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Medi Cal

February 25, 2014 | By Soumya Karlamangla
A new report shows that as many as 125,000 young California immigrants may qualify for an expansion of Medi-Cal, the state's Medicaid program. The Affordable Care Act bars insurance subsidies and enrollment in the Medicaid expansion for undocumented immigrants, but a wrinkle in California rules does offer coverage for those with "deferred action status. " The Deferred Action for Childhood Arrivals program was created by President Obama in 2012 to grant immigrants who came to the country illegally as children -- sometimes called Dreamers -- legal status and work authorization for two-year periods.
June 6, 2011 | By Marilyn Chase, Kaiser Health News
SANTA ROSA, Calif. – With valet parking for patients, video-conferencing for parents of premature babies and a healing garden abloom with azaleas, Santa Rosa Memorial Hospital tries to maintain the amenities of a thriving community hospital. But chief financial officer Mich Riccioni is focused on the fiscal strains Memorial is facing. Nearly a quarter of the hospital's patients are on California's Medicaid program, known as Medi-Cal, and the state has been trying for years to cut its reimbursement rates for hospitals and other healthcare providers.
December 30, 1987
While Medi-Cal pays out countless millions to treat illegal aliens not really entitled to this, Americans are being unfairly kept off Medi-Cal. In my case, Medi-Cal demanded that I pay $92 a month in a "share the cost" program while illegal aliens get free medical treatment. Tens of thousands of babies are being born every year by illegal alien mothers free of charge. As a 75-year-old, native-born American who honorably served this country in World War II, one would think that I am more entitled to free Medi-Cal.
December 14, 2007 | Gregory W. Griggs
Simi Valley Hospital, which terminated a portion of its contract with the state Medi-Cal program, will hold a public meeting Tuesday to discuss its action. The hospital said the state's Medi-Cal reimbursement rate was too low and that it lost $2.5 million last year because of it. The Medi-Cal program subsidizes medical care for the poor, elderly and disabled. The meeting will be from 11 a.m to 12:30 p.m. at the Simi Valley Senior Center, 3900 Avenida Simi. -- Gregory W. Griggs
December 29, 2013 | By Eryn Brown
It's one of the next big hurdles for the Obamacare rollout: What will happen when hundreds of thousands of low-income Californians shift from county health plans to the state's huge Medi-Cal system on Jan. 1? Judging from a similar surge in 2011, patients and physicians could see plenty of problems. Starting on New Year's Day - Wednesday - as many as a million formerly uninsured or underinsured people will begin moving onto Medi-Cal rolls and reporting to clinics and hospitals that have agreed to provide treatment at set rates.
July 26, 2003
Re "California Pays Steep Prices for Wheelchairs," July 20: Your comparison of the cost of a motorized wheelchair to the price of a Mercedes-Benz is gratuitous and does not advance the conversation about the needs of California residents with disabilities or the responsibility of the state to support their independence. One might as well note that the cost of three nights in a hospital's intensive-care unit is the same as a grand tour of Europe. For those who need the wheelchair or those who need the services of the hospital, the luxury car or the vacation is not a choice.
February 26, 2012 | By Anthony York, Los Angeles Times
Health and Human Services Secretary Kathleen Sebelius on Sunday threw cold water on Gov. Jerry Brown's plan to ask California's poor to contribute to their federally subsidized healthcare — payments the governor has proposed to save the state more than $500 million a year. Brown met with Sebelius for 45 minutes in Washington, where he renewed his pitch for more flexibility in how the state handles Medi-Cal, its health-insurance program for the poor. The governor wants co-pays from recipients for emergency-room visits as well as routine trips to the doctor and dentist, beginning in October.
May 20, 2011 | By Marc Lifsher, Los Angeles Times
Quest Diagnostics Inc., the biggest provider of medical lab services in California, has agreed to pay $241 million to settle a whistle-blower's lawsuit that accused it of overcharging the state Medi-Cal program. The lawsuit also alleged that the Madison, N.J., company paid illegal kickbacks to doctors, hospitals and clinics that sent patients their way. The settlement was the largest in the history of California's False Claims Act, which allows private citizens to sue on behalf of the state if they have evidence that a government contractor has defrauded a state agency.
November 3, 2011 | By Duke Helfand, Los Angeles Times
The trade group for California's hospitals has sued state and federal officials to block a 10% cut in government reimbursements for some healthcare providers who treat low-income patients. The California Hospital Assn. said in its lawsuit, filed in U.S. District Court in Los Angeles, that cuts to the Medi-Cal insurance program will threaten the ability of many hospitals to continue operating skilled nursing facilities. As a result patients, particularly those in rural communities and other medically underserved areas, are likely to face delays or gaps in healthcare services, the lawsuit contends.
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