Reimbursement
California doctors have long decried California's Medi-Cal rates, which are lower than those of Medicaid programs in 45 other states, D.C.
Lack of transparency, lag time in pharmacy being notified of fees create unnecessary burden on pharmacy operations, orgs say.
A top-performing practice could theoretically earn up to a 25 percent payment adjustment in the 2018 performance year, experts say.
Community Oncology Alliance wrote scathing letter to MedPAC saying the recommendations would further cut reimbursements, fuel practice acquisitions.
Faculty members at the teaching hospital have also taken pay cuts in response to the loss of funding, UMMC says.
Uncertainty in how to pay for programs poses barrier as services provided by home-based palliative care don't fit usual payment model.
Policy has proven to be double-edged sword for ACA's online health exchanges, funneled young, healthy customers away from overall "risk pools."
It will likely also induce insurers to offer much skimpier plans, potentially excluding the gravely ill, putting consumers at greater financial risk.
It turns out many healthcare providers expected, or hoped, that the initiative would be delayed. It's still coming and they need to prepare now.
Nationally, biggest chunk of Medicaid beneficiaries-13.5 million-live in California; state could lose $24 billion in federal funding annually.