insurance

Health Care Reform
4:29 pm
Fri December 13, 2013

California Health Insurers Restrict Doctor Choice To Lower Costs

San Francisco based insurance broker Susan Shargel says she’s trying to sort out all the new ways insurers are contracting with doctors. Some health plans will have fewer doctors and hospitals. Blue Shield, for example will have half the doctors and three quarters of the hospitals they have this year.
Credit Pauline Bartolone / Capital Public Radio

As Californians shop for new insurance under the federal health law next year, they’re faced with many choices for health plans at different prices. But the plans they choose also come with different combinations of doctors and hospitals. And as Health Care reporter Pauline Bartolone tells us, some people are confused and frustrated by the new conditions.  

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Government & Politics
4:54 pm
Thu November 21, 2013

Covered California Votes to Keep Original Policy Cancelation Deadline

The Covered California board of directors voted today [Thursday] not to allow health insurers to renew canceled policies that don’t meet new standards under the Affordable Care Act.

The decision comes after President Obama’s recent suggestion that insurers be allowed to decide whether they want to extend the policies for a year.

The exchange’s executive director, Peter Lee, raised concerns about pushing back the cancelations for a few months or up to a year.

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Health Care
6:18 pm
Thu November 14, 2013

Despite Obama's Proposal, California Health Insurers Want to 'Stay the Course'

file photo
Credit Andrew Nixon / Capital Public Radio

California health insurers don’t like President Obama’s proposal to allow people to stay on health plans that don’t meet the standards of the Affordable Care Act next year. But as Health Care Reporter Pauline Bartolone tells us, the state’s Insurance Commissioner supports the President. 

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Health Care
11:25 am
Thu November 14, 2013

California Stands Out In New Obamacare Numbers

Both California and the federal government have released numbers about people applying for health coverage next year. As Health Care Reporter Pauline Bartolone in Sacramento reports, California stands out from the rest of the states.

The federal government’s numbers show more than 35,000 Californians have picked a health plan through the state-run exchange as of November 2nd.

But Peter Lee of Covered California says the total is almost twice that if you count the latest numbers.

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Health Care
8:18 am
Mon November 11, 2013

Health Insurer Says Individual Plans Will Have Fewer Doctors Next Year

file photo
Credit Andrew Nixon / Capital Public Radio

California health insurers say people buying coverage for themselves next year should expect a different set of doctors and hospitals than are available this year. Health Care Reporter Pauline Bartolone has more.

Anthem Blue Cross and Blue Shield of California are the largest issuers of individual health insurance policies in the state. Jeff Smith of Blue Shield said in order to keep its plans affordable next year, it negotiated with doctors and hospitals.

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Health Care
10:23 am
Thu October 31, 2013

California Health Insurers: "Some People Will Pay More, Some People Will Pay Less"

California health insurers say the wave of individual policy cancelations across the country is part of an “evening out” of health care rules under the Affordable Care Act. Pauline Bartolone has more from Sacramento.

At least 350,000 Californians who currently purchase health insurance will have that coverage canceled this year. Health insurers say they have to comply with new rules that guarantee broad coverage. Some will pay more, some will pay less.

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Health Care Reform
4:45 pm
Tue October 8, 2013

Covered California Says More Than 28,000 People Have Joined Exchange

The Covered California health insurance exchange reported today that, during its first week of operation, more than 28,000 people became eligible for coverage. Max Pringle reports from Sacramento.

Covered California says the level of interest so far shows how eager Californians are for affordable health insurance.

“A million people in week one researching and finding out what’s right for them is huge,” says Peter Lee, Director of Covered California. He says early confusion about the level of interest was the result of semantics not accounting errors.

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Health Care Reform
5:08 pm
Tue October 1, 2013

Covered California Chair Dooley Praises "A Commitment to A Culture of Coverage"

California Health and Human Services Secretary Diana Dooley
Credit CHHS Dept

On Tuesday, California launched its version of Obamacare, with the official debut of the state’s insurance exchange Covered California.

Despite the shutdown of the federal government, the exchange is moving ahead, according to California Health and Human Services Secretary Diana Dooley, who spoke to Valley Public Radio Tuesday morning, prior to a launch event at Fresno State. 

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Health
6:22 pm
Wed July 24, 2013

Employer Mandate Delay Means Working Californians Will Find Own Health Care

California Insurance Commissioner Dave Jones (file photo)
Credit California Department of Insurance

California’s Insurance Commissioner says the Obama administration’s decision to delay the employer mandate in the Affordable Care Act means more people will have to buy their own health insurance in a few months. Health Care Reporter Pauline Bartolone has more from Sacramento.

