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California positioned to create nation-leading health care cost control entity

| Jun 24, 2021 | California

California could soon have a nation-leading, first-of-its-kind health care cost control entity, according to supporters of the proposed Office of Health Care Affordability (OHCA). The Assembly voted in favor of creating the office earlier this month, moving the initiative one step closer to passage. The OHCA, which would operate within...[ Read More ]

Five Blue Cross Blue Shield plans fund pharmacy solutions start up

Nicole Pasia | Jun 23, 2021 | California

Incorporating evidence and outcomes-based models of care, a privately funded startup aims to improve medication costs in the pharmacy sector. Denver-based Evio received funding from five Blue Cross Blue Shield plans: Blue Cross Blue Shield of Massachusetts, Blue Cross Blue Shield of Michigan, Blue Shield of California, Highmark Inc., and...[ Read More ]

5 Things California: Q&A w/John Baackes, Public health in the budget, HCBS spending plan

| Jun 15, 2021 | California

While DJ is away on vacation, I’ll be bringing you the next few editions of 5 Things We’re Watching. I’m the managing editor here at State of Reform where I have my eye on health care and health policy in California and a number of other states. Feel free to...[ Read More ]

Future of public health funding on the table in California's budget negotiations

| Jun 14, 2021 | California

As part of the California Legislature’s ongoing budget negotiations, lawmakers are working to develop a long-term funding plan for the California Department of Public Health (CDPH) as one-time federal public health funding diminishes. Lawmakers have until Tuesday at midnight to pass their version of the budget -- which may feature...[ Read More ]

CBO leader notes lack of "warm hand-off" between CalAIM and communities

| Jun 11, 2021 | California

The California Department of Health Care Services’ (DHCS) CalAIM initiative -- of which a primary goal is to reduce health disparities -- doesn’t have a clear plan for involving communities (CBOs) in its reform of Medi-Cal, according to a state CBO leader. Maria Lemus is the executive director of Vision...[ Read More ]

Q&A: LA Care Health Plan CEO John Baackes on the co-existence of a public option and private insurance

| Jun 9, 2021 | California

John Baackes is the CEO of LA Care Health Plan, a public health insurance plan providing coverage to over two million underserved individuals in California. Baackes refers to LA Care as the only functioning public option in the country, serving as an anchor in the state’s health insurance market to...[ Read More ]

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