February 7, 2022
Payers
  • California has negotiated a deal that allows Kaiser Permanente to limit enrollment primarily to its previous enrollees, except in the case of foster kids and people who are eligible for both Medicare and Medi-Cal. Executives of other managed-care insurance plans in Medi-Cal say the deal leaves them with a disproportionate share of the program’s sickest and costliest patients, which could cost them hundreds of thousands of patients and millions of dollars a year. The deal could also complicate a long-planned and expensive transformation of Medi-Cal. (Article here)