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When Kaiser Permanente began implementing California’s Medi-Cal Doula benefit, much of the work involved familiar implementation challenges. There were contracts to develop, billing processes to navigate, operational workflows to establish, and a new provider group to integrate. But as the work unfolded, it became clear that contracts and workflows were only part of the probl...


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Illustration: Paula Ginsborg

Since I began working in health care advocacy more than a decade ago, one demographic group has stood out as uniquely vulnerable to system complexities and gaps in care: People who qualify for both Medicare and Medi-Cal, California’s Medicaid program. These “dually eligible enrollees” include people ages 65 or older wi...


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Editor’s note: The names of undocumented immigrants in this article have been changed to protect their identities.

José, a 46-year-old undocumented immigrant from Mexico, had been seeing a doctor regularly since enrolling in Medi-Cal four years ago. The coverage provided checkups, dental visits, and a measure of stability he hadn’t had before. Now that ...


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Illustration: Paula Ginsborg

We have witnessed a dramatic change in the perception and acceptance of artificial intelligence in health care.

Three years ago, when ChatGPT launched and I was a cabinet secretary advising California Gov. Gavin Newsom on new technologies, conversations about regulating AI centered not only on its possibiliti...


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Photo: California State Legislature

Katie Heidorn, CHCF’s state health policy director, testified on Aug. 5 to the California Assembly Budget Subcommittee No. 7 on Accountability an...


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