Latest California Healthline Stories
Decision Time in Governor’s Office
This is the week. After months of debates and votes by the state Assembly and Senate, hundreds of bills were passed and sent on to the governor for his signature.
And those bills are still waiting for a signature. In part, that’s due to the absence of a state budget. But now, the governor has just four more days to sign or veto the pile of bills in front of him. The deadline is Thursday, Sept. 30.
There are several dozen health care bills pending, including many that reinforce or help implement the national health reform law. The governor is expected to sign most of them — but that doesn’t mean there hasn’t been a behind-the-scenes battle raging over some of them.
Grant Money Funds New Online EHR Help
There is an enormous effort nationally and within California to get physicians — particularly primary care physicians — to convert to electronic health records. The group least equipped to make the switch are the cash-strapped, time-challenged, small-office family medicine practices.
That’s where Susan Hogeland of the California Academy of Family Physicians hopes to step in and make a difference.
CAFP just received a grant from the Physicians Foundation to try an interesting project — to reach physicians in California online, to remotely help them research, fund and implement EHR systems in their offices.
Trying To Beat Denials Before They Happen
Railing against the health insurance fates is just not Jayne Kroner’s style.
Kroner, VP of business development at the Cirius Group, a California health care financial consulting firm, said she’d rather deal with the reality of insurance denials.
“If you have the right mindset to know it’s a fact of life, it becomes like a wellness program for your hospital and physician claims,” Kroner said. “You want to prevent denials.”
Health Care Reform Eyes on California
As the CEO of the Small Business Majority, an advocacy group for small businesses in California, John Arensmeyer has traveled the state recently on a “listening tour” — and he’s been heartened by what he’s heard.
“We’re certainly hearing a lot of questions about health care reform,” Arensmeyer said, “but there is universal agreement across the board as to the whole concept of setting up the [California health benefits] exchange.”
The health benefits exchange is the centerpiece of health care reform in California, he said. Since California is the first to pass legislation to create an exchange in response to the national health care reform law, the rest of the nation is paying close attention to it, he said.
Parts of Health Care Reform Begin in California This Week
The national health care reform law was signed by President Obama six months ago, and a few provisions of that law go into effect in California and the rest of the nation this week, beginning Sept. 23.
In California, many of the laws recently passed in the Legislature are similar or even identical to federal reform — maternity care mandates, coverage for dependents till age 26, coverage of pre-existing conditions, for instance — so a question arises:
Why do we even need all of those matching state laws?
Deep in the Pile of Health Bills To Be Signed
So quick, tell me what the Maddy Fund is, and why it needs a new law to fix it. Or what’s the big problem with the peer review system in California?
These questions and more will be answered this month by Governor Schwarzenegger, who has until Sept. 30 to sign or veto hundreds of bills passed by the Legislature, dozens of them health care-related.
The Maddy Fund is an emergency medical services fund set up by counties to reimburse physicians, hospitals, poison control centers and other emergency expenses.
It May Be Arcane, But It’s Also Vital
Almost everyone in the health care world knows how important the Medicaid waiver is to California — and really, to the nation.
As the first state to implement national health reform ideals on such a large scale, what happens in California by Oct. 31 with the $10 billion waiver is something that will affect how health care reform is put in place in many other states.
But not everyone in the health care world understands all of the complex give-and-take involved in so many rule changes and manipulations of the health care market.
Hope, Fear in State’s Community Clinics
There are some in the health care world who contend clinics caring for Medi-Cal patients and the uninsured are doomed to failure. Not so, according to a study released yesterday by the California HealthCare Foundation, which publishes California Healthline.
The report, Financial Health of Community Clinics, found that financially stronger clinics serve a high number of low-income patients and manage to have high reimbursement levels compared to financially weaker clinics.
Carmela Castellano-Garcia can explain that one. She’s president and CEO of the California Primary Care Association which represents more than 800 clinics and health centers in the state.
Little Concern About Waiver Timing
When the state Assembly and Senate gather to vote on a budget for California — whenever that may be — members will also vote on the $10 billion Medicaid waiver.
The Medicaid waiver is the plan California has laid out in months of negotiations with CMS to implement the revised Medi-Cal program in California, and to prepare the state for health care reform.
Since California is ahead of the national curve on getting set for the health care reform law, many other states are watching what happens here — which puts additional pressure on federal approval of this large and innovative waiver plan.
The best thing that happened to health insurance rate regulation was the last thing its proponents wanted to see.
When Anthem Blue Cross announced it planned to raise individual rates by as much as 39% back in February, it was the type of steep rate hike regulation proponents had been warning against for many months.
The public scorn and outrage prompted by that rate hike proposal was insurance regulation’s best friend — but, it turned out, was not enough to propel legislation.