Low-income patients who need specialized cancer treatment often struggle to get it. Advocates say a new law is a small step toward improving services for those patients.
Authored by Democraticof Glendale, it was originally drafted to mandate that Medi-Cal plans add at least one of these cancer centers to their provider networks, but negotiations resulted in a scaled-back version, only requiring health plans to try to add a cancer center.
“I think making incremental change has the ability to save lives and that’s what we’re trying to do here,” Portantino said. Alvarnas said that historically, City of Hope used to see more Medi-Cal patients, but that changed as the state has largely moved its Medi-Cal program from a fee-for-service model to managed care .“In managed care, part of the way that model works is it includes narrower clinician networks and more limited hospital choices,” Alvarnas said. “If you have high blood pressure or you’ve got a condition that can be cared for by many types of doctors, that’s an OK model.
“I think about how lucky I am,” Nandy said. “Doctors said two more weeks and I probably would have been gone.”
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