Earlier this year, the Los Angeles County Board of Supervisors declared a state of emergency to accelerate resources to individuals experiencing homelessness. While the state continues to scramble to address this growing issue, Medi-Cal managed care plans (MCPs) Health Net and LA Care Health Plan are investing $114 million over the next few years to … Read more

Members of major Medi-Cal health plans—Anthem Blue Cross and Health Net—spoke at the 2023 State of Reform Northern California Health Policy Conference about their preparations for Medi-Cal redeterminations. After a three-year pause in conducting redeterminations due to the public health emergency’s continuous coverage benefit, the state began its redetermination process on April 1st for beneficiaries … Read more

While the COVID-19 pandemic brought endless challenges, Medi-Cal beneficiaries were able to maintain their coverage for three consecutive years, but due to the end of the federal public health emergency’s continuous Medicaid coverage requirement, California is beginning to disenroll members who are deemed no longer eligible. Health Net, a Medi-Cal health plan, is honing in … Read more

As California is set to start disenrolling Medi-Cal members who are deemed no longer eligible, Medi-Cal health plans like Health Net have launched initiatives to inform and educate the public about the redeterminations process. This is the first time in three years that Medi-Cal members will undergo a redetermination process. In anticipation of this substantial … Read more

On Feb. 8th, California Attorney General Rob Bonta announced a settlement of over $215 million against Centene Corporation. Centene is alleged to have violated the California False Claims Act by overcharging California’s Medi-Cal program through falsely reporting higher prescription drug costs, collected through its two managed care plans.  The managed care plans in question are … Read more

Health plans, including Blue Shield of California, Health Net, and Community Health Group Partnership Plan, have filed lawsuits against the California Department of Health Care Services (DHCS) following the first ever statewide competitive procurement for commercial Medi-Cal managed care plans for the 2024 Medi-Cal contract awards.     Through this procurement, DHCS did not award … Read more

Last week, the Department of Health Care Services (DHCS) announced its long-awaited decision to award Medi-Cal contracts—which become effective Jan. 1st, 2024—to 3 managed care plans: Molina Healthcare, Anthem Blue Cross Partnership Plan, and Health Net.     The 3 plans will provide Medi-Cal coverage across 21 counties. Molina Healthcare will remain in Riverside, San … Read more

Health Net recently released a report providing recommendations on how to improve health equity in California. The report is based on successful initiatives implemented by Health Net, which serves many Medi-Cal-eligible individuals. The report outlines four overall recommendations to improve health equity:  “Implement multi-faceted interventions  Recognize that community-based resources drive the greatest impact Understand that … Read more