California Healthcare News

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Covered California Keeps 2018 Rates Mostly Stable Premium Content
Aug 3, 2017

Covered California announced this week 2018 premium hikes lower than a year ago on average, as well as a containment plan should the Trump administration carry out its multiple threats to end cost-sharing subsidies for lower-income enrollees.

Medicaid Initiative Makes Strides In Controlling Blood Pressure Premium Content
Aug 3, 2017

California faces a big challenge in controlling the blood pressure of low-income residents with hypertension, but a state-led program has shown some signs of progress.

CDPH Fines Gardena Nursing Home $100,000 Premium Content
Aug 3, 2017

The California Department of Public Health has fined a Gardena-based nursing home $100,000 for an incident last February that led to the death of a patient.

                According to the CDPH’s investigation, the patient, a 61-year-old woman who was mobile and mentally alert, had recently undergone an outpatient vascular procedure and was also receiving dialysis. But when she returned to the Greenfield Care Center of Gardena after undergoing the procedure, she was neglected by staff in a manner that endangered her life.

DMHC Fines Cigna $90,000 Premium Content
Aug 3, 2017

The Department of Managed Health Care has fined Cigna Healthcare of California $90,000 for not resolving enrollees grievances appropriately.

Covered California Issues More Dire Warnings On ACA Repeal Premium Content
Jul 27, 2017

As the United States Senate begins debate on whether to repeal and/or replace the Affordable Care Act, Covered California has issued another series of reports raising doubts about the stability of the individual marketplace should any bill come to fruition.

The Senate Healthcare Debate: What’s In Store Premium Content
Jul 27, 2017

So the Senate has voted to start debate on a bill to replace the Affordable Care Act. Now what?

            Well, it gets wonky.

            The rules for budget reconciliation, the process the Senate is using that limits debate and allows a bill to pass with only a simple majority, comes with a set of very specific rules. Here are some of the big ones that could shape whatever final bill emerges:

 

Matters of Timing

 

Senate Unable To Pass Repeal And Replace Legislation Premium Content
Jul 27, 2017

After voting Tuesday to begin debate to repeal and replace the Affordable Care Act, Senate Republicans have yet to agree on legislation in any concrete form.

            As of late Wednesday, the Senate voted down the Better Care Reconciliation Act, its version of the House bill that passed last month. It also voted down a repeal-and-delay bill. Both bills would have the net effect of taking health insurance away from tens of millions of people, the Congressional Budget Office has reported.

Providence St. Joseph, Well Being Trust Grant $10 Million For Mental Health Premium Content
Jul 27, 2017

Providence St. Joseph healthcare system has joined forces with the Well Being Trust to grant $10 million to initiatives throughout California to shore up the state’s delivery of mental healthcare services.

It’s Time For ACA Saboteurs To Repair Their Damage Premium Content
Jul 20, 2017

After seven-plus years of seething threats, it turns out the Party of Personal Responsibility never actually planned to go through with repealing and/or replacing the ACA, as illustrated by its inability this week to gather a majority of votes in the Senate to do so.

Kaiser, DMHC Reach Settlement On Mental Health Services Premium Content
Jul 20, 2017

The Department of Managed Health Care and Kaiser Permanente have announced a settlement in a years-long tussle over access to mental healthcare services offered by the Oakland-based health plan.

            Under the terms of the settlement, which was announced on Tuesday, Kaiser agreed to hire more mental health service staff and hire an outside consultant to monitor progress and craft an ongoing plan to provide mental health services for a period of at least one and as long as three years.

Covered California Running Behind On 2018 Premium Release Premium Content
Jul 20, 2017

California’s health insurance exchange scrubbed its annual rate announcement this week, the latest sign of how the ongoing political drama over the Affordable Care Act is roiling insurance markets nationwide.

CDPH Fines Bakersfield Nursing Home $100,000 Premium Content
Jul 20, 2017

The California Department of Public Health has fined a Kern County nursing home $100,000 in connection with a patient fall that led to his death earlier this year.

            The penalty against Valley Convalescent Hospital in Bakersfield is tied to an 80-year-old patient who fell out of their bed in late February 2017, causing a high spinal fracture. The patient died at the facility a few days later.

Former Dean of Keck Medical School Had Double Life Premium Content
Jul 20, 2017

A renowned eye surgeon and the former longtime dean of the Keck School of Medicine of USC led a double life, hanging out with convicted criminals and being present at the overdose of his 21-year-old companion at a Pasadena hotel last year, the Los Angeles Times reported.

Covered California Critiques ACA Alternatives Again Premium Content
Jul 13, 2017

The Covered California health insurance exchange has released another in a series of reports critical of GOP-backed Congressional bills that would repeal and replace key parts of the Affordable Care Act.

            The latest report, issued in conjunction with the National Academy for State Health Policy, concluded that out-of-pocket costs for many Californians would soar to multiples of what they currently pay, forcing many to forego their coverage.

Blue Shield Of California Sued Over Access To Mental Health Services Premium Content
Jul 13, 2017

Blue Shield of California and its claims administrator wrongly restricted patients’ access to outpatient and residential mental health treatment, a class-action lawsuit says.

CHA Taps Carmela Coyle As New President Premium Content
Jul 13, 2017

Carmela Coyle, a longtime hospital lobbying executive who played a significant role in reshaping the healthcare payment landscape in Maryland, has been named the new president of the California Hospital Association.

Tweaked ACA Repeal Bill Introduced In Senate Premium Content
Jul 13, 2017

Another bill to repeal and replace significant parts of the Affordable Care Act was unveiled by Senate Majority Leader Mitch McConnell, R-Ky., on Thursday.

Seventeen Charged In Medicare Fraud Premium Content
Jul 13, 2017

Seventeen Californians have been charged with defrauding the Medicare program out of about $147 million, the U.S. Justice Department announced on Thursday.

            Little information about the charges were made available at presstime. The Justice Department said the fraud occurred in the Central District of California, which includes Los Angeles and Orange Counties.

California Could Face $115 Billion Hit On Medi-Cal Premium Content
Jun 29, 2017

California risks losing $114.6 billion in federal funds within a decade for its Medicaid program under the Senate health care bill, a decline that would require the state to completely dismantle and rebuild the public insurance program that now serves one-third of the state, health leaders said Wednesday.

            The reductions in the nation’s largest Medicaid program would start at $3 billion in 2020 and would escalate to $30.3 billion annually by 2027, according to an analysis released by the state departments of finance and health care services.

Medicaid Waiver Was Boon To Care At Public Hospitals Premium Content
Jun 29, 2017

The Affordable Care Act may be under fire in Congress, but a new report from UCLA researchers has concluded that California’s waiver to get an early start on Medicaid expansion was a boon for better preventative and coordinated care at county and UC-operated public hospitals.

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