David Gorn

Governor Signs Veteran-Benefit Bill

It was a bill that had no organized opposition, and passed through every committee without a single “nay” vote.

The governor added his approval Tuesday to that overwhelming support, signing AB 1869 by Assembly Speaker John Pérez (D-Los Angeles) into law.

The legislation affects approximately 130,000 veterans who remain uninsured despite possibly being eligible for federal Veterans Affairs health benefits, according to a Senate analysis of California Health Interview Survey data compiled by UCLA.

‘Where You Live Matters’ to Your Health

Health care numbers are interesting to Angela Russell but they only become important when you remember what they represent, Russell said.

“Data rankings are a starting point, not an endpoint, and the key is using that information to take action,” Russell said. “You have to remember, this data is alive. It represents families and individuals and communities.”

Russell is the engagement lead for the County Health Rankings and Roadmaps program at the University of Wisconsin Population Health Institute. Yesterday, she was in the Capitol Building to talk about using federal and state health care data to make policy changes at the local level. The event was part of a California Health Policy Forum briefing called: “Health Rankings for Communities Across California: Using Data To Improve Population Health.” The event was funded in part by California HealthCare Foundation, which publishes California Healthline.

Two Yamada Bills Signed into Law

Gov. Jerry Brown (D) yesterday signed a bill to protect seniors in county-run nursing homes during state emergencies. One day earlier, he signed another senior-protection bill, this one to make sure veterans get clearer updates on the cost of their care.

Assembly member Mariko Yamada (D-Davis) authored both bills.

“Our commitment to all issues relating to aging and the long-term care population continues,” Yamada said. “We thank the governor for helping make sure greater transparency is available for veterans, and ensuring that nursing home facilities are included in emergency response plans. And at no cost to the state.”

Timeline Delineates Duals Project Tasks

The state Department of Health Care Services has released a timeline of deadlines and target dates for its Coordinated Care Initiative, also known as the duals demonstration project.

Eventually, the duals project hopes to move about one million Californians dually eligible for Medi-Cal and Medicare benefits into Medi-Cal managed care plans. The idea, state officials have said, is to provide better, more integrated care by pooling the funding sources from two disparate programs. Coordinated care could provide stronger case management, offer needed services and save state and federal dollars.

The pilot program in eight counties, beginning in March, 2013, will serve about 700,000 of the state’s dual eligibles.

DHCS Rejects Judge’s Opinion on Adult Services Eligibility

An administrative law judge from the Department of Social Services issued an opinion that the Department of Health Care Services does not have the legal authority in two cases to deny eligibility for the Community Based Adult Services program. That opinion was rejected in an alternate decision issued Wednesday by DHCS director Toby Douglas.

The appeals process, contained at this point within the state Health and Human Services Agency, is overseen by DSS, which submits its findings to Douglas, who has final word on appeals decisions.

One of the two potential beneficiaries whose coverage was denied by the state provided California Healthline with the 10-page document containing the judge’s ruling and the state’s overruling of it.

Future of Health IT on Display at Gathering

The future of health care depends on the present of health information technology.

That was the take-home message yesterday, during the first day of a two-day conference on the progress and promise of health IT in California. The gathering is called “Connecting California to Improve Patient Care in 2012: Practical Solutions for Health Information Exchange and Quality Analytics.” That mouthful was nothing compared to the arcane and complex conversation during the first of a two-day conference in Rohnert Park. The conference concludes today.

“We are using data to improve people’s health care,” said Linette Scott, chief medical information officer for the state Department of Health Care Services. Scott said the success of state health care projects, like the duals demonstration project (also known as the Coordinated Care Initiative), for instance, depends on the successful development of information technology.

Moving ‘Almost a Million Children’ to Medi-Cal

The Managed Risk Medical Insurance Board, which oversees the state’s Healthy Families program, yesterday took a long look at the first outline of a plan to facilitate the state-ordered shift of an estimated 873,000 children enrolled in the HF program to Medi-Cal managed care.

The conclusion was, the current time frame to make such a big change is too tight, said Janette Casillas, executive director of MRMIB.

“In this transition, it is not just an administrative process to move almost a million children,” Casillas told the board yesterday. “Whenever a child is disenrolled [in the Healthy Families program], there are seven different IT transactions to make, for example. There are three separate transactions to update meds.”

Task Force Starts with Population Health

When you’re trying to take on reformation of the complex and arcane system of health care in California, where do you even begin?

At population health, apparently.

The state’s recently formed “Let’s Get Healthy California” task force convened yesterday for the first of four scheduled webinars. The meetings are part of the task force’s plan to eventually organize the unruly health care system in California by creating a priority list and action plan for what needs to be done, according to Diana Dooley, Secretary of Health and Human Services.

Appeal Decisions Due From DHCS

The Department of Health Care Services will issue a decision this week on the first “test case” appeal hearings to decide eligibility for the new Community-Based Adult Services program, according to DHCS officials.

The first appeal hearings were held May 30. After judges submit rulings to the state, the DHCS director has 30 days to decide whether or not the department accepts those rulings.

“We have received under 20 decisions [from judges] so far,” said Norman Williams, deputy director of public affairs for DHCS. “The first one was on or around June 18, and they’ve been on a flow basis since then.”

Important Bills on Horizon for CMA

The California Medical Association, which keeps an eye on all health-related legislation in California, last week released its “Hot List” of proposed health care bills in the next legislative session.

“Given that health care reform continues to be such a big concern, access to care for patients is going to be a big one,” said Molly Weedn, director of media relations for CMA. “And we’re looking at a lot of public health issues this year, like childhood obesity, for instance.”

There are 30 pieces of proposed legislation on this year’s Hot List, including nine bills sponsored by CMA.