California County Organized Health System News

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California’s County-Based Health Plans — 2024 Edition

(4 days ago) WebThe overall margins for county-based health plans were 2.6% and 2.7% in 2021 and 2022, more than twice the margins between 2018 and 2020. Margin …

https://www.chcf.org/publication/californias-county-based-health-plans-2024-edition/

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MEDI-CAL MANAGED CARE PLANS BY COUNTY (AS OF 2023 …

(1 days ago) WebThe following table lists Medi-Cal managed care plansi (MCPs) by county, as of January 1, 2023, and as they will be effective January 1, 2024. The changes are the result of an …

https://www.dhcs.ca.gov/CalAIM/Documents/MCP-County-Table-2023-2024.pdf

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CALIFORNIA CONTINUES MEDI -CAL TRANSFORMATION …

(1 days ago) Webstate to implement county-based model changes in its Medi-Cal managed care program and effectuate County Organized Health Systems (COHS) and Single …

https://www.dhcs.ca.gov/formsandpubs/publications/oc/Documents/2023/23-47-MCP-Transition-11-15-23.pdf

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Department of Justice reaches civil settlement with - News …

(9 days ago) WebA county-organized health system (COHS) working with Medi-Cal enrollees in Santa Barbara and San Luis Obispo counties as well as three Central Coast health …

https://keyt.com/health/2023/07/11/department-of-justice-reaches-civil-settlement-with-three-central-coast-health-care-providers/

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Central District of California Three Central Coast Health Care

(1 days ago) WebUnder contracts with California’s Department of Health Care Services (DHCS), if a California county organized health system (COHS) did not spend at least …

https://www.justice.gov/usao-cdca/pr/three-central-coast-health-care-providers-agree-pay-225-million-alleged-false-claims

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California County Organized Health System and Three Health Care

(8 days ago) WebVentura County Medi-Cal Managed Care Commission doing business as Gold Coast Health Plan (Gold Coast), a county organized health system (COHS) that …

https://www.justice.gov/opa/pr/california-county-organized-health-system-and-three-health-care-providers-agree-pay-707

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Medi-Cal Managed Care: An Overview and Key Issues - KFF

(6 days ago) WebKFF Headquarters: 185 Berry St., Suite 2000, San Francisco, CA 94107 Phone 650-854-9400 Washington Offices and Barbara Jordan Conference Center: 1330 …

https://www.kff.org/report-section/medi-cal-managed-care-an-overview-and-key-issues-issue-brief/

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CalOptima Among Top Medi-Cal Plans in California

(3 days ago) WebA county organized health system, CalOptima provides publicly funded health care coverage for low-income children, adults, seniors and people with disabilities in Orange …

https://www.caloptima.ca.gov/en/About/PressAndMedia-PressReleases/PressRelease-NCQARating2021

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California County Organized Health System and Three Health Care

(7 days ago) WebSanta Barbara San Luis Obispo Regional Health Authority, dba CenCal Health (CenCal), a county organized health system (COHS) that contracts to arrange …

https://www.justice.gov/opa/pr/california-county-organized-health-system-and-three-health-care-providers-agree-pay-68

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Cottage, Sansum, CenCal, and Others to Pay Millions in Settlement …

(9 days ago) WebBordas alleged in his initial complaint that CenCal — the county organized health system that arranges services for Medi-Cal enrollees in Santa Barbara and San …

https://www.independent.com/2023/07/05/cottage-sansum-cencal-and-others-to-pay-millions-in-settlement-over-false-medi-cal-claims/

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Medi-Cal Managed Care: An Overview and Key Issues - KFF

(3 days ago) WebCal populations and public hospital systems critical to the safety-net; they include nine of California’s 12 public hospital health system counties6. Local Initiative plans enjoy …

https://files.kff.org/attachment/issue-brief-medi-cal-managed-care-an-overview-and-key-issues

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Medi-Cal Delivery System Changes in 2023 and 2024

(8 days ago) WebCalifornia is making major changes to the delivery of Medi-Cal services over the next two years. NHeLP has created a fact sheet briefly outlining some of these upcoming changes …

https://healthconsumer.org/your_rights/resource-medi-cal-delivery-system-changes-in-2023-and-2024/

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CA Healthcare Organizations Settle False Claims Act Violations

(Just Now) WebAugust 25, 2022 - A California county organized health system and three healthcare providers have reached a $70.7 million settlement to resolve allegations that they …

https://revcycleintelligence.com/news/ca-healthcare-organizations-settle-false-claims-act-violations

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U.S., California reap $70.7 million in Medicaid fraud settlements

(6 days ago) WebA county-managed health plan and three health care providers in Ventura County, California, have agreed to pay a total of $70.7 million to the state and the …

https://www.reuters.com/legal/government/us-california-reap-707-mln-medicaid-fraud-settlements-2022-08-19/

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2019 Edition — California’s County-Based Health Plans

