California’s ambitious journey to reshape health care through the multiyear Medi-Cal reform effort known as California Advancing and Innovating Medi-Cal (CalAIM) represents a profound leap forward.
As someone with more than 30 years of experience in health care information technology, here are the strategies I believe can make CalAIM a success.
A critical program that medically fragile children depend on to get at-home care is broken, leaving families desperate.
This is a medical and developmental emergency for children with disabilities, and California needs to act quickly to fix it.
Thinking of myself as a health care detective who is solving a mystery makes a frustrating process feel a little bit more interesting.
You have to figure out the motive, gather the evidence, interrogate the suspects, and put together a case.
A new benefit called Enhanced Care Management offered under California’s Medi-Cal program could help parents who are caring for children with complex physical, behavioral and social needs.
However, the program — which launched July 1 — has been slow to help most families who qualify.
For the first time since 2020, millions of Californians are renewing their Medi-Cal benefits.
Since the health of approximately 40 percent of Californians depends on Medi-Cal coverage, the state and counties must look at everybody’s files — and find ways to contact them and evaluate them for ongoing coverage — before cutting off Medi-Cal.
Janna Espinoza shudders remembering the day she and her daughter Coraline, then 8, showed up for an appointment in Salinas with their trusted pediatrician and were turned away because the child no longer had the right health insurance.
Coraline, who has cerebral palsy, epilepsy and other serious conditions, relies on a safety-net health insurance program.
For optometrists in California, the gap between the cost of providing care and what the state covers is growing wider each year.
While Gov. Gavin Newsom has proposed improving Medi-Cal access by paying medical doctors, OB-GYNs and hospitals more this year, eye care is not included in this proposal.
During the pandemic, California and other states didn’t require people to renew their membership Medicaid, known as Medi-Cal in California.
That changed on April 1, when California began sending out renewal packets once again. Renewals will be sent out in batches, based on the month in which beneficiaries originally applied for Medi-Cal.
Amid the federal debt ceiling talks, some lawmakers have their eyes set on cutting Medicaid funding.
That would be an ill-advised and costly mistake for everyone, not just for the vulnerable populations who are beneficiaries of the government-funded program.
Children who need medically intensive care cannot attend traditional day care programs. California has an option for these kids, called Pediatric Day Health and Respite Care facilities.
But the amount the government pays these facilities to care for children has not kept pace with inflation and rising staffing costs. Because of the stagnant rates, California’s pediatric care facilities are in danger of closing.