Latest California Healthline Stories
How Stem Cell Research Might Affect Everyone
There has been much speculation about stem cell research’s potentially miraculous treatments for diabetes, AIDS and other diseases. And those possibilities are real and within reach, according to Bruce Conklin of the UCSF Gladstone research institutes. But the real reach of stem cell research might seem a little more commonplace and yet could have more benefit to more people.
“Just making better medicines all around, that’s going to be a huge benefit to the public,” Conklin said. “In my view of the biomedical revolution, that’s going to be the biggest impact overall.”
The change, he said, will be that physicians no longer would have to guess which medicines might have statistically higher or lower incidence of potentially deadly side effects.
Time Is Now for Electronic Health Records
Carmela Castellano-Garcia had a good idea of what she was going to see in the California Primary Care Association’s annual survey of clinics.
But she was a bit surprised at the degree of participation among California clinics that responded to the survey, in terms of implementing electronic health records.
“About 21% of them have already implemented EHRs,” CPCA president Castellano-Garcia said. “And of the rest, about 70% said they expect to do it in 2011.”
Report Looks at Money and the Uninsured
More need, less money — that seems to be the summary of every report on health care in California. So researcher Kiwon Yoo was somewhat surprised to see in her own report for Insure the Uninsured Project that funding for counties was not in steep decline in the years she studied, 2006 to 2009.
“There is rising unemployment and a rising number of uninsured during that time, but funding streams remain somewhat stagnant,” Yoo said. “So it was not a precipitous fall, as people thought it would be.”
In fact, the total county funding match rose 1.6 percent — that is, funding from state and federal sources actually rose slightly. “That includes money from vehicle license fees, tobacco settlement funds” and other temporary funding sources, she said. “And these numbers only go up to 2009, and some of the budget measures don’t take effect till 2011 or 2012.”
What Can Brown Do for Senior Health Issues?
Just because the California political landscape is in transition and its budget in disarray, that doesn’t mean the state still doesn’t have pressing needs and opportunities for its seniors, according to Gretchen Alkema of the SCAN Foundation, a not-for-profit that looks at long-term care issues.
“Time is of the essence,” Alkema said. “The reality is, individuals with long-term needs, that doesn’t change with the budget situation.”
So even though Jerry Brown and newly elected legislators won’t take the oath of office till January, the SCAN Foundation released a policy brief yesterday on the long-term care challenges and possible solutions for seniors in California.
DMHC Not Listening to Complaints?
What if you gave a legislative oversight hearing, and the object of that hearing didn’t show up?
That was the case last week, when the Budget Subcommittee on Health and Human Services conducted an oversight hearing to deal with complaints about the Department of Managed Health Care. Emergency department officials, who feel they’ve been grossly and routinely underpaid by some insurance organizations, say the DMHC is supposed to adjudicate those conflicts, but has instead been ignoring them.
“This is extraordinarily disrespectful. I’m extraordinarily displeased they decided not to participate,” Assembly member Dave Jones (D-Sacramento) said.
Developmentally Disabled Centers Get a Hearing
A state audit raised some concerns about some of the financial steps taken by some of the state’s California Regional Centers. The centers are designed to help patients with developmental disabilities.
“Many changes have occurred recently, including losing about $500 million in funding,” oversight chair and Senate member Carol Liu (D-La Canada Flintridge) said. “Such changes make it imperative to look at how to provide these necessary services in a cost-effective way.”
“Over $4 billion goes through these centers,” Assembly member Hector De La Torre (D-South Gate) said. “So if something isn’t as efficient as it can be, we need to fix it. Our goal is to watch that money, because that’s a hell of a lot of money.”
Mapping Out Future for Rural Health Care
The problems faced by rural health providers go far beyond whether or not patients have insurance coverage, according to Danny Fernandez, legislative advocate for the National Rural Health Association, who spoke at the 10th annual conference of the California State Rural Health Association this week in Sacramento .
“At some point, ‘national health reform’ morphed into ‘national health insurance reform,’ ” Fernandez said. But it’s not just about making sure everyone’s insured, he said. “Our overall message to Capitol Hill was, if you don’t have access to a provider, then it doesn’t matter if you do or don’t have insurance coverage.”
That is probably the number one problem in rural areas throughout the state and nation, he said, along with a general lack of funding for rural health care. National health care reform, Fernandez said, might be able to address both concerns — by increasing funds through better insurance, and by offering incentives and programs to get medical providers into rural areas.
Rural Health Clinics Getting Short-Changed?
There was an interesting moment at this week’s annual conference of the California State Rural Health Association. During one of the presentations, a sit-down with two state Assembly members — V. Manuel Perez (D-Coachella) and recently elected Linda Halderman (R-Fresno) — the conversation seemed to veer away from rural health issues.
After hearing about high unemployment, the icy regulatory climate, too much government and arsenic contamination of water supplies, host Steve Barrow gently redirected the conversation.
“You know, rural [medicine] gets lost a lot in the Capitol,” he said. “We care about clean water, and cultural issues, and economic issues — but if we’re talking about economics in rural California, 11 percent of the rural economy is health care. Health care is a big part of economics in rural areas.”
If E-Prescribing’s So Great, Why Is It So Difficult?
Some people might think that since California has such a big head start on the rest of the nation in some arenas of health care reform, that it would also be taking a lead role in launching a program for e-prescribing — the electronic communication of prescriptions between physicians and pharmacists.
But those people would be wrong.
“California is 45th in the nation,” Ned Hanson, director of formulary management at Health Net Pharmaceutical Services, said. “We’ve been looking at anywhere from 8 to 10 percent adoption.”
Overuse of Health Services May Be a Myth
This week, at the annual meeting of the American Public Health Association in Denver, researchers analyzed survey data from California — investigating the concern that immigrants are a major drain on health care services.
“People looked at immigrants and undocumented workers and their use of emergency services and preventive care, and found that those groups are actually less likely than other groups to use health care services,” according to David Grant, director of the California Health Interview Survey.
“The data show [lower usage] of emergency services, as well as lower usage of preventive medicine, even among immigrants who have insurance,” he said.