Archived California Healthcare News

Rural Hospitals In Midwest Struggle To Survive Free
Apr 27, 2015
There are a lot of small, rural hospitals in Kansas. Without them, many Kansans would have to travel long distances for care. What’s more, in many small towns, the hospital is one of the largest employers — making it vital to the local economy. But declining populations, combined with changes in the way hospitals are paid for their services, are making it more difficult for many small hospitals to survive.
Jones Slams Anthem Over Latest Hike Premium Content
Apr 22, 2015
California Insurance Commissioner Dave Jones on Wednesday denounced a proposed rate increase on individual policyholders by Anthem Blue Cross of California, calling it unreasonable and unjustified. The rate increase was for some 170,000 enrollees with PPO plans that were “grandfathered” in under the Affordable Care Act. The increase, which Jones said Anthem enacted on April 1, averaged 8.7%, with some older policyholders seeing increases as high as 24.9%.
Daughters Of Charity Slashes Jobs Premium Content
Apr 22, 2015
Just weeks after a proposed acquisition of its hospitals by Prime Healthcare Services fell through, the Daughters of Charity Health System cut hundreds of jobs throughout the organization as a cost-cutting measure, it acknowledged on Wednesday. Altogether, 4% of Daughters of Charity’s workforce was laid off, the Los Altos Hills-based not-for-profit announced in a statement. That represents some 280 employees, with cuts coming throughout the organization.
DMHC Fines Anthem Blue Cross $57,500 Premium Content
Apr 22, 2015
The Department of Managed Health Care has fined Anthem Blue Cross of California $57,500 in connection with what the agency says were seven incidents where it violated state regulations, primarily involving how it handles enrollee grievances.
CDPH Says Measles Outbreak Is Over Premium Content
Apr 22, 2015
The California Department of Public Health has announced that the outbreak of measles that began late last fall has concluded, but warned that cases could flare anew.
In Brief: L.A. Care Accepting Cash Payments For Premiums; State\'s Residents Say They Face Treatment Barriers Over Psychological Care Premium Content
Apr 22, 2015

L.A. Care Accepting Cash For Covered California Payments

L.A. Care Health Plan has entered into an agreement with a vendor to accept premium patients from its commercial enrollees in cash.

Three Midwest States Will Continue Increased Medicaid Payments To Doctors Free
Apr 20, 2015
Fifteen states are betting they can convince more doctors to accept the growing number of patients covered by Medicaid with a simple incentive: more money. The Affordable Care Act gave states federal dollars to raise Medicaid reimbursement rates for primary care services—but only temporarily. The federal spigot ran dry on Jan. 1. Fearing that lowering the rates would exacerbate the shortage of primary care doctors willing to accept patients on Medicaid, the 15 states are dipping into their own coffers to continue to pay the doctors more.
Few Patients Have Access To Healthcare Price And Quality Information Free
Apr 20, 2015
Despite the government’s push to make health information more available, few people use concrete information about doctors or hospitals to obtain better care at lower prices, according to a poll released Tuesday. Prices for the healthcare industry have historically been concealed and convoluted, unlike those for most other businesses.
Missouri ACA Contractor Billed For 13,000 Hours Of Overtime Free
Apr 20, 2015
The contractor who runs the Affordable Care Act application processing facility in Wentzville paid more than 13,000 hours of overtime to catch up with a backlog created by computer problems after the initial sign-up period, according to documents obtained under the Freedom of Information Act. From May 1 through Aug. 15 last year, workers in the Wentzville facility logged 13,228.25 hours of overtime to process “backlogged inconsistency work,” according to a report by Serco Inc., the contractor running the facility for the federal Centers for Medicare & Medicaid Services, or CMS.
Hospital May Sue Over Trauma Funding Premium Content
Apr 15, 2015
Antelope Valley Hospital received a designation as a level two trauma center in 2010. The number of trauma patients it treats today is about 30% higher than five years ago. But the 420-bed hospital, located 60 miles northeast of Los Angeles in Lancaster, has received the same supplementary trauma funding from Los Angeles County every year: about $1.3 million.
Jones Critical Of Proposed Drug Costs Premium Content
Apr 15, 2015
Insurance Commissioner Dave Jones has been highly critical of a plan issued by the Covered California insurance exchange to cap the patient co-payments for pricey specialty drugs. The proposal issued by Covered California would place caps on co-payments ranging from $200 to $500, depending on what level plan they are enrolled in. However, those enrollees in the lowest-cost Bronze plan would pay a co-payment capped at $500 per month per specialty drug. Jones said on Wednesday that was unreasonable.
Kaiser Finds Autism-Diabetes Link Premium Content
Apr 15, 2015
The causes of autism in children has been speculated on as incidences of the disorder continue to rise, but Kaiser Permanente has apparently linked to to gestational diabetes in expectant mothers. Gestational diabetes is a fairly common condition in expectant mothers, occurring about 9% of the time, based on data from the Centers for Disease Control and Prevention.
Californians Want More Time With Docs Premium Content
Apr 15, 2015
Enrollees in the Medi-Cal program said they were more likely to have issues finding a physician to provide care than Californians with other forms of insurance.
In Brief: Kaiser Says Patient Data Breaches On The Rise; SGR Repeal Moves Closer To Reality Premium Content
Apr 15, 2015

Kaiser Says Patient Data Breaches On The Rise

A new study by researchers affiliated with Kaiser Permanente and Stanford University has concluded that significant breaches of patient data is on the rise.

Study Suggests State Budgets Buoyed By Medicaid Expansion Free
Apr 13, 2015
As a legislative session focused on the Kansas budget problems winds to a close with no decision on Medicaid expansion, a new study says some states that have expanded eligibility have seen their budget situations improve.
Illinois Moving To Cut Mental Health Costs Free
Apr 13, 2015
In the years before he started receiving consistent treatment for bipolar disorder, Illinois Medicaid patient Rome Tucker says he often was homeless, riding buses through the night. When he felt overwhelmed, Tucker often checked into Chicago-area hospitals for days at a time. The hospitals provided structure, support and medicine but at a high price: Tucker’s 16 hospital visits in 2012 cost about $50,000, according to IlliniCare Health, the Medicaid managed care organization that insures him.
Hospitals Relocating To Wealthier Areas Free
Apr 13, 2015
Nearly as old as the railroad that slices through this southern Illinois city just east of the Mississippi River, St. Elizabeth’s Hospital has been a downtown bedrock since 1875. Started by three nuns from a Franciscan order in Germany, the Catholic hospital still seeks “to embody Christ’s healing love” to the sick, the aged and the poor, according to its mission statement. It is so tied to the city that when the local economy slumped in 2009, the nonprofit St. Elizabeth’s gave $20 to every employee to spend on Main Street, sending hundreds of shoppers out to the mostly mom- and pop-owned stores.
A Big Gap In Breast Cancer Testing Premium Content
Apr 8, 2015
A new study by UCLA researchers concludes that income plays a significant role for women seeking front-line diagnostic screenings to help treat their breast cancers. The study, which focused on more than 1,800 breast cancer patients in 31 states, showed a distinct division by income and race among women who have access to the latest testing, known as gene expression profiling.
Many State Mortality Indicators Improve Premium Content
Apr 8, 2015

California's mortality rates for major diseases have declined for the most part, although age-related causes of death continue to increase.

Blue Shield Fined $45,000 By DMHC Premium Content
Apr 8, 2015
Blue Shield of California was fined $45,000 by the Department of Managed Health Care last month for five separate violations of the Knox-Keene Act, records show.

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