Archived California Healthcare News

Midwest Home To Hospital \"Wastelands\" Premium Content
Mar 18, 2013
A Boston University healthcare economics professor who closely studies healthcare finance has located what he terms “hospital wastelands” in two major cities in the Midwest. According to Alan Sager, a professor of health policy and management at BU\'s school of public health and director of its health reform program, both the northern portion of St. Louis and the entire city of Detroit should be considered hospital wastelands because they are virtually devoid of acute care providers. Indeed, the Motor City has just four hospitals for nearly 800,000 inhabitants.
Hospital Ratings Are All Over The Map Free
Mar 18, 2013
How good a hospital is St. Mary Mercy Livonia Hospital in Michigan? Depends on whom you ask. The Leapfrog Group, a respected nonprofit that promotes patient safety, gave an “A” to St. Mary Mercy. The company Healthgrades named it one of America\'s best 50 hospitals. But the Joint Commission and U.S. News and World Report omitted St. Mary from their best hospital lists. Consumer Reports gave it an average safety score of 47 points out of 100, citing high numbers of readmissions, poor communication with patients and excessive use of scans. Medicare, which has a new program rewarding hospitals for meeting certain quality measures, is reducing St. Mary\'s payments by a fraction this year.
In Brief: Blue Shield Rate Hike Will Stand; OAL Approves Emergency Autism Regs Free
Mar 13, 2013

Blue Shield Rate Hike Will Stand

Blue Shield of California has enacted an average premium rate hike of 11.7% on 268,000 individual policyholders this month despite a declaration by California Insurance Commissioner Dave Jones that the rate hike is unreasonable.

Hospitals Struggling With C. Diff Control Free
Mar 13, 2013
Hospitals in California and elsewhere are taking more steps to combat potentially deadly infections of Clostridium difficile among its patients, but are being mostly thwarted in their attempts to curb new cases. The bacterial infection, known in healthcare as C. diff, is typically hospital-acquired and kills about 14,000 patients nationwide every year. In California, there were more than 13,300 such infections reported by hospitals between March 2010 and March 2011, according to data they submitted to the Office of Statewide Health Planning and Development.
Individuals Likely To Use Exchanges Free
Mar 13, 2013
A new survey by consumer polling firm Westlake Village Village-based J.D. Power & Associates has concluded that individuals have high expectations from the healthcare insurance exchanges slated to enroll millions in California and the rest of the nation next year. According to the Power survey of enrollees in 136 health plans in 17 regions nationwide including California, 73% of those with individual coverage said they plan to purchase a policy through exchanges. Enrollees earning up to $93,000 a year are eligible to claim federal tax subsidies to reduce their premiums.
Charity Bill Raises Hospitals’ Hackles Premium Content
Mar 12, 2013
A bill requiring California\'s acute care facilities to provide certain levels of charity care in order to preserve their not-for-profit status has pitted the hospital sector against the legislation\'s labor-oriented backers. Assembly Bill 975, co-authored by Assemblymen Rob Bonta, D-Oakland, and Bob Wiecowski, D-Fremont, would mandate not-for-profit hospitals spend a minimum of 8% of their annual operating margin on charity care starting in 2015. If the hospital operates any outpatient clinics, the clinics would also have to spend 5% of their net annual revenues on charity care.
Minnesota Lawmakers Approve Exchange Bill Premium Content
Mar 11, 2013
Minnesota lawmakers have signed off on a law to create a state-run health insurance exchange that is expected to accept its first enrollees in October and provide insurance coverage to as many as 1.3 million state residents beginning in January 2014. The Senate passed the bill last Thursday on a 37-28 vote, mostly along party lines split between Republicans, which opposed the bill, and Democratic Farmer Laborers, which is Minnesota\'s Democratic party. Lawmakers in the House approved it the prior Monday, also mostly along party lines. Gov. Mark Dayton, a Democrat, is expected to sign the bill into law.
Illinois Will Steeply Hike Physician Licensing Fees Free
Mar 11, 2013
Illinois plans to more than double the annual licensing fees it charges physicians in an attempt to strengthen sanctions against bad physicians and speed up the disciplinary process. Gov. Pat Quinn said he intended to sign the bill, which was passed by the state House of Representatives last week, into law
Medicaid Payers Prepare For Reform Free
Mar 11, 2013
After his back injury kept him out of work last year, Sergio Mera enrolled his family in Medicaid, the state-federal health insurance program for the poor. These days when they need to see a doctor, the Meras travel less than a mile from their home to a new clinic in a suburban shopping center. “They take good care of you,” said Mera, 37, as he sat in an exam room with his wife and two kids.
In Brief: Indiana University Tables Critical Care Tower; Feds Raid Chicago Clinic Free
Mar 11, 2013

Indiana University Health Tables Critical Care Tower

The Indiana University Health system has decided to indefinitely postpone construction on a new 250-bed inpatient critical care tower.

