Most older adults want to stay in their homes and communities as they age. To do that, many eventually need assistance with routine and personal care.
But 40 percent of older adults and adults with disabilities in California who need help to stay in their homes report receiving either no help at all or not enough.
Community health workers and promotoras are stepping in more to help vulnerable populations navigate lifesaving services, and access to them is now a Medical benefit.
But without proactive outreach to Medi-Cal-eligible Californians about the availability of promotoras, there is great risk that we will not reach the very people who need them most.
Paid Family Leave and State Disability Insurance are supposed to prevent low-income Californians from falling into poverty or homelessness when they need to take time off work.
But the program is largely an empty promise for these patients because the benefits replace only 60 percent of income. Two of my patients are among the many Californians caught in this trap.
It’s no secret that the nation is suffering from a mental health crisis. At the same time, we have a vast shortage of therapists.
As an administrator at a mental health practice in the Central Valley, I know firsthand how unnecessarily challenging it can be to find qualified professionals to meet the demand.
The unequal impacts of COVID-19 and the ongoing crisis of police violence in communities of color have exacerbated mistrust and disconnection between these communities and the health care system. This makes achieving patient-centered care a challenge.
Studies show that brief messages and two-way communication via text builds people’s trust and engagement in health care and educational settings.
Medi-Cal members might have mental health coverage in theory, but using it is a different story. People of color are less likely than white people to use mental health benefits, partially due to systemic inequities in the system. The same is true of Lesbian, Gay, Bisexual, Transgender and Queer (LGBTQ+) youth.
Our communities care greatly about their mental health and the mental health of their loved ones, yet California’s promises to provide care fall short.
One third of all Californians and nearly half of California children depend on Medi-Cal, California’s public health coverage program, for health care.
With so many people relying on Medi-Cal for health care, the state must do more to protect the rights of Californians and ensure access to every service they are entitled to.
California’s system for providing durable medical equipment and supplies at home is complicated and difficult to manage, even in normal times. During the COVID-19 pandemic, rationing and supply chain disruptions have made things impossible for families of children with special health care needs.
I believe California needs a state oversight office for durable medical equipment to give families and patients a way to resolve problems before they cause harm.
Despite warnings that the health of the state’s 14 million Medi-Cal beneficiaries would be threatened, on Jan. 1, California implemented Medi-Cal Rx, a program that stripped pharmacy benefits from health plans and handed them to a private, for-profit company.
Now, a month into the new program, there are reports that thousands of Medi-Cal patients have been left without their medications.
Even as Governor Newsom’s administration is working to help Californians access care more easily through technology, it is preventing providers from connecting virtually to better meet the needs of Medi-Cal patients.
Gavin Newsom’s veto of SB 365 means doctors serving people insured under Medi-Cal won’t be reimbursed if they consult with a specialist online or over the phone to provide their patients better care.