November 2023 Legislative Update

What is new in CRA advocacy: CRA continues to work with the Department of Managed Health Care (DMHC) on the issue we raised with Anthem no longer paying for injections/infusion on the same day as when billing for an E&M office visit. DMHC has begun conversations...
Medication Adherence

Medication Adherence

Poor medication adherence (patients taking medications as directed by their healthcare provider) leads to as many as 125,000 deaths, tens of millions of unnecessary hospitalizations and outpatient visits and as much as $290 billion in wasted spending every year. Eight...
Uniform Prior Authorization

Uniform Prior Authorization

On October 1, 2014, the state began to implement the long-awaited Uniform Prescription Drug Prior Authorization Request Form.  Certain health plans in California will be required to implement the form, as well as abide by new timelines and notification procedures,...
Cal Medi-Connect

Cal Medi-Connect

Cal Medi-Connect is a three-year demonstration for dual eligible beneficiaries to receive coordinated medical, behavioral health, long-term institutional, and home- and community-based services through a single organized delivery system. Medi-Connect began to enroll...