Insurance Regulators Show Some Bite Premium Content
Mar 6, 2013
The two major insurance regulators in California have gone to the mat with healthcare carriers about premium hikes and coverage for autism therapies. The Department of Managed Health Care on Wednesday announced it had come to terms with Anthem Blue Cross of California and Aetna to moderately reduce upcoming or recently implemented premium rate hikes or freeze them altogether.
IN BRIEF: DHCS Selects Health Plans For Rural Expansion; Hoag Names Braithwaite CEO Free
Mar 6, 2013

DHCS Selects Health Plans For Rural Expansion

The California Department of Health Care Services has selected four health plans to expand the Medi-Cal managed care program into 28 mostly rural counties.

Study Finds Health Media Disconnect Free
Mar 6, 2013
A Kaiser Permanente study of millions of healthcare related tweets, posts by physicians, journalists and members of Congress found stark differences in how the three groups communicate about healthcare. The study examined the tweets, online posts by more than 3,000 physicians, 458 members of Congress and 154 journalists. It was conducted in late 2012 for Kaiser by WCG, a media relations firm.
HMOs Confront Language Struggles Free
Mar 6, 2013
A new study by UCLA researchers has discovered a link between low levels of English proficiency among health plan enrollees and difficulty in accessing healthcare. According to the study, which was undertaken by the UCLA Center for Health Policy Research, as many as 1.3 million Californians with limited proficiency in the English language are enrolled in health maintenance organizations. Most are enrolled in plans that are designed to serve low-income enrollees, although nearly 10% are enrolled in commercial plans.
CLARIFICATION Free
Mar 6, 2013
Reporting in the Feb. 28 edition of Payers & Providers may have suggested Consuners Union did not wish to make a comment about the Department of Managed Health Care because it had a contract with that agency. A Consumers Union spokesperson declined comment because he was not familiar with the subject matter.
OhioHealth CEO Discusses Impact of Sequestration Free
Mar 4, 2013
David P. Blom is one of thousands of hospital executives across the country who are bracing for a reduction in Medicare payments as part of a series of federal spending cuts that began last week. Blom, 58, is president and chief executive officer of OhioHealth, a Columbus, Ohio, based not-for-profit healthcare system that includes 18 hospitals, 23 health and surgery centers, home-health providers and other facilities.
Aon Hewitt Says Most Employers Will Keep Coverage In Place Premium Content
Mar 4, 2013
Despite skyrocketing costs for both businesses and their employees to maintain healthcare insurance coverage, both parties are expected to shell out ever-increasing amounts to keep it in place, according to a new survey by Illinois-based employee benefits consulting firm Aon Hewitt.
In Brief: Few Participate In Medical Research; CORE Institute Joint Ventures With Porretta Free
Mar 4, 2013

Few Participate In Medical Research

A new study by the University of Michigan concludes that only a small percentage of Americans participate in medical research.

Illinois Moving Closer To Medicaid Expansion Premium Content
Mar 3, 2013
The Illinois Senate has passed along party lines a bill to expand Medicaid coverage under the auspices of the Patient Protection and Affordable Care Act, while redder Midwest states such as Nebraska continue to struggle with the issue. The Illinois Senate passed the bill by a 40-19 margin earlier this week. All 40 supporters were Democrats, while the 19 naysayers were Republicans. The bill has gone to the Illinois House of Representatives, which given its Democratic majority, is expected to pass it.
In Brief: Berkeley Forum Calls For Better Integration Of Care To Cut Costs; El Camino Rating Upgraded Free
Feb 27, 2013

Berkeley Forum Calls For Better Integration Of Care To Cut Costs

A new report by a collaborative of healthcare executives, researchers and policymakers claims that California could save more than $100 billion over a decade if it were to aggressively switch to an effort to properly coordinate care.

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