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NYCU November 26, 2024

  TUESDAY, NOVEMBER 26, 2024 PHYSICIANS: As we enter Thanksgiving Week and the official beginning of the Holiday Season, California’s patients and physicians have — for the first time in a while — much to be thankful for and celebrate. The landslide passage of Proposition 35 will help so many Californians have increased access to health care. But even then there will still be too many who need health care who fall between the cracks. That is why the San Diego County Medical Society formed its non–profit, Champions for Health. Champions has provided ...

NYCU October 2, 2024

  WEDNESDAY, OCTOBER 2, 2024 PHYSICIANS: I’m pleased to report that California Medical Association is wrapping up another successful legislative session in Sacramento advocating for California’s physicians and patients. The Governor has signed into law several important pieces of legislation strongly supported by CMA. The bills cited below were part of CMA’s ‘Priority Bills Package’ for the legislature. He signed Assembly Bill 977 authored by Assemblymember Freddie Rodriguez, a bill sponsored by CMA to protect health care workers while at work in emergency departments. Previously, assaults against health care workers inside an ...

NYCU August 6, 2024

  TUESDAY, AUGUST 6, 2024 PHYSICIANS: The 4th Edition of Physician Guidelines created by San Diego County Alzheimer’s Project Clinical Roundtable is now available for download at ChampionsforHealth.org/Alzheimers. The website also includes links to the updated free CME training modules on screening, evaluation, care planning and management, and behavioral management of dementia. Providers seeing Medi–Cal only patients may be interested in receiving the Dementia Care Aware one–hour training needed to be eligible for billing. All training and materials are available without charge. PROPOSITION 35 WILL ADDRESS OUR MOST URGENT HEALTH CARE PRIORITIES & HOW ...

NCYU July 7, 2024

  TUESDAY, JULY 9, 2024 PHYSICIANS: On January 1, 2024, the first phase of Medi–Cal provider rate increases took effect as a result of the 2023–24 budget deal. But, because implementing the rate increases required system and contract updates, health plans had been given additional time to start making the payments. On June 20, 2024, California Department of Health Care Services (DHCS) issued guidance in All Plan Letter 24–007 to Medi–Cal managed care plans on implementation of the 2024 Medi–Cal Targeted Rate Increase Fee Schedule and the retroactive payments for claims with dates ...

NYCU June 25, 2024

  TUESDAY, JUNE 25, 2024 PHYSICIANS: Let me draw your attention to an excellent article on the stakes and latest developments related to the need to significantly increase Medi–Cal funding and the California Medical Association–led ‘Protect Access to Care’ Initiative which has now officially qualified for the November ballot. This initiative is of tremendous importance and will be the top advocacy priority of CMA and San Diego County Medical Society for this year. SAN DIEGANS ELECTED TO KEY OFFICES AT AMA CONFERENCE IN CHICAGO   Six California physicians were elected to American Medical Association [AMA] leadership ...

NYCU March 19, 2024

  TUESDAY, MARCH 19, 2024 PHYSICIANS: On February 21, 2024, Change Healthcare, a subsidiary of the UnitedHealth Group (UHG) Optum unit, experienced a cyber–attack that resulted in nationwide outages affecting payors, physician practices and other providers and pharmacies. The outage has caused interruption of numerous administrative and billing processes, including electronic claims submission, provider payments, pharmacies, prior authorizations, payor chart retrieval, etc. California Medical Association has prepared a grid that lists a summary of known impacts, workarounds and guidance from payors. This resource document is available free to members. We will provide updates ...