Articles for category Health Care
Sacramento, CA - OptumRX has finally released critical pieces of information in regards to the cost of prescription drugs. This comes on the heels of CSR pushing for this critical data to be shared with the public during the open enrollment process. Many members were concerned they did not have the full story when choosing a provider.
Health Plan Open Enrollment for CalPERS members is Sept. 12- Oct. 7. Most members who are satisfied with their current plan need do nothing to remain in the same plan. The exception is Blue Cross Net Value members. That plan is being discontinued.
If members on that plan do nothing, they will automatically be transitioned to Blue Shield Access Plus, starting Jan. 1, 2017. Or they may choose another health plan during this Open Enrollment period.
The California State Retirees Health Benefits Committee is calling for CalPERS to extend open enrollment for retirees this year because changes in Medicare health plan offerings were not adequately explained in time for members to make informed decisions by the Oct. 9 enrollment deadline.
CalPERS mailed out Health Plan Statements in August to help members review the increases or decreases in their providers’ 2016 rates and determine whether they want to make changes.
The biggest change for many state retirees in 2016 will be the new Medicare Advantage Plan, which was adopted by the CalPERS Board of Administration in an effort to improve member health and wellness, while lowering the costs of member health care.
More than 200 people participated in a webinar with CalPERS and UnitedHealthcare officials Aug. 19 in an effort to answer many of the questions surrounding the UnitedHealthcare Medicare Advantage PPO plan, which becomes the single provider of health services for four of the CalPERS Medicare Advantage plans in 2016.
The plans that will no longer be available to CalPERS Medicare members are Blueshield, Anthem HMO, Health Net and Sharp.
Gov. Jerry Brown’s administration has reached a tentative deal with a key employee union that would require state engineers to contribute toward their retirement health care benefits, likely establishing a template that will be applied to other state employee unions to help reduce a growing financial liability.
Under the three-year agreement, which still must be ratified by the union’s members and the Democratic-dominated Legislature, the Professional Engineers in California Government in mid-2017 would have to begin paying one-half of 1 percent of their pre-tax salaries into a fund to chip away at the fiscal millstone.
The California Public Employees' Retirement System (CalPERS) has named Doug McKeever the new Deputy Executive Officer (DEO) for Benefit Programs Policy and Planning.
McKeever, who has [Read More...]
This is a video from CalPERS detailing the UnitedHealthcare Medicare Advantage PPO Plan. Read more to view the video at your leasure and learn more about the plan.
CalPERS -- The California Public Employees' Retirement System's (CalPERS) Pension and Health Benefits Committee (PHBC) recommended June 16 the Pension Fund's Board of Administration adopt health care premium rate and plan changes for 2016. The recommendations include adopting a Medicare plan alternative - UnitedHealthcare's (UHC) Medicare Advantage Preferred Provider Organization (PPO) plan - and eliminating Medicare Advantage plans currently offered by Anthem Blue Cross, Blue Shield of California, Health Net and Sharp. Kaiser Permanente will continue to offer its Medicare Advantage plan and the CalPERS PPO Medicare Supplement plans will remain in place.
CalPERS' decision to adopt UHC's PPO could save a minimum of $24 million if at least 40,000 members move into this new Medicare plan option.
Sacramento Bee -- Thousands of calls to California’s Medi-Cal complaint lines don’t get through, and thousands more that manage to ring the call center go unanswered, according to a new state audit.
For the year that ended in January 2015, the phone system to the Medi-Cal Ombudsman Office rejected up to 45,000 calls in a month, State Auditor Elaine Howle said in her report to lawmakers.