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L.A. County health plan fined for delays in treating poor patients

State regulators impose largest-ever fines on L.A. County's public health system which serves the county’s poorest residents for long delays in care. ....

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New California State report shows rise in cost of prescription drugs

The California Department of Managed Health Care (DMHC) today released the Prescription Drug Cost Transparency Report for Measurement Year 2020. The report looks at the impact of the cost of prescription drugs on health plan premiums and compares this data over four reporting years: 2017, 2018, 2019 and 2020. Among… ....

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DMHC approves Centene's acquisition of Magellan with conditions to protect consumers

The California Department of Managed Health Care announces approving Centene Corporation’s acquisition of Magellan Health, Inc. ....

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Health Access California Issues Public Comment on Centers for Medicare & Medicaid Services Proposed Rule

Health Access California, California's statewide health care consumer advocacy coalition committed to quality, affordable health care for all Californians, offers comments on the proposed rule, CMS-9907-P, implementing the No Surprises Act, based on our California experience with both surprise medical bills and short-term, limited duration health. ....

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DMHC directs health plans to remove administrative burdens on hospitals during COVID-19 surge

The California Department of Managed Health Care (DMHC) today directed health plans regulated by the Department to remove administrative burdens on hospitals during the COVID-19 surge. This includes directing plans to take immediate steps to reduce or remove unnecessary barriers to the efficient admission, transfer, and/or discharge of health plan enrollees.
“Hospitals and providers are on the frontlines of California’s battle in fighting the COVID-19 pandemic,” said DMHC Director Mary Watanabe. “As California experiences a historic surge in the number of COVID-19 cases, the number of people being treated in hospital intensive care units is increasing and expected to continue to increase over the coming weeks. Health plans must remove unnecessary administrative barriers to help hospitals quickly respond to the unfolding crisis and enable hospital staff to provide the most efficient care possible to seriously ill patients.” ....

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