Archived California Healthcare News

Many Immigrants Don\'t Know They\'re Eligible For Coverage Free
Mar 18, 2014
Carlos Velazquez’s skateboard slipped out from beneath his feet and he spiraled onto the ground, landing hard on his left arm. He decided not to go to the doctor after the 2012 accident, resorting to over-the-counter pain medication and home remedies.
Sebelius Tries To Boost Low ACA Participation In Ohio Free
Mar 17, 2014
At a health center in Cleveland late last week, Health and Human Services secretary Kathleen Sebelius said Ohio is off to a “decent start” on health insurance enrollment. With two weeks left before open enrollment ends under the Affordable Care Act, 79,000 Ohioans have selected a plan on the federally run insurance exchange.
Minnesota\'s Hospitals Provided $3.9 Billion In Community Benefits In 2012 Free
Mar 17, 2014
Minnesota\'s hospitals contributed $3.9 billion in community benefits to the state\'s 5.4 million residents in 2011, according to data provided by the Minnesota Hospital Association. A large bulk of that figure consisted of uncompensated care and shortfalls from government payers, which totaled $2.2 billion. The payment shortfalls totaled $1.7 billion and were connected primarily to the Medicaid and Medicare programs.
DHS, City of Hope Impacted By Breach Premium Content
Mar 12, 2014
A huge breach involving the personal data of some 173,900 patients in Southern California has affected both the Los Angeles County Department of Health Services and at least one private hospital operator, officials have disclosed. The county DHS and the Department of Public Health said that the theft of eight computers from a Torrance branch office of billing giant Sutherland Healthcare Solutions on Feb. 5 may have compromised the data of as many as 168,500 county residents who receive healthcare services through Medi-Cal and other county programs.
Exchange Has Missed Latino Enrollees Free
Mar 12, 2014
It\'s been decades since the advertising industry recognized the need to woo Hispanic consumers. Big companies saw the market potential and sank millions of dollars into ads. The most basic dos and don\'ts of marketing to Latinos in the U.S. have been understood for years. So when officials with Covered California, the state\'s health insurance exchange, started thinking about how to persuade the state\'s Latino population to enroll in health plans, they should have had a blueprint of what to do. Instead, they made a series of mistakes. As a result, just 7% of people who enrolled in Covered California health plans through the end of January speak Spanish as their first language -- substantially less than the nearly 30% of Spanish speakers in the state.
In Brief: Blue Shield Starts Inland Empire ACO Premium Content
Mar 12, 2014

Blue Shield Launches ACO In Inland Empire

San Francisco-based Blue Shield of California has launched an accountable care organization in the Inland Empire.

Smartphones And Other \"Smart\" Devices May Be Key To Monitoring Patients Free
Mar 10, 2014
Eric Topol, M.D., a cardiologist at the Scripps Clinic in San Diego, knows when his patients’ hearts are racing or their blood pressure is on the rise, even if they’re sitting at home. With high-risk patients hooked up to “personal data trackers” — a portable electrocardiogram built into a smartphone case, for instance — he and his researchers can track the ups and downs of patients’ conditions as they go about their lives. “It’s the real deal of what’s going on in their world from a medical standpoint,” said Topol, whose work is part of a clinical trial. “The integration of that with the classical medical record is vital.”
Actuarial Firm Is Keeping Tabs On ACA\'s Costs Free
Mar 10, 2014
Now that medical insurers must accept all applicants no matter how sick, what will these new customers cost health plans? How will they affect coverage prices for 2015 and beyond? Few questions about the Affordable Care Act are more important. How it all plays out will affect consumer pocketbooks, insurance company profits and perhaps the political fortunes of those backing the health law. A few Denver actuaries, bound to confidentiality, will be the first to glimpse the answers.
Two States, Two Different ACA Enrollment Tales Free
Mar 10, 2014
Free food and music are notorious for attracting young people; at least that’s the hope of Missouri insurance enrollment counselors. Before the March 31 deadline under the Affordable Care Act, groups are beefing up their campaigns to bring last-minute customers to the federal health insurance marketplace—especially young people.
Blue Shield Enters Telehealth Initiative Premium Content
Mar 5, 2014
Blue Shield of California and hospital operator Adventist Health have entered into a pact for the latter to provide telehealth services to the health plan\'s enrollees in the furthest reaches of the state. The agreement covers Blue Shield enrollees in mostly rural and sparsely populated counties in Northern California, both just north of the San Francisco Bay Area and in more far-flung regions closer to the Oregon border.
UCSF Says It’s Financially Sound Premium Content
Mar 5, 2014
The University of California at San Francisco appears not only to have been well-positioned financially last year, but for the future as well. UCSF\'s four professional schools ranked first among the public beneficiaries of funding from the National Institutes of Health in 2013, and second overall in funding. It received $501.6 million in grants and another $15.5 million in contracts.
Bungled Filings Cost Kaiser $190,000 Premium Content
Mar 5, 2014
The Department of Managed Health Care has levied $190,000 in penalties and fines against Oakland-based Kaiser Foundation Health Plan for its mishandling of arbitration case records. The agency levied $140,000 in fines for 12 cases provided to the agency when it failed to redact names of enrollees, witnesses, attorneys, providers, health plan employees and health facilities so the decisions could be made part of the public record.
Union Continues Push To Cap Hospital Costs, Salaries Free
Mar 5, 2014
A California health care workers’ union is collecting signatures to get two measures onto the ballot that it says would lower healthcare costs. United Health Care Workers West, or SEIU-UHW, wants to cap what hospitals can charge to 25% above the actual cost of services. SEIU-UHW says on average, hospitals charge 320% above the cost of care.
In Brief: Sen. Gaines Sues Covered California; Consumer Watchdog Wants Surgeon Investigated Free
Mar 5, 2014

