Since Medi-Cal began covering doula services in 2023, many doulas have encountered significant difficulties securing timely and accurate reimbursements. These challenges have led to delayed payments or, in some cases, no payment at all. Advocates argue that these issues undermine the program's goal of addressing racial disparities in maternal health outcomes for Black and Brown mothers. Doulas are now calling for clearer guidelines and better support from Medi-Cal managed care plans to ensure they receive proper compensation for their vital work.
Two years after Medi-Cal introduced coverage for doula services, numerous doulas report facing persistent obstacles in obtaining reimbursement for their work. In a letter sent to California’s Department of Health Care Services (DHCS), doulas and advocacy groups highlighted ongoing issues with denied and delayed claims. The lack of timely payments has raised concerns about the sustainability of the program and its ability to provide continuous support to pregnant individuals who rely on Medi-Cal.
The introduction of doula services into Medi-Cal was intended to address critical gaps in reproductive care, particularly for marginalized communities. However, the implementation has been fraught with challenges. For instance, Tahira Ali, a doula serving Medi-Cal patients in South Los Angeles, expressed frustration over unpaid claims, which have forced her to rely on credit cards to cover living expenses. This situation is not unique; many doulas find themselves in financial distress due to delayed payments.
Michelle Brenhaug, a doula from the San Gabriel Valley, noted that navigating the billing process has been particularly difficult. She estimates that she has only been paid for less than 10% of the Medi-Cal services she provided since June. The complexities of medical billing and insurance have left many doulas struggling to understand how the system works, further exacerbating the delays in receiving payment.
Amy Chen, who leads the National Health Law Program’s Doula Medicaid Project, pointed out that integrating non-clinical services like doula care into the healthcare system presents unique challenges. While the work of doulas is crucial for emotional and physical support during pregnancy, it does not fit neatly into traditional medical frameworks. As a result, both state Medicaid agencies and health plans face difficulties in adapting to this new type of care.
Despite these challenges, some managed care plans, such as Kaiser Permanente, have committed to providing prompt and accurate reimbursement to doulas. However, the broader issue remains unresolved, leaving many doulas questioning whether they can continue to serve Medi-Cal patients without jeopardizing their financial stability.
Ultimately, the success of the Medi-Cal doula program hinges on resolving these reimbursement issues. Without timely and fair compensation, the workforce may dwindle, potentially depriving families of the reproductive care they deserve. Advocates emphasize that addressing these challenges is essential to ensuring that the program can achieve its goals of improving maternal health outcomes for all.
A 44-year-old resident of Milford Mill has been sentenced to a significant term in federal prison for engaging in unlicensed money transmitting activities. Ambrose A. Obinna Warrior, who operated under various fraudulent schemes, was handed a 42-month sentence by U.S. District Judge Stephanie A. Gallagher. The individual's operations spanned from March 2018 until at least August 2021, involving romance scams, business email compromises, and investment fraud. Warrior used his personal and business accounts to facilitate the movement of illicit funds through legitimate financial institutions, taking a substantial cut as payment for his services. This led to considerable financial losses for numerous victims.
The activities conducted by Warrior were extensive and meticulously organized. He established multiple bank accounts and even formed a limited liability company named The Golden Voice of Orientals to manage these illegal transactions. Communication with accomplices occurred primarily via WhatsApp, where he shared account details and coordinated the transfer of funds. Warrior charged a fee ranging from 20 percent or higher for his services, ensuring both he and other participants benefited financially from the scams. His actions resulted in the transmission or attempted transmission of over $700,000 in proceeds from various schemes, causing verified losses exceeding $467,912 among the victims.
Warrior’s involvement extended beyond domestic borders, as he also transferred funds to overseas associates. The complexity and scale of his operations made it a challenging case that required thorough investigation. Credit goes to the FBI and the United States Postal Inspection Service for their diligent efforts in uncovering this criminal activity. Assistant U.S. Attorneys Evelyn Lombardo Cusson and Adeyemi Adenrele played pivotal roles in prosecuting the case, while contributions from the Baltimore and Salt Lake City Field Offices of the FBI, along with the St. George Resident Agency, were instrumental in bringing Warrior to justice.
This conviction highlights the importance of stringent oversight in financial transactions and underscores the severe consequences faced by individuals engaged in such unlawful activities. It serves as a stark reminder of the potential pitfalls of falling victim to sophisticated scams and emphasizes the need for vigilance in safeguarding personal and financial information. The successful prosecution demonstrates the commitment of law enforcement agencies to combat financial crimes and protect public interests.
In the rapidly evolving world of financial advisory, many professionals are approaching retirement. With over a third of advisors planning to retire within the next decade, representing 41.5% of industry assets, it's crucial to recognize that merely intending to retire and having a comprehensive exit strategy are vastly different. Advisors who delay succession planning until just before their departure risk leaving significant value on the table and creating challenges for clients and successors. This article explores why early and thorough planning can lead to more favorable outcomes for all parties involved.
The most successful transitions require foresight and preparation well in advance. According to industry experts, the optimal time to start planning is seven years before retirement. During this period, advisors can ensure that their business remains robust and continues to grow, which enhances its valuation. Moreover, staying engaged for several years post-sale allows for a smoother transition and helps maintain client trust and loyalty. By fostering relationships with new advisors and ensuring continuity, retiring advisors can maximize the value of their practice and secure a stable future for their clients and staff.
Acquiring firms seek partners who demonstrate strong growth potential and commitment to long-term success. When an advisor plans to remain active in the business for several years after the sale, it provides confidence to potential buyers that the firm will continue to thrive. Conversely, advisors who intend to exit shortly after selling may face lower valuations due to uncertainty about future performance. Therefore, starting the planning process early not only benefits the seller but also ensures that the acquiring company can model ongoing growth accurately.
Flexibility plays a critical role in finding the right partner for a smooth transition. Not all acquiring companies operate identically, and advisors should look for those that offer diverse partnership models. Some may prefer integrating the practice into a larger portfolio, while others might seek a more collaborative approach. Tailoring the transition plan to fit the specific needs of the advisor, staff, and clients can lead to better outcomes. For instance, maintaining unique client relationships and operational processes can be essential for some advisors, especially those further along in their careers.
Ultimately, succession planning is not just a necessity; it presents a valuable opportunity. Advisors who initiate the process early can maximize the value of their business and ensure a seamless handover to their chosen successor. By taking proactive steps, they can create a legacy that benefits everyone involved—from clients and staff to the acquiring firm—ensuring a prosperous future for all parties.