Archived California Healthcare News

Health Plans Will Publish Pricing Data Premium Content
May 14, 2014
A new portal intended to give consumers specific information about what their care will cost them has obtained the rare cooperation of three of the nation\'s biggest health insurers. Minnesota-based United HealthCare, Connecticut-based Aetna and Kentucky-based Humana have all agreed to share pricing data with the Health Care Cost Containment Institute, a Washington, D.C.-based organization that researches cost issues.
Eight In State Facing Federal Charges Premium Content
May 14, 2014
Eight individuals in Southern California, including two physicians, were among 90 indicted nationwide on federal charges earlier this week for allegedly defrauding the Medicare and Medicaid programs. The indictments, which were announced on Tuesday, were part of the ongoing work of a strike force jointly operated by the U.S. Justice Department and the U.S. Department of Health and Human Services.
Kaiser Has Strong Quarterly Earnings Free
May 14, 2014
Kaiser Permanente reported sharply higher revenue and net income for the first quarter of 2014. For the quarter ending March 31, Oakland-based Kaiser reported first-quarter net income of $1.1 billion, up 43% from the $765 million reported in the first quarter of last year. A significant portion of the boost to the bottom line came from Kaiser\'s investment income, which rose $105 million, to $324 million.
In Brief: Brown Earmarks More Money For Medi-Cal; Kaiser Pharmacists May Strike Free
May 14, 2014

Gov. Brown’s Budget Proposal Calls For More Medi-Cal Funding

California Gov. Jerry Brown's current proposed budget revisions include an additional $1.2 billion for Medi-Cal program.

Some Insured Latino Californians Cross Border For Care Free
May 14, 2014
Irma Montalvo signed up for a health plan through California\'s new insurance exchange last month, getting coverage for the first time in eight years. But when she needed treatment for a painful skin rash, Montalvo didn\'t go to a doctor near her home in Chula Vista. Instead she drove to Mexico, about 16 miles south. Her doctor, Cecilia Espinoza, M.D., diagnosed her with shingles and prescribed medication to relieve pain and head off complications.
ACA-Related Physician Shortage Yet To Materialize Free
May 12, 2014
The headlines were ominous: Good luck finding a doctor under the Affordable Care Act. Not enough doctors for newly insured. The ACA-related doctor shortage could crash health system. Despite these dire predictions, the nation’s primary care system is handling the increased number of insured patients without major problems so far, according to interviews with community health centers, large physician practices and insurers nationwide.
Will ACA Reduce Nation\'s Mortality Rate? Free
May 12, 2014
The mortality rate in Massachusetts declined substantially in the four years after the state enacted a law in 2006 mandating universal health care coverage, providing the model for the Affordable Care Act. In a study released last week, Harvard School of Public Health professors Benjamin Sommers, Sharon Long and Katherine Baicker conclude that “health reform in Massachusetts was associated with a significant decrease in all-cause mortality.”
Many Tests Administered to Medicare Patients Have Little Clinical Benefit Free
May 12, 2014
Medical overtreatment is the inverse of former Supreme Court Justice Potter Stewart’s definition of pornography: while easy to define in concept, it can be hard to know it when you see it. A treatment that is appropriate for one patient can also be unnecessary or even counterproductive for another, depending on the patient’s condition.
Alameda Alliance For Health Seized Premium Content
May 7, 2014
Citing ongoing financial and operational difficulties, the Department of Managed Health Care has seized control of the Medi-Cal managed care plan serving one of Northern California\'s most populous regions. The DMHC announced on Tuesday that it would go to court this week to obtain a conservatorship appointment for Oakland-based Alameda Alliance For Health. The carrier serves Medi-Cal managed care recipients in Alameda County, including Oakland and virtually the entire East Bay region. It has about 201,000 enrollees in total, of which 186,000 are enrolled in Medi-Cal.
Union Shelves Hospital Ballot Initiatives Premium Content
May 7, 2014
Two ballot initiatives that would have capped both what not-for-profit hospitals could charge patients and how much they can pay its executives were officially shelved by their sponsor earlier this week in lieu of a closer alliance with the California Hospital Association. The Service Employees International Union-Healthcare Workers West had been gathering signatures for the two initiatives, which were due to the Secretary of State\'s office later this month, to place them on November\'s ballot.
In Brief: CDPH Fines Three Hospitals; Cedars-Sinai, MemorialCare Form New Venture Free
May 7, 2014

CDPH Fines Three Hospitals $275,000 For Patient Care Incidents

The California Department of Public Health last week levied four administrative penalties and $275,000 in fines against three hospitals for medical errors that either killed patients or endangered their lives.

