California Health Care Risk Arrangements

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Changes to California’s Knox-Keene Act Potentially …

(1 days ago) WEBOn July 1, a new regulation from California’s Department of Managed Health Care (DMHC) will go into effect, and will require health care providers that engage in global risk arrangements to apply for a license or exemption from the DHMC.. What …

https://www.foley.com/insights/publications/2019/06/californias-knox-keene-act-health-care-providers/

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Overview of Risk-Sharing Arrangements - California …

(7 days ago) WEBA "risk-shifting arrangement" is defined as a contractual arrangement between an organization and a plan under which the plan pays the organization on a fixed, periodic …

https://www.dmhc.ca.gov/Portals/0/AbouttheDMHC/FSSB/Meetings/a020129_info.pdf

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California’s Health Care Decisions Law Frequently …

(3 days ago) WEBThis fact sheet is an overview of some of the key elements of California’s Health Care Decisions Law of 2000, including amendments effective January 1, 2022, and …

https://www.coalitionccc.org/common/Uploaded%20files/PDFs/CA_Health_Care_Decisions_Law_FAQs_10.2023.pdf

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CA Clarifies Global Risk Regulation under Knox Keene Act

(8 days ago) WEBAfter a protracted comment period, the California Department of Managed Health Care (the “Department”) formally adopted its much anticipated “global risk” …

https://www.natlawreview.com/article/new-regulation-clarifies-dmhc-s-position-regarding-knox-keene-licensing

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APL 21-024 - Risk-Bearing Arrangement Disclosures

(3 days ago) WEBContact the DMHC Help Center at 1-888-466-2219 or www.HealthHelp.ca.gov. APL 21-024 (OFR) Risk-Bearing Arrangement Disclosures …

https://dmhc.ca.gov/Portals/0/Docs/OPL/APL%2021-024%20-%20Risk-Bearing%20Arrangement%20Disclosures%20(11_17_2021).pdf?ver=2021-11-17-094626-560

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Medi-Cal Explained FACT SHEET - California Health …

(2 days ago) WEBThese payment reforms are known as alternative payment models (APMs) and are defined as a pro-vider payment method that uses financial incen-tives for the …

https://www.chcf.org/wp-content/uploads/2022/05/MediCalExplainedAlternativePaymentModels.pdf

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At Least 1.7M Americans Use Health Sharing Arrangements, …

(3 days ago) WEBDirect primary care plans are payment arrangements between patients and providers for receiving health services without billing insurance. The plan had an …

https://californiahealthline.org/news/article/health-sharing-arrangements-ministries-protections-risks/

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California’s Physician Practice Landscape: - California …

(5 days ago) WEBIn 2020, 33.6% of physicians prac-ticed in a group of fewer than five physicians, 20.0% in a group of 5 to 10, 11.5% in a group of 11 to 24, 7.8% in a group of 25 to 49, and 17.2% in …

https://www.chcf.org/wp-content/uploads/2022/02/CAPhysicianPracticeLandscapeRapidlyChanging.pdf

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California Regulator Will Require Providers in Risk Arrangements …

(4 days ago) WEBCalifornia’s Department of Managed Health Care, which licenses and regulates HMOs and certain PPOs in California, is promulgating a new regulation that …

https://www.jdsupra.com/legalnews/california-regulator-will-require-22856/

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Bearing Entities Conor Clarkson Conor.Clarkson@wakely

(5 days ago) WEBCalifornia Raises the Bar for Risk-Bearing Entities. The Knox-Keene Health Care Service Plan Act of 1975 (the “Knox-Keene Act”) is the set of laws or statutes passed by the …

https://www.wakely.com/sites/default/files/files/content/californiaraisesthebarforriskbearingentities.pdf

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Issue Brief: California State Benefit Mandates and the …

(1 days ago) WEBthe Knox-Keene Health Care Service Plan Act of 1975 that requires coverage of medically necessary basic health care services. Therefore, medically necessary basic health …

https://www.chbrp.org/sites/default/files/EHB%20Brief%202022%20final%20011322.pdf

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CIN Lexicon: Fundamental Concepts for Managing Risk and …

(Just Now) WEBFundamental Concepts for Managing Risk and Understanding the Total Cost of Care. This resource is designed to serve as a primer for anyone interested in gaining a better …

https://www.chcf.org/wp-content/uploads/2019/04/CINLexiconFundamentalConceptsManagingRiskUnderstandingCost.pdf

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California Poised to Grant Attorney General Broad Approval

(9 days ago) WEBThe Health Care Consolidation and Contracting Fairness Act of 2022 is poised to significantly alter California’s regulatory landscape by granting the Attorney …

https://www.debevoise.com/insights/publications/2022/06/california-poised-to-grant-attorney-general

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Shared Financial Risk Lowered Healthcare Costs for CA Residents

