Surviving Covered California: Preparing for changes in 2016
Becoming the Practice of the Future Today: 10 Steps to Transform Your Practice and Provide Individualized Care
Surviving Covered California: Preparing for changes in 2015
Covered CA - Insurer Contact List
Covered CA Office Placard Open Enrollment 2015 Consumer Fact Sheet
Covered CA 2015 Standard Benefit Plan Design
Covered CA Standard Benefits Summary for 2014
Covered California: Know Your Status
Frequently Asked Patient Questions about Covered California
Surviving Covered California: Tip Sheet #4
Health Insurance Company Network Development Contacts
Plan Names, ID Card, Provider Directory Reference Guide
Qualified Health Plan Networks for Covered California
What Physicians Need to Know about the Anthem Exchange Addendum
Surviving the Third Month of Covered California
Surviving the Second Month of Covered California Fact Sheet
Surviving the First Month of Covered California Fact Sheet
Download Covered California Grace Period Fact Sheet
Download CMA's newly updated Health Benefit Exchange Toolkit
Health Benefit Exchange Resources for Physicians
Covered California FAQs for Clinicians & their Staff 2 Page Brochure or 4 Page Brochure
California's Health Benefit Exchange Launches
CMA Health Exchange Resource Center: www.cmanet.org/exchange
Regulations governing California's Health Benefit Exchange
Official Covered California Website: www.coveredca.com
Kaiser Family Foundation's Health Reform Website: www.kff.org/health-reform
Federal Center for Consumer Information & Insurance Oversight (CCIIO) Regulations & Guidance Website: http://www.cms.gov/cciio/resources/regulations-and-guidance/index.html
California Health Benefit Exchange website: www.hbex.ca.gov
Federal Healthcare.gov website: www.healthcare.gov/law/features/choices/exchanges/index.html
CMA On Call Document #7450, “Health Benefits Exchange.” This medical-legal document includes a discussion on network adequacy , administrative burden associated with exchange plans, the grace period issue, concerns that physicians may be contracted with exchange plans without knowing it, what to look for in the mail on exchange plan contracting, and examples of termination provisions in current exchange contracts.
Essential Health Benefits Fact Sheet. This fact sheet was developed to help physicians understand the basic facts around the "essential health benefits" component of federal health care reform and how California's health benefits exchange may be affected. It can be downloaded at http://www.cmanet.org/resource-library/detail?item=essential-health-benefits-package
CMA Practice Resources (CPR). Subscribe or download this monthly publication that includes tips and tools for contracting with health plans in the exchange
California Health Benefits Exchange Fact Sheet.This document provides a summary of the exchange and how it may impact physician practices
CMA Reform Essentials Sign up for this regular publication with timely information related to California’s implementation of federal health care reform, including discussions on network adequacy, model contract development, and reporting requirements.
Affordable Care Act (ACA) Update April 2013: More than three years have passed since the Affordable Care Act (ACA) was signed into law, setting in motion some of the most dynamic and volatile years the nation’s health care industry has ever seen.
A Physician's Guide to Covered California, the state's health benefit exchange CMA has developed this toolkit to educate physicians on the exchange and ensure that they are aware of important issues related to exchange plan contracting.
Retaining Independence while Embracing Accountability: Part 1, Part 2, Part 3
ACOs, CO-OPs and other options: A “how-to” manual for physicians navigating a post-health reform world 3rd edition
RCMA-Navigating Today’s Healthcare Marketplace Resource Guide: Practical Considerations Regarding Physician-Hospital Affiliations and New Business Arrangements
Illustrating Health Reform: How Health Insurance Coverage Will Work: View “Health Reform Hits Main Street” to learn more about the problems with the current health care system, the changes that are happening now, and the big changes coming in 2014.
Watch The Video
April 9, 2014
Navigating Covered CA
Health Plan Contracts
Matthew L. Kinley, Esq.
Pamela Tahim, Esq.
RCMA members may request
a FREE in depth paragraph by
paragraph contract analysis
of the four insurance payors
participating in Covered CA
by contacting Mitzi Young at
Watch The Video
March 4, 2014
California's Health Benefit Exchange: What Physicians Need to Know