California\'s SHOP Remains Stuck In Starting Blocks Free
May 7, 2014
California’s insurance marketplace for small businesses has attracted just a fraction of eligible companies, with most being deterred by technology glitches, paperwork delays and customer service problems. The program, designed to make insurance more affordable and easier to purchase for small businesses, has only attracted about 1,200 companies. There are roughly 700,000 small businesses in the state, and more than half could be eligible for tax credits under the health law, according to the Small Business Majority, a national organization of small businesses.
Missouri Lawmakers Finally Vote On Medicaid Expansion Free
May 5, 2014
In what Missouri House Insurance Committee Chairman Chris Molendorp acknowledged was a symbolic move, a Medicaid expansion measure gained its first committee endorsement of the year last week. Molendorp, R-Belton, and the four Democrats on his committee combined to recommend a wide-ranging bill that would expand the public health insurance system to about 300,000 low-income adults. The vote was 5-2, with five Republicans absent.
ACA Expands Medicaid To Foster Kids Free
May 5, 2014
One of the Affordable Care Act’s successes is a provision that allows young people up to 26 years old to remain on their parents’ health insurance. Under a similar, but less-known provision, young adults who have been recently released from foster care can also get Medicaid coverage, regardless of their incomes. An estimated 180,000 foster care alumni became eligible on Jan. 1. About 26,000 young adults 18 to 22 years old are released from foster care each year and left to fend for themselves without state protections. The age that a young adult in foster care loses benefits varies across the states. The new health care provision for former young people without parents in the picture grants them full Medicaid coverage until age 26 in the state where they lived when they left foster care.
When Hospitals Buy Physician Practices, Prices Climb Free
May 5, 2014
A new study gives ammunition to what health economists and health insurers have argued for years: When hospitals buy physician practices, the result is usually higher hospital prices and increased spending by privately insured patients. The study, published Monday in the journal Health Affairs, was based on an analysis of 2.1 million hospital claims from workers of self-insured employers between 2001 and 2007. The analysis by Stanford University researchers found prices were most likely to increase when hospitals bought physician practices, as opposed to hospitals forming looser contractual relationships with physicians.
Low Mammogram Rate Among Korean-Americans Premium Content
Apr 30, 2014
Korean-American women are far less likely to undergo regular mammogram screenings for breast cancer than any other ethnic group in California, according to new data from the UCLA Center for Health Policy Research. UCLA researchers concluded that just 51.8% of Korean-American women over the age of 40 in California have undergone a mammogram within the past two years. That compares to the statewide average of 79%.
DMHC Fines CareMore Health $75,000 Premium Content
Apr 30, 2014
CareMore Health Plan, the Cerritos-based Medicare Advantage insurer, was fined $75,000 by the Department of Managed Health Care earlier this month for failing to keep enough cash on hand to cover potential financial shortfalls.
California Hospitals Rated On Safety Free
Apr 30, 2014
California\'s hospitals ranked ninth in the nation in terms of safety, according to new data issued on Tuesday by the Leapfrog Group. And while just 41% of the 253 facilities graded statewide by Leapfrog received a score of “A,” that is significantly higher than the nationwide rate, which was about 32%. The Washington, D.C.-based Leapfrog\'s annual Hospital Safety Score ranks inpatient facilities on a variety of criteria, including the use of practices intended to avoid medical errors that lead to potentially fatal patient conditions.
California Cities Clean Up Air, But Remain Among Nation\'s Most Polluted Free
Apr 30, 2014

California Cities Clean Up Air, But Are Still Among Nation’s Most Polluted

A new report by the American Lung Association concluded that California has had some progress in improving air quality, but the state is still the home to some of the most heavily polluted cities in the U.S.

Plans Turn Page To 2015 Free
Apr 28, 2014
With the results sure to affect politics as well as pocketbooks, health insurers are already preparing to raise rates next year for plans issued under the Affordable Care Act. But their calculation about how much depends on their ability to predict how newly enrolled customers – for whom little is known regarding health status and medical needs -- will affect 2015 costs.

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