California Healthcare News

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In Brief: Minnesota Auditors Drop Thousands From State Insurance Roles Free
Aug 20, 2012


The state of Minnesota has dropped health insurance coverage for more than 3,000 dependents of state employees after an eligibility audit was conducted by the state’s Management and Budget Agency.

However, there have been complaints that more than half of those dropped lost their coverage peremptorily without any prior notification or request for clarification, or they may have thrown out paperwork necessary to maintain their coverage because the thought it was junk mail.

In Brief: HCCA Says Not-For-Profits Much More Likely To Be Audited Free
Aug 20, 2012


Not-for-profit healthcare institutions experience audits from outside entities at a rate more than 50% higher for-profits, according to a new study by the Minneapolis-based Health Care Compliance Association.

Not-for-profits experienced an average of six audits per calendar year, compared to fewer than four audits per calendar year among for-profits.

Upton Queries CMS On Exchanges Free
Aug 20, 2012
Rep. Fred Upton, R-Mich. sent a letter on Monday to the Centers for Medicare and Medicaid Services seeking more information on regulations regarding insurance exchanges and Medicaid.
Retail Clinic Use Continues To Grow Free
Aug 20, 2012
A recent study by the Rand Corp. has found that retail-based health clinics are providing more preventive care and being used more frequently by older patients.
Feds Expanding Home Healthcare Premium Content
Aug 20, 2012
The Centers for Medicare and Medicaid Services has undertaken a project to expand home health services to the elderly.
WellPoint At Bottom of Hospitals\' Payer List Free
Aug 20, 2012
It is a truth universally acknowledged that health insurance companies can be a pain for patients. What may be a surprise is that hospitals often complain, too. For the same reasons: Denied claims. Low reimbursement. Late reimbursement. Thickets of red tape.
In Brief: Kaiser\'s Farmers Markets Top 50 Free
Aug 15, 2012


Kaiser Permanente, which has encouraged the growth of farmers’ markets as a way to promote healthier lifestyles, has recently opened its 50th market nationwide.

The latest market is being operated outside of Kaiser’s Oakland headquarters weekly. 

Kaiser has also opened markets throughout California and in Ohio, Maryland, Hawaii, Oregon and Maryland.

“We are thrilled that our markets are thriving and expanding,” said Preston Maring, M.D., a Kaiser physician who helped conceive the project about a decade ago.

In Brief: Employer Groups More Focused On Wellness Incentives Free
Aug 15, 2012



A new study by Aon Hewitt concludes that many employer groups are relying on incentives to get their workers to participate in wellness programs.

In Brief: DMHC Seizes Dental Plan Free
Aug 15, 2012

The Department of Managed Health Care has seized the assets of an Arcadia-based dental plan.

The DMHC also appointed a conservator for American HealthGuard Corp., which also operates as CentaGuard Dental Plan. It provides both commercial and Denti-Cal coverage. The DMHC took action on Aug. 10.

Accountable IPA Issues Statement Free
Aug 15, 2012
A Signal Hill IPA ordered by a state regulator to stop using non-medical professionals to make prior authorization care decisions for patients has simultaneously defended its conduct while saying it is trying to resolve the matter.
Investment Dip Hits Kaiser Earnings Free
Aug 15, 2012
Kaiser Permanente reported a bump upward in revenue and enrollment for the second quarter ending June 30, but its overall net income was down by 22%.
DOI Puts $1.7M Toward Fraud Fight Premium Content
Aug 15, 2012
The California Department of Insurance has granted $1.7 million to county-level prosecutors for combating what it says is an increasing number of health and disability frauds.
More E-Savvy For Medi-Cal Plans Premium Content
Aug 15, 2012
Two Medi-Cal managed care plans in Southern California have launched ambitious e-health initiatives both hope will help keep a lid on rising healthcare costs.
In Brief: HealthPartners, VitalSims Focus on Diabetes Care Free
Aug 13, 2012


Minneapolis-based provider HealthPartners has teamed with another local company to provide more focused preventive care and treatments for diabetes patients.

In Brief: Chicago, Illinois Blues Team Up to Fight Healthcare Fraud Free
Aug 13, 2012

The City of Chicago and Blue Cross Blue Shield of Illinois are collaborating in an initiative intended to curb healthcare fraud.

Case Western Receives $64.6 Million NIH Grant Free
Aug 13, 2012
Case Western Reserve University’s medical researchers have often labored in the shadows of the bigger and more prestigious Cleveland Clinic. They’re located just blocks away from one another in the rock ‘n roll capital. But for the moment, Case Western has its own bragging rights: The largest federal grant ever made in Northeastern Ohio.
Employers Boost Wellness Incentives Free
Aug 13, 2012

A new study by Aon Hewitt concludes that employer groups are relying more on incentives to get their workers to participate in wellness programs.

Two Rural Hospital Funds May Dry Up Premium Content
Aug 13, 2012
Two sets of payments that are part of a patchwork of funding that make it possible for hospitals to operate in small communities are set to expire at the end of September.