Archived California Healthcare News

Role Models Could Cut Teen Obesity Premium Content
Aug 12, 2015
California teens are less likely to be overweight if they have protective social factors such as positive role models or participate in clubs and other after-school activities. That\'s the conclusion of UCLA researchers, based on data gathered as part of its semi-annual health interview survey.
Fremont Nursing Home Fined $100,000 Premium Content
Aug 12, 2015
The California Department of Public Health has fined a Fremont nursing home $100,000 for a July 2014 choking incident that was the underlying cause of a patient death the following month.
In Brief: Community Health Centers Receive $29M In Grants; Health Net, Centene End Waiting Period Premium Content
Aug 12, 2015

Community Health Centers Receive $29 Million In Federal Grants

Forty-eight community health centers throughout California have received $29 million worth of grants from the U.S. Department of Health and Human Services.

Daughters Medical Group Barred Premium Content
Aug 11, 2015
The Department of Managed Health Care issued a cease-and-desist order earlier this year against a medical group affiliated with the Daughters of Charity Health System due to its deficient finances.
Iowa\'s Shift To Medicaid Managed Care Causes Worries Free
Aug 10, 2015
Brenda Hummel’s 7-year-old daughter Andrea was born with severe epilepsy. Like many children with significant diseases or disabilities, she has health insurance through Medicaid. Hummel navigated Iowa’s Medicaid resources for years to find just the right doctors and care for her daughter. But now Iowa’s governor, Republican Terry Branstad, is moving full speed ahead with a plan to put private companies in charge of managing Medicaid’s services, and that has Hummel worried. Everywhere in the Hummel household, there are signs of just how much care Andrea needs. Her bedroom, for instance, looks like a typical kid’s room — stuffed animals, a frog light that shines images on the ceiling, and a butterfly mobile. But the bed stands out – the head of the bed goes up and down so Andrea can have her head elevated when she sleeps.
Teletherapy Could Help Seniors In Rural Areas Free
Aug 10, 2015
Therapy provided over the phone lowered symptoms of anxiety and depression among older adults in rural areas with a lack of mental health services, a new study shows. The option is important, one expert said, because seniors often have increased need for treatment as they cope with the effects of disease and the emotional tolls of aging and loss.
Kansas Scores Poorly In Cancer Prevention Measures Free
Aug 10, 2015
Kansas is in the bottom half of the class on a new report from the American Cancer Society’s Cancer Action Network. The report, “How Do You Measure Up,” judges states on nine policies related to cancer control and prevention. It uses a traffic signal color scheme to indicate state legislative progress: green for a positive trend, red for serious shortcomings and yellow for somewhere between.
Toyota Is Big Streamliner Of Hospitals Free
Aug 5, 2015
The equipment closet for the operating rooms at Los Angeles County Harbor-UCLA Hospital was a mess. Nurses had to maneuver through a maze of wheelchairs, beds, boxes and lights to find the necessary surgical supplies. As public hospitals like Harbor-UCLA try to cut costs and make patients happier, administrators have turned to an unlikely ally: Toyota. They are adapting the car maker’s production system to healthcare, changing longstanding practices such as how to store equipment, schedule surgeries and discharge patients. The philosophy, known as lean, depends on a continuous team effort to pare inefficiency and improve quality.
Are Non-Profits Short On Charity Care? Premium Content
Aug 5, 2015
The perception that not-for-profit hospitals provide more in community benefits than for-profit institutions may be inaccurate, according to a new study by UC San Francisco researchers. UCSF examined the financials of 264 hospitals in California, 200 of which were not-for-profits. The Golden State was particularly handy for the study because it is the only state that requires both not-for-profit and for-profit hospitals to submit charity care and uncompensated care data to regulators.
Valley Health Plan Fined $100,000 Premium Content
Aug 5, 2015
The California Department of Managed Health Care has fined the health plan operated by Santa Clara County $100,000 for arbitrarily short-changing payments to hospitals for treating its critically injured enrollees. In correspondence from the DMHC, the regulator accused Valley Health Plan of not having employees available around the clock regarding post-stabilization care. As a result, the insurer refused to pay beyond the first day of hospitalization for severely injured patients who were not hospitalized at Santa Clara Medical Center, the county’s hospital.
In Brief: Blue Shield Owes $82.8 Million In Rebates; Hospitals Will Have To Pay Readmission Penalty Premium Content
Aug 5, 2015

