State Intelligence — California
Signals referencing this state across all sources.
21 signals
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Centene’s Health Net to exit commercial group market in California, Oregon
Centene subsidiary Health Net is pulling out of the commercial employer group market in California and Oregon, the company confirmed to Becker’s. “Health Net has made the decision to exit the traditional commercial group business in California and Oregon in order to focus on government sponsored healthcare,” a spokesperson for the insurer said in a […] The post Centene’s Health Net to exit commercial group market in California, Oregon appeared first on Becker's Payer Issues | Payer News .
Centene · 11 signals · last 30 days -
Blue Shield of California names COO
Frank Caporusso will serve as COO of Blue Shield of California, effective Sept. 1. According to an Aug. 27 news release, the company reconfigured its COO role. Mr. Caporusso will lead enterprise-wide operations, collaborate with the executive leadership team on Blue Shield’s strategy and focus on the member and provider experience. He has been with […] The post Blue Shield of California names COO appeared first on Becker's Payer Issues | Payer News .
Blue Shield CaliforniaBlue Cross Blue Shield plans · 20 signals · last 30 days -
Cigna named in addiction treatment providers’ lawsuit claiming $12.8M underpayment
Ten California addiction providers filed a lawsuit against Cigna on Aug. 19, claiming the insurer shortchanged them by $12.8 million. The lawsuit spans March 1, 2022, through March 15, 2026. Before 2015, Cigna would pay billed charges in full or at a “reasonable and customary” rate but eventually changed that policy, according to the complaint, […] The post Cigna named in addiction treatment providers’ lawsuit claiming $12.8M underpayment appeared first on Becker's Payer Issues | Payer News .
Cigna CaliforniaCigna · 10 signals · last 30 days -
Mental health workers say algorithmic triage is hurting patients
When Kaiser Permanente triage clinician Harimandir Khalsa began working in the psychiatry department at Kaiser’s Walnut Creek Medical Center in Northern California, she was on a team of nine people. Today, just over three years later, she is one of only three triage clinicians left. Some of the work once handled by employees has shifted […]
Kaiser CaliforniaKaiser Permanente · 5 signals · last 30 days -
Listening to the Frontlines: Kaiser Permanente’s Lessons on Integrating Doulas for Medi-Cal
Kaiser Permanente's experience with California's doula benefit reveals the importance of listening to the people closest to the work. The post Listening to the Frontlines: Kaiser Permanente’s Lessons on Integrating Doulas for Medi-Cal appeared first on California Health Care Foundation .
Kaiser CaliforniaKaiser Permanente · 5 signals · last 30 days -
Alignment looks to dismiss whistleblower complaint from former executive
Alignment Healthcare is asking a federal court to throw out a whistleblower lawsuit brought by a former executive who alleged retaliation from company leadership after reporting concerns over its accounting practices. The Medicare Advantage insurer filed its motion to dismiss Aug. 18 in the U.S. District Court for the Central District of California, targeting claims […] The post Alignment looks to dismiss whistleblower complaint from former executive appeared first on Becker's Payer Issues |...
Alignment Healthcare CaliforniaAlignment Healthcare · 2 signals · last 30 days -
Centene’s Health Net to end assisted living transition service for Medi-Cal members
Centene’s Health Net is rolling back an assisted living transition service for Medi-Cal members, a health plan spokesperson confirmed to Becker’s on Aug. 18. Through the California Advancing and Innovating Medi-Cal initiative — a multiyear transformation plan for the state’s Medicaid program — Community Supports are optional services to address health-related social needs. For example, […] The post Centene’s Health Net to end assisted living transition service for Medi-Cal members appeared fi...
Centene CaliforniaCentene · 11 signals · last 30 days -
Medi-Cal plans brace for ‘devastating’ asset limit crunch
California’s Medicaid program, Medi-Cal, is slashing asset limits 84% in July 2027. As a result, Medi-Cal members risk losing eligibility — and insurers are feeling the pressure. In 2022, California lifted the asset limit from $2,000 to $130,000 for individuals. CMS eventually approved a state proposal to drop the asset test, but California resurfaced the […] The post Medi-Cal plans brace for ‘devastating’ asset limit crunch appeared first on Becker's Payer Issues | Payer News .