(1 days ago) WEBPatients who received care from risk-sharing providers paid $246 per year in out-of-pocket healthcare costs, while patients whose providers did not share financial …

https://revcycleintelligence.com/news/shared-financial-risk-lowered-healthcare-costs-for-ca-residents

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California’s Coverage Expansion: Fiscal And Political Risks Health

(6 days ago) WEBPerhaps 80 percent of Medi-Cal’s total enrollment is paid for through capitated arrangements. California’s growing Medicare Advantage population has also …

https://www.healthaffairs.org/content/forefront/california-s-coverage-expansion-fiscal-and-political-risks

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California Health Care Transaction Reporting Regulations Update

(Just Now) WEBPosted in Healthcare Regulatory. On November 28, 2023, the California Office of Health Care Affordability (“OHCA”) submitted proposed emergency regulations …

https://www.healthcarelawinsights.com/2023/12/california-health-care-transaction-reporting-regulations-update/

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Encounter Data: Issues and Implications for California’s …

(4 days ago) WEBhigh-quality health care. As health care spending continues to grow at a faster rate than the overall economy, interest is increasing in payment reforms that put providers at fi …

https://www.iha.org/wp-content/uploads/2020/10/Encounter-Data-Issue-Brief-Issues-and-Implications-for-Californias-Capitated-Delegated-Market.pdf

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Healthcare under the Delegated Risk Model in California: Lower …

(5 days ago) WEBCalifornians are not exempt from this trend, also paying increasingly high costs for their healthcare. According to the 2013 Berkeley Forum report, employer …

https://www.milliman.com/en/insight/healthcare-under-the-delegated-risk-model-in-california-lower-cost-high-quality

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Revised California Regulations for Reporting Health Care …

(6 days ago) WEBIn July of this year, the California Office of Health Care Affordability (“OHCA”) released draft regulations requiring the advance reporting of certain …

https://www.healthcarelawinsights.com/2023/10/revised-california-regulations-for-reporting-health-care-transactions/

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California OHCA Releases Health Cost Cap - National Law Review

(9 days ago) WEBOn April 24, 2024, OHCA’s board (the “Board”) voted to implement its long anticipated statewide health care cost target, beginning with a 3.5% cap on spending …

https://www.natlawreview.com/article/california-capping-health-care-cost-increases-starting-35-2025

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Issue Brief: Without Legislative Reform, Access to Health Care is at …

(6 days ago) WEBUnder current law, hospital buildings that do not meet the state’s 2030 seismic standards by Jan. 1, 2030, will be forced to close and patient care will cease in those buildings.. …

https://calhospital.org/issue-brief-without-legislative-reform-access-to-health-care-is-at-risk/

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Health care Governor of California - California Governor

(Just Now) WEBRadical politicians are assaulting women’s health care with dangerous and deadly consequences. But California is protecting women. Governor Newsom has …

https://www.gov.ca.gov/priorities-and-progress/priorities/health-care/

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CHCF Regional Market Report: Los Angeles - California Health …

(7 days ago) WEBCalifornia Health Care Foundation www.chcf.org Medi-Cal Managed Care and Covered California LA County has ~30% of the state’s Medi-Cal enrollment. • 3.8 million in 2019, …

https://www.chcf.org/wp-content/uploads/2021/01/WebinarRegionalMarketLosAngeles01292021Slides.pdf

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California Adults With Adverse Childhood Experiences (ACEs) Are …

(5 days ago) WEBSummary: This policy brief uses data from the 2022 California Health Interview Survey to analyze the distribution of adverse childhood experiences (ACEs) …

https://healthpolicy.ucla.edu/our-work/publications/adult-adverse-childhood-experiences-policy-brief-2024

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Pharmacists help treat serious mental health disorders

(5 days ago) WEBKaiser Permanente in Northern California created an innovative program that adds a psychiatric clinical pharmacist to the patient’s care team. New research has …

https://lookinside.kaiserpermanente.org/pharmacists-help-treat-serious-mental-health-disorders/

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California budget deficit: Newsom proposes spending cuts

(6 days ago) WEBGov. Newsom proposes a mix of spending cuts, program delays and using reserves to close the California budget deficit. Get updates on this and more stories; …

https://calmatters.org/politics/2024/05/california-budget-deficit-newsom-may-proposal/

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About Botulism Botulism CDC - Centers for Disease Control and

(5 days ago) WEBBotulism ("BOT-choo-liz-um") is a rare but serious illness caused by a toxin that attacks the body's nerves. Botulism causes difficulty breathing, muscle paralysis, …

https://www.cdc.gov/botulism/about/index.html

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From August 1, 2024, Onward: What Your Dog Needs to Enter the …

(Just Now) WEBReceive copy of Certification of Dog Arriving from DMRVV-free or Low-Risk Country into the United States (or other CDC-approved documentation) from the …

https://www.cdc.gov/importation/bringing-an-animal-into-the-united-states/dogs-entering-us-after-august-1.html

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