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Governor’s 2025-26 May Revision Proposes Major Cuts to Healthcare and Undermines Medi-Cal Expansion Commitments

California Academy of Family Physicians (CAFP)

Clinics would receive reimbursement at the applicable Medi-Cal Fee Schedule rate in the fee-for-service delivery system and at the applicable negotiated rate between a Medi-Cal managed care plan and the clinic in the managed care delivery system. DMHC will review PBM contracts and conduct regular financial audits.

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‘Not Accountable to Anyone’: As Insurers Issue Denials, Some Patients Run Out of Options

Physician's Weekly

In some cases, it is used to intentionally generate profits for health insurers, according to a 2024 U.S. By denying costly care, companies pay less for health care expenses while still collecting premiums. Senate report. But history suggests that would create new problems. The cause of his illness remains unknown.