ACCMA members can download a free tip sheet to help understand how changes in Covered California in 2018 will affect their practice. Some of the most significant changes include: Anthem Blue Cross will exit California’s exchange in Alameda and Contra Costa counties, and Blue Shield will expand its HMO product in Alameda and Contra Costa counties. To access the tip sheet, go to http://www.cmanet.org/resource-library/detail/?item=surviving-covered-california-preparing-for2.