Sen. Gaines Sues Covered California

State Sen. Ted Gaines, a Roseville Republican who is also running for the post of California Insurance Commissioner, has filed a lawsuit against Covered California, claiming the health insurance exchange has compelled cancellation of 900,000 policies not compliant with Affordable Care Act guidelines.

A Miracle Hepatitis Drug And Its Stunning Pricetag Free
Mar 3, 2014
There\'s a new drug regimen being touted as a potential cure for a dangerous liver virus that causes hepatitis C. But it costs $84,000 -- or $1,000 a pill. And that price tag is prompting outrage from some consumers and a scramble by insurers to figure out which patients should get the drug —and who pays for it. Called Sovaldi, the drug is made by California-based Gilead Sciences Inc. and is the latest in handful of new treatments for hepatitis C, a chronic infection that afflicts at least 3 million Americans and is a leading cause of liver failure. It was approved by the U.S. Food & Drug Administration in December.
Immigrants Becoming Part Of Medicaid Expansion Argument Free
Mar 3, 2014
Florida lawmakers backing expansion of the state’s Medicaid program plan to mount a new argument this legislative session: That voting against extending the program would deprive low-income U.S. citizens of access to insurance that’s available to some legal immigrants. At issue is a little-noticed provision of the federal health law that allows some low-income immigrants who are living here legally to qualify for subsidies to help them buy private insurance through online marketplaces.
Physician, Chiropractor Facing Healthcare Fraud Charges Free
Mar 3, 2014
A Chicago-area chiropractor and physician are facing federal healthcare fraud charges after being accused of bilking four large insurance companies out of millions of dollars. The physician, Eguert Nagaj, M.D., and the chiropractor, Igor Sher, operated three separate medical and chiropractic practices in the town of Buffalo Grove. They were among six people involved in the alleged scheme named in indictments that were unsealed in federal court earlier this week. Both are facing 16 counts of mail fraud, with an additional obstruction of justice charge against Sher.
CABG Mortality Rates Remain Flat Premium Content
Feb 26, 2014
The mortality rate for isolated coronary artery bypass graft surgeries at California\'s hospitals remained flat in 2011 while the number of the procedures dropped in favor of less invasive forms of treatment. According to data compiled by the Office of Statewide Health Planning and Development, the overall mortality rate among the 122 hospitals surveyed was 2.01% for 2011, virtually unchanged from the 2% rate reported in 2010 and slightly higher than the 1.9% mortality rate reported in 2009.
LAC DHS Launches Homeless Program Premium Content
Feb 26, 2014
The Los Angeles County Department of Health Services (DHS) has embarked on an ambitious public-private program to house thousands of homeless in an effort to cut healthcare costs. The county\'s Board of Supervisors has earmarked $14 million over the next four years to finance the program, which is known as the Flexible Housing Subsidy Pool. An additional $4 million is being provided by a two-year grant from the Conrad N. Hilton Foundation.
Undocumenteds Eligible For Medi-Cal Free
Feb 26, 2014
A new report by University of California researchers concludes that many thousands of young undocumented Latinos statewide are eligible for Medi-Cal coverage but may not enroll out of fear of alerting authorities to their legal status. The report, jointly released by health-oriented research groups at UC Berkeley, UC San Francisco and UC Berkeley, concluded that as many as 125,000 young low-income undocumented immigrants are eligible for Medi-Cal coverage under the state\'s rules.

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