Policy / Regulatory Changes · 67 signals · last 30 days -
Kaiser Foundation Health Plan, Inc. v. National Union Fire Insurance Company of Pittsburgh, PA
Case 3:26-cv-01490-EMC Document 127 Filed 08/14/26 Page 1 of 17 1 2 3 4 UNITED STATES DISTRICT COURT 5 NORTHERN DISTRICT OF CALIFORNIA 6 Original document
Kaiser CaliforniaKaiser Permanente · 5 signals · last 30 days -
Blue Shield of California names health AI exec to board
Kedar Mate, MD, is joining Blue Shield of California’s board of directors, according to an Aug. 10 news release. Dr. Mate is currently chief medical officer of Qualified Health AI, an enterprise AI platform he founded for health systems. Previously, he was president and CEO of the Institute for Healthcare Improvement, a healthcare quality and […] The post Blue Shield of California names health AI exec to board appeared first on Becker's Payer Issues | Payer News .
Blue Shield CaliforniaBlue Cross Blue Shield plans · 20 signals · last 30 days -
22 states sue to block 2027 ACA marketplace rule
A coalition of 22 states are suing to block key pieces of CMS’ 2027 ACA marketplace rule, arguing the changes will push consumers into “barebones” coverage and revive provisions a federal court previously struck down. The complaint, filed July 31 in the U.S. District Court for the Northern District of California, is being co-led by […] The post 22 states sue to block 2027 ACA marketplace rule appeared first on Becker's Payer Issues | Payer News .
Policy / Regulatory Changes · 67 signals · last 30 days -
Hospitals promise AI partnership. Nurses want it in writing
Nurses in New York and California have secured multiyear labor contracts with provisions ensuring they have a say in how AI is deployed.
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Blue Shield of California sister company debuts AI copilot for health plan customer service reps
Stellarus, a healthcare technology company born out of a Blue Shield of California restructuring, is rolling out its AI-powered Customer Service Representative Chat for health plan customer service representatives. According to a July 30 news release, CSR Chat is Stellarus’ first commercially available product within its Compass suite, an AI-driven engagement platform for health plans. […] The post Blue Shield of California sister company debuts AI copilot for health plan customer service rep...
Blue Shield CaliforniaBlue Cross Blue Shield plans · 20 signals · last 30 days -
FTC sues Hims & Hers over data privacy, billing practices
The Federal Trade Commission, along with Utah and California authorities, sued telehealth company Hims & Hers, alleging it misled consumers about privacy, billing and subscription practices.
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Weaponizing Fraud Against Medicaid in California and Minnesota: Another Quarter, Another Round of Deferrals
At a July 21 press conference, CMS Administrator Mehmet Oz announced that his agency was deferring payment of $1.1 billion in federal Medicaid matching funds to California and Minnesota “pending review of high-risk claims in crackdown on fraud.” The amount of the California deferral was $867.5 million; the Minnesota deferral, $199.0 million. CMS has previously taken […]
Policy / Regulatory Changes · 67 signals · last 30 days -
Telehealth firms urge FDA to legalize peptides, with guardrails
Hims & Hers, which owns a peptide manufacturing facility in California, has said it plans to offer peptides if U.S. regulators legalize them.
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Trump administration says it’s deferring $1B in Medicaid payments to California and Minnesota
The Trump administration said it was deferring more than $1 billion in Medicaid payments to Minnesota and California because of “suspected fraud and noncompliance.”
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Trump admin pausing over $1B in Medicaid payments to California, Minnesota
The funding freezes are due to “suspected fraud and noncompliance,” U.S. Health and Human Services (HHS) Secretary Robert F. Kennedy Jr. said in a Tuesday press conference.
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CMS withholds $1B in Medicaid payments from California, Minnesota
The government is pausing the payments due to what federal officials called "suspected fraud and noncompliance."
Policy / Regulatory Changes · 67 signals · last 30 days -
HHS defers $1B+ in Medicaid funds to Minnesota, California
HHS and CMS are deferring more than $1 billion in federal Medicaid funds to Minnesota and California, agency officials confirmed July 21. The agencies said they are deferring approximately $867.5 million in payments to California and $199 million to Minnesota after financial reviews flagged claims that require additional assessment before the release of matching funds. […] The post HHS defers $1B+ in Medicaid funds to Minnesota, California appeared first on Becker's Payer Issues | Payer News .
Policy / Regulatory Changes · 67 signals · last 30 days -
Centene wins dismissal of employee retirement plan lawsuit
A federal judge has dismissed a proposed class action lawsuit that accused Centene of mismanaging its employees’ 401(k) retirement plan, ruling the former employee who brought the case did not adequately show she was harmed. In its July 16 decision, the U.S. District Court for the Northern District of California gave the former employee until […] The post Centene wins dismissal of employee retirement plan lawsuit appeared first on Becker's Payer Issues | Payer News .
Centene CaliforniaCentene · 11 signals · last 30 days