Federal changes to Medicaid, called Medi-Cal in California, could add up to a nine-figure problem for San Diego medical providers.
The most significant immediate change arrived Jan. 1 with the expiration of enhanced premium tax credits, which help defray the cost of monthly premiums for Americans enrolled in plans sold by health insurance exchanges such as Covered California.
With Congress not renewing these subsidies, which arrived in 2021 and are in addition to the initial income-based credits made available under the Affordable Care Act, enrollees will see their payments increase significantly this year…