(4 days ago) WebHealth Plan Details. Two policy changes fueled rapid enrollment growth in county-based plans through 2015. First, California expanded Medi-Cal managed care …

https://www.chcf.org/publication/2019-edition-californias-county-based-health-plans/

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MCP: County Organized Health System (COHS) (mcp cohs)

(2 days ago) WebPage updated: December 2023. ‹‹County Organized Health System (COHS) refers to a Medi-Cal health plan that is run by a country government entity and is the sole Medi-Cal …

https://mcweb.apps.prd.cammis.medi-cal.ca.gov/file/manual?fn=mcpcohs.pdf

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Central Coast healthcare providers settle Medi-Cal fraud case San

(2 days ago) WebThe county-organized health system that manages Medi-Cal enrollees in Santa Barbara and San Luis Obispo counties and three Central Coast healthcare …

https://www.sanluisobispo.com/news/local/article276880603.html

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Medi-Cal Managed Care Capitation Rates – County Organized …

(4 days ago) WebThis dataset displays reimbursement rates paid to Medi-Cal Managed Care health plans in the COHS model, by State Fiscal Year. The COHS serve beneficiaries in 22 counties. In …

https://data.chhs.ca.gov/dataset/medi-cal-managed-care-capitation-rates-county-organized-health-systems-cohs-model

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California County Organized Health System And Three Health Care

(3 days ago) WebSanta Barbara San Luis Obispo Regional Health Authority, dba CenCal Health (CenCal), a county organized health system (COHS) that contracts to arrange …

https://oig.hhs.gov/fraud/enforcement/california-county-organized-health-system-and-three-health-care-providers-agree-to-pay-68-million-for-alleged-false-claims-to-californias-medicaid-program/

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New California rule tries to hold down health care costs. How it …

(8 days ago) Web“Adopting a 3% health care spending growth target, which most physician practices and health care entities will be unable to meet, will negatively impact access to …

https://www.desertsun.com/story/news/nation/california/2024/04/29/new-california-rule-tries-to-hold-down-health-care-costs-how-it-works/73500724007/

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California False Claims Act Whistleblower Receives $12 Million

(9 days ago) WebOn June 29, the Department of Justice announced that three California healthcare providers and a county organized health system (COHS) agreed to pay …

https://whistleblowersblog.org/false-claims-qui-tam-news/california-false-claims-act-whistleblower-receives-12-million/

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ICYMI: Newsom Administration Votes to Rein in Increasing Health …

(8 days ago) WebRecent News. ICYMI: Newsom Administration Votes to Rein in Increasing Health Care Costs; Governor Newsom Honors Fallen Los Angeles County Sheriff’s …

https://www.gov.ca.gov/2024/04/29/icymi-newsom-administration-votes-to-rein-in-increasing-health-care-costs/

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California County Organized Health System and Three Health Care

(4 days ago) WebVentura County Medi-Cal Managed Care Commission doing business as Gold Coast Health Plan (Gold Coast), a county organized health system (COHS) that contracts to …

https://oig.hhs.gov/fraud/enforcement/california-county-organized-health-system-and-three-health-care-providers-agree-to-pay-707-million-for-alleged-false-claims-to-californias-medicaid-program/

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New California rule aims to limit health care cost increases - CBS …

(1 days ago) WebWednesday's vote was the state's first foray into tackling health care spending in California, which reached $405 billion in 2020, or $10,299 per person — the 22nd …

https://www.cbsnews.com/sacramento/news/new-california-rule-aims-to-limit-health-care-cost-increases/

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California talks universal health care … again - POLITICO

(4 days ago) WebThe Assembly Committee on Health holds its first hearing this afternoon on Bill 2200, which would establish a framework for a single-payer, state-run coverage …

https://www.politico.com/newsletters/california-playbook-pm/2024/04/23/california-talks-universal-health-care-again-00153962

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A Small Campus in the Redwoods Has the Nation’s Most …

(8 days ago) WebPro-Palestinian protesters have occupied the administration building at California State Polytechnic University, Humboldt, for the past week and forced a …

https://www.nytimes.com/2024/04/29/us/humboldt-protest-cal-poly.html

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Kaiser Permanente may have sent private patient data to Google

(1 days ago) WebOakland-based health plan Kaiser Permanente said its websites and apps may have inappropriately sent members’ private information to tech giants including Alphabet …

https://www.ocregister.com/2024/04/26/kaiser-health-system-sent-private-patient-data-to-google-microsoft-and-x/

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Is there a downside to mandatory reporting laws meant to protect

(Just Now) Web: Shots - Health News Colorado is looking at ways to weed out false reporting of child abuse and neglect as the number of reports reaches a record high. New York …

https://www.npr.org/sections/health-shots/2024/04/25/1247021109/states-find-a-downside-to-mandatory-reporting-laws-meant-to-protect-children

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