Blue Shield Owes $82.8 Million In Rebates

Blue Shield of California says it owes $82.8 million in rebates to health plan enrollees that were accrued in 2014.

Most Of Nation\'s Hospitals Penalized By Medicare Free
Aug 3, 2015
Once again, the majority of the nation’s hospitals are being penalized by Medicare for having patients frequently return within a month of discharge — this time losing a combined $420 million, government records show. In the fourth year of federal readmission penalties, 2,592 hospitals will receive lower payments for every Medicare patient that stays in the hospital — readmitted or not — starting in October. The Hospital Readmissions Reduction Program, created by the Affordable Care Act, was designed to make hospitals pay closer attention to what happens to their patients after they get discharged.
Thousands Of Kansans Affected By Security Breach Free
Aug 3, 2015

Thousands of Kansans soon will be receiving letters notifying them that their electronic health records may have been compromised.

The letters are from a Fort Wayne, Ind., company that provides an online patient portal called NoMoreClipboard used by 18 Kansas hospitals and at least half a dozen clinics. Most are small-town hospitals in western and southeastern Kansas. The largest is in Hutchinson.

Is Mental Health Parity Law A Dud? Free
Aug 3, 2015
When Michael Kamins opened the letter from his insurer, he was enraged. His 20-year old son recently had been hospitalized twice with bipolar disorder and rescued from the brink of suicide, he said. Now, the insurer said he had improved and it was no longer medically necessary for the young man to see his psychiatrist two times a week. The company would pay for two visits per month.
Blue Shield’s Life Insurance Problem Premium Content
Jul 29, 2015
Bedeviled by regulatory headaches in the past year, Blue Shield of California is struggling with a new issue: Paying the beneficiaries of life insurance policies who had no idea coverage had been in effect. The San Francisco-based medical insurer also sells life insurance, and it confirmed to Payers & Providers earlier this month that it is dealing with the issue of unpaid claims.
Modest 2016 Rate Hikes For Exchange Premium Content
Jul 29, 2015
The Covered California health insurance exchange has announced modest premium increases for most enrollees for calendar 2016. Covered California officials said this week that premiums would rise a weighted average of 4% next year. That compares to the 4.2% increase exchange enrollees experienced in 2015.
In Brief: Bellflower Hospital Reopened; CDPH Announces Cancer Registry Premium Content
Jul 29, 2015

Bellflower Hospital Reopened

The former Bellflower Medical Center has been reopened and renamed the Los Angeles Community Hospital at Bellflower.

DMHC Takes Action Against Costco Premium Content
Jul 28, 2015
The California Department of Managed Health Care has levied a $5,000 fine and an administrative penalty against Costco for improperly offering incentives for individuals and companies to stay enrolled in health plans offered through the big box retailer.
Missouri Not Likely To Expand Medicaid Eligibility Soon Free
Jul 27, 2015
It’s a sweltering Monday afternoon, and in the emergency room of Truman Medical Centers near downtown Kansas City, Mo., a patient complains of excruciating abdominal pain. The attending physician advises her there’s only so much he can do.
Even In Prison, There\'s No Escaping Co-Pays Free
Jul 27, 2015
Even going to prison doesn’t spare patients from having to pay medical copays. In response to the rapidly rising cost of providing healthcare, states are increasingly authorizing the collection of fees from prisoners for medical services they receive while in state prisons or local jails. At least 38 states now do it, according to the Brennan Center for Justice at New York University School of Law and Stateline reporting.

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