California HealthCare Foundation – Supporting ideas and innovations to improve health care for all Californians.

Provider Rates

Sort Results By

California's 2010 Medicaid Waiver Stakeholder Process: Impact and Lessons Learned

November 2011

State health officials and foundations came together to help shape California's Medicaid waiver request. How effective was the process and what were the lessons learned?

Briefing — Physician Participation in Medi-Cal, 2008

March 26, 2010

This policy briefing presented survey data on physician participation in Medi-Cal and examined the differences in Medi-Cal physician participation across specialties and geographic regions. Presentation slides and a related report are available for download.

Financing Medi-Cal's Future: The Growing Role of Health Care-Related Provider Fees and Taxes

November 2009

This issue brief reviews federal requirements for health care-related provider fees and taxes, and examines California's experience with provider fees under Medi-Cal.

Medicaid Payment Rate Lawsuits: Evolving Court Views Mean Uncertain Future for Medi-Cal

October 2009

This issue brief explores the evolution of Medicaid provider payment rate lawsuits and the lessons they provide for the future of Medi-Cal rate setting, as well as their implications for the direction of equal access litigation.

Reforming Physician Payments: Lessons from California

September 2009

This issue brief reviews California's experience with capitation payments and explores the implications for policymakers seeking to ensure affordability and quality as they pursue health care reform on a national scale.

Medi-Cal Physician and Dentist Fees: A Comparison to Other Medicaid Programs and Medicare

April 2009

For many years, Medi-Cal fees for physician services, on average, have been near the bottom nationally among Medicaid programs, and well below the rates paid by Medicare. This research revisits the issue and looks anew at dental services.

Unexpected Charges: What States Are Doing about Balance Billing

April 2009

This paper examines the phenomenon of providers billing managed care patients for unreimbursed charges. It describes how states have responded and offers guidance for policymakers considering balance billing regulation in California and elsewhere.