The Department of Insurance says the vast majority of California’s large companies already offer their employees health coverage. But about one and a half million Californians are in companies with 50 or more workers, and no insurance options.  

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Health Care Reform
8:32 pm
Mon July 8, 2013

Two States, Two Styles of Obamacare

The summer is a slow time for many occupations, but not for people working to make fundamental changes to the health care system. Millions of uninsured Americans are expected to buy coverage through new health insurance marketplaces called exchanges. Health Care Reporter Pauline Bartolone  has more about how neighboring states are trying to achieve the same end by different means. 

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Health Care Reform
2:33 pm
Thu June 13, 2013

California Insurance Commissioner Wants Anthem Out of Group Health Exchange

California Insurance Commissioner Dave Jones says Anthem Blue Cross should be left out of the new health insurance marketplace for small businesses next year.

Jones says Anthem’s planned premium rate increase for small employers next month is excessive.

He says the Affordable Care Act requires him to evaluate whether insurers are suitable to participate in the new marketplace.

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Health Care Reform
9:34 am
Tue May 28, 2013

Costs, Coverage Will Shift in California's Individual Health Insurance Market

California’s new health insurance exchange has announced what plans and prices may look like for millions of people who will be buying individual coverage next year. Health Care Reporter Pauline Bartolone has more about what the changes may mean for people already in the market.  

Some people may pay the same rate for a health insurance policy next year. But, Janice Rocco from the California Department of Insurance says many people will see a premium increase, with added benefits and fewer other costs. 

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Health
12:16 pm
Thu February 14, 2013

Health Care Exchange Announces Benefit Plan Choices

Low-income Californians without health insurance or who aren’t eligible for Medi-Cal can now see which benefits they can expect under the federal health care overhaul- and how much their coverage will cost.

Californians eligible for federal subsidies can determine out-of-pocket costs for medications and doctor and hospital visits, as well as maximum annual costs.

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Health Care
10:52 am
Wed January 9, 2013

Insurance Commissioner Says Anthem Rate Increase Unreasonable

Anthem Blue Cross of California is proposing an increase in health insurance rates for small employers. As Amy Quinton reports from Sacramento, the state’s Insurance Commissioner says the increase is unreasonable.

Insurance Commissioner Dave Jones says the rate increase proposed by Anthem Blue Cross would amount to 10.6 percent a year and ultimately affect more than a quarter of a million Californians. But Anthem’s Darrell Ng says it amounts to a 7.5 percent increase and would initially affect 52,000 members.

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Health
8:59 am
Thu September 20, 2012

Millions of Californians May Still Be Uninsured in 2019

Millions of Californians may still be living without health insurance five years after the full implementation of the federal health law. 

A UC Berkeley and UCLA study projects two to three million Californians will have new health coverage by 2019. But co-author Ken Jacobs of the UC Berkeley Labor Center is looking at the other number.

“As many as 3 to 4 million Californians are predicted to remain uninsured.”

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Health Care
6:00 am
Sat September 1, 2012

State Sets Minimum Benefits for Health Plans

Credit Photo used under Creative Commons from Andy Patterson / Modern Relics / http://www.flickr.com/photos/modernrelics/4461010654/

CHCF Center for Health Reporting

SACRAMENTO – Californians now have a clearer picture of what health insurance will look like when major provisions of the federal health care law debut in 2014.

Acupuncture to treat pain and nausea will be covered, for example, as will tobacco cessation and vision screening.

But the jury’s still out on chiropractic care.

State lawmakers this week sent two bills to the governor that identify the services health insurance plans must cover starting in 2014 for individuals and small businesses.

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Government & Politics
6:10 pm
Mon August 27, 2012

California Workers Comp Bill Blasted By Disabled and Attorneys

California disabled workers and their attorneys are angered by a new workers’ compensation bill circulating through the Capitol. As Amy Quinton reports from Sacramento, the groups argue it harms severely injured workers the most.

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Health
3:04 pm
Thu August 2, 2012

Health Insurance Premium Rebates Headed to Californians

Nearly two million Californians should receive a health insurance premium rebate this week. As Amy Quinton reports from Sacramento, the rebates are the result of the federal Affordable Care Act.

The federal law requires health insurers to spend at least 80 percent of their premium money on actual health costs, rather than marketing and other non-medical expenses. Insurers who don’t meet that percentage are required to issue refunds. California Insurance Commissioner Dave Jones says premium rebates total about $74 million, or about $65 per family.

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