east L.A. (Gary Friedman/Los Angeles Times) By CHAD TERHUNE Halthcare giant Kaiser Permanente is lowering its rates for Obamacare coverage in California by 1.4% next year, according to an industry report. California’s … Continue reading

The Sacramento Bee: California health exchange touts 4.2 percent increase in rates for 2015

By Christopher Cadelago California’s health insurance exchange officials announced Thursday that the average premium will increase an average 4.2 percent for the coming year, touting the lower-than-usual figure as evidence that the federal health care overhaul is making coverage affordable for millions of residents. Covered California tentatively chose 10 health insurers to participate in the … Continue reading

Sacramento Business Journal: State approves Covered California rates

Kathy Robertson Senior Staff Writer-Sacramento Business Journal State regulators have signed off on the rates proposed for Covered California’sindividual marketplace because state actuaries found them reasonable, the Department of Managed Health Careannounced Monday. Rates — and health plans — for individuals who will buy health insurance through the new state benefit exchange were released in May, but … Continue reading

NY Times: California Puts Tentative Price on Health Policies Under New Law

<nyt_byline> By REED ABELSON Published: May 23, 2013 California, widely seen as a model for how individuals will buy health insurance under the new health care law, announced Thursday that 13 insurers had been chosen to sell policies through the insurance marketplace — or exchange — being created under the law. Rich Pedroncelli/Associated Press Peter V. … Continue reading

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