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Aug 2, 2016

Subscribe to the Payers and Providers California News Alerts for free, and receive each weekly edition via email. Each issue includes several key payer and provider stories of national interest plus news of direct interest to California health care stakeholders.

Aetna, UnitedHealth To Join Medi-Cal Program Premium Content
Jul 27, 2016
Two of the nation’s largest insurers are reaching out to doctors as they prepare to offer health coverage to low-income residents in California’s Medicaid program.
UCSF Will Make $.7.2 Million Available To Pursue Precision Medicine Premium Content
Jul 27, 2016
UC San Francisco, which is pushing to increase initiatives in precision medicine, has announced up to $7.2 million in grants for new pursuits in that area.
ACA Initiative Powers Big Readmissions Drop Premium Content
Jul 27, 2016
Hospital readmissions for patients with serious cardiac conditions and pneumonia declined significantly for Californians under the auspices of a federal mandate, but overall costs for treating those conditions also increased considerably.
CDPH Grants $13 Million To Help Combat Mental Health Disparities Premium Content
Jul 27, 2016
The California Department of Public Health will award $12.99 million to 11 organizations to provide mental healthcare services to underserved communities throughout the state.
UCSF Will Begin Training Residents In Lean Processes Premium Content
Jul 20, 2016
UCSF Health plans to get Lean. Officials with the San Francisco-based teaching hospital announced this week that it would begin training its medical residents in the principles of what is called “Lean Management.” That concept, originally applied to manufacturing and other businesses, focuses on continuous improvement processes that lead to higher quality.
Covered California\'s 2017 Rates Skyrocket Premium Content
Jul 20, 2016
The abbreviated era of single-digit annual premium increases for consumers who buy their coverage through the Covered California health insurance exchange has come to an end.
Theranos Loses Lab Accreditation Premium Content
Jul 20, 2016
Theranos has confirmed that the Centers for Medicare & Medicaid Services (CMS) had issued sanctions that included the loss of its federal certification for its laboratory in Newark, and the concurrent barring of Chief Executive Officer Elizabeth Holmes from being involved with laboratory operations for at least two years.
UCSF Study Questions Mobile Healthcare Apps Premium Content
Jul 20, 2016
A new study by researchers at UC San Francisco questions whether popular mobile healthcare apps are actually helping vulnerable populations.
DMHC Fines Kaiser $195,000 Premium Content
Jul 20, 2016
The California Department of Managed Care (DMHC) has fined Kaiser Foundation Health Plan $195,000 for 35 violations of state regulations regarding the handling of enrollee grievances.
Hospitals Supporting Medi-Cal Initiative Free
Jul 13, 2016
California voters will be asked to weigh in this November on a hospital financing measure so politically and financially complicated that they might be tempted to avoid it altogether. Proposition 52 would make permanent the “Hospital Quality Assurance Fee,” which the state collects from private hospitals to help levrage additional federal matching funds for Medi-Cal.
DMHC Orders Blue Shield To Reinstate Policies Free
Jul 13, 2016
The Department of Managed Health Care has ordered Blue Shield of California to rescind warnings of coverage cancellation for some 21 enrollees whom the agency said were erroneously informed their premiums had gone unpaid. The order is apparently tied to litigation disclosed today between Blue Shield and CenCal Health, the public Medi-Cal plan for Santa Barbara and San Luis Obispo Counties.
In Brief: Sacramento, San Francisco Most Expensive Cities In U.S. To Give Birth; ECG Acquires Kirk Salmon Free
Jul 13, 2016

Sacramento, San Francisco Most Expensive Cities In U.S. To Give Birth

Hospitals in Sacramento and San Francisco are the most expensive in the nation in which to give birth to a child, according to a new study by Castlight Health.

Homeless Patients Recuperate In Old Motels Premium Content
Jun 29, 2016
Just up the freeway from Disneyland Paul Leon stood outside the beat-up remnant of a seedy motel. Above him, a faded pink sign advertised the Coral Motel, whose rooms back in its prime cost 35 bucks a night.
Kaiser Says Improvements In Heart Disease, Stroke Mortality Leveling Off Premium Content
Jun 29, 2016
A new study conducted by researchers at Oakland-based Kaiser Permanente and published in the journal JAMA Cardiology has concluded that the improvements in mortality rates for heart disease and strokes are leveling off.
First 5 Initiative Greatly Boosted Oral Care For Kids Premium Content
Jun 29, 2016
A new study by UCLA researchers has found that a program supporting oral care for young low-income children has dramatically increased the number of visits for preventative dental care. The data from the Los Angeles-based dental homes project comes as more research indicates that oral care is tied into a patient\'s overall health and that such services are needed both early and later in life.
Cedars-Sinai Forms Orthopedics Department Premium Content
Jun 29, 2016
Los Angeles-based Cedars-Sinai Medical Center has established a full orthopedics department to fulfill clinical demand.
CAPG Chimes In On MACRA Premium Content
Jun 29, 2016
The California Association of Physician Groups (CAPG) has mostly praised the Medicare Access and CHIP Reauthorization Act (MACRA).
Blue Shield of California Foundation Grants $14.5M This Quarter Premium Content
Jun 22, 2016
The San Francisco-based Blue Shield of California Foundation has granted $14.5 million in the second quarter to help beef up services for victims of domestic violence statewide, as well as to provide healthcare services to low-income Californians.
East Bay Hospitals Team Up To Reduce Unnecessary ED Use Premium Content
Jun 22, 2016
A coalition of public and private hospitals in the East Bay have agreed to extensive real-time sharing of patient records in an attempt to reduce the number of “frequent fliers” to their emergency departments.

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