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August 19, 2014
Managed Care in CA Series, Issue 1: Network Adequacy Laws (Revised May 7, 2018)
Andy DiAntonio Manual/Report
Managed Care and California Series Issue 1: Medi-Cal managed care plans are capitated, meaning. they receive a set payment per enrollee per month in exchange for providing services. The plans contract on a "comprehensive risk" basis, which means they accept the risk of incurring a loss if they spend…
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August 19, 2014
Managed Care in California Series, Issue 2: Network Adequacy Laws in Covered California Plans
Andy DiAntonio Press Release
Managed Care and California Series Issue 2: Covered California QHPs receive a set premium payment ("capitation") per enrollee in exchange for providing services. The plans accept the risk of incurring a loss if they spend more on services than they receive through the premium payments, but they will make…
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July 30, 2014
Lessons from CA: Medi-Cal Application Backlog
Andy DiAntonio Issue Brief
More than 600,000 applications are still pending a Medi-Cal eligibility determination as of July 2014. As with other states, problems with California's new eligibility and enrollment system are at the heart of California's backlog. In this month's, Lessons from California, we highlight how NHeLP is working with advocates in…
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July 14, 2014
CMS California Mitigation Letter
Andy DiAntonio Letter
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July 1, 2014
Coverage of Pregnant Women in California
Andy DiAntonio Issue Brief
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June 27, 2014
Lessons from CA: Pregnant Women’s Coverage Options
Andy DiAntonio Issue Brief
The ACA made many positive changes in health coverage for pregnant women. Many women now qualify for both pregnancy-related Medicaid and financial assistance in the Marketplace. In this month's, Lessons from California, we highlight how NHeLP worked with California advocates to provide comprehensive Medi-Cal coverage for pregnant women, including…
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