It's not often you see budgetary sense coming out of the California state Capitol. So, we should cheer the legislators and governor who have proposed a modest reform to Medi-Cal, California's Medicaid program for low-income residents, that would have improved incentives for patients and reduced the budgetary bleeding by about half a billion dollars - if it had take place last year.
California governor Brown believes - correctly - that if Medi-Cal beneficiaries have "skin in the game," that they will make better use of the medical services that the taxpayers subsidize. Unfortunately, U.S. Secretary of Health & Human Services Sebelius has quashed this reform, on questionable legal grounds.
Read the entire Health Policy Prescription here.