Latest California Healthline Stories
Report Shows Health Disparities in Valley ZIP Codes
An in-depth study of Central Valley neighborhoods indicates that social determinants such as poverty, exposure to environmental hazards and lack of fresh food predict the health and life expectancy of residents.
Counties, EDs Could Benefit from Pilot Project
California’s emergency psychiatric demonstration project, approved this week by CMS, may help counties deal with financial stress from a payment system half a century old.
“This is a great opportunity for California to participate in a demonstration that will help ensure patients receive appropriate, high-quality care when they need it most,” Norman Williams of the DHCS said. The project will provide “reimbursement to private psychiatric hospitals for certain services for which Medicaid reimbursement has historically been unavailable,” Williams said.
That is good news for counties, crowded hospital emergency departments and patients with acute psychiatric problems, according to Patricia Ryan, executive director of the California Mental Health Directors Association.
Trying To Provide Solutions to Patient Access
California is in a bit of a fix, according to Senate member Ed Hernandez (D-West Covina), chair of the Senate Committee on Health.
The state doesn’t have enough physicians and other primary care providers now, according to some estimates. That shortage will become more acute in 2014 when the Affordable Care Act brings up to four million newly insured Californians into the system, looking for providers to care for them.
“2014 is essentially here,” Hernandez said yesterday at a Senate health committee hearing on primary care workforce issues. “We have had a historic piece of legislation pass at the federal level, the most historic health legislation since the Lyndon Johnson administration, when the Medicare Act was passed. But there are a lot of unknowns still, including how to implement it.”
Is California Ready for Millions of Newly Insured?
Not only does the state face a challenge in training enough health care workers to care for millions of newly insured Californians in 2014, state officials also have to figure out how to distribute the workforce efficiently, according to the Center for the Health Professions at UC-San Francisco.
Kim Dempsey of NCB Capital Impact Discusses Ways To Boost Capacity of Community Clinics
Kim Dempsey, director of innovation and strategy at NCB Capital Impact, spoke with California Healthline about recommendations for improving the operations of community health centers.
Caregivers make up a sizable volunteer workforce in California — people who put in about 1.7 billion hours of care last year and didn’t get paid for it. If they did, all of that work is valued at more than $20 billion. In California, where more than 10,000 people turn 65 every day, the need for that workforce will only grow.
That’s according to a raft of testimony yesterday at the Capitol Building in Sacramento, before a joint hearing of two committees: Human Services and Aging and Long-Term Care.
The state doesn’t do much for this vast and contributing population, and is about to do even less, according to Michelle Pope, executive director for Alzheimer’s Services of the East Bay, who testified yesterday before the joint committee.
On the Health Reform Trail: The Good, the Bad and the Ugly
At the two year anniversary of the Affordable Care Act, California has made significant progress in establishing an insurance exchange and undertaking other provisions of the law. However, the road ahead is marked by uncertainty, and California must meet more challenges before the job is done.
Health Insurers, Physician Group Oppose Ballot Initiative
It’s not even a ballot measure yet, but it’s certainly getting ballot-measure treatment.
Yesterday, a coalition of health insurance organizations, the California Medical Association, the California Hospital Association and other groups announced they were joining forces to fight a ballot measure designed to regulate health insurance rate increases.
“This initiative does nothing to address the cost drivers in the health care system,” according to Paul Phinney, president-elect of the CMA. “I just think this initiative is the wrong idea.”
Legislature Examines Duals Transition
Toby Douglas took a good amount of heat last Wednesday at an Assembly joint hearing of the committee on Aging and Long-Term Care and the Budget subcommittee on Health and Human Services.
Douglas — director of the state Department of Health Care Services — with a full array of budget cuts, program transitions and agency reorganization on his plate, has been making presentations and fielding questions at a number of legislative hearings recently. None of them has been a cakewalk, but this hearing was a little more barbed than most.
Complaints and concerns ranged from a perceived lack of choice to worry over rapid-fire changes.
Health Care Lobbying in California Tops List in Record Year
Health care issues generated $35.7 million in lobbying last year in California, leading the way to a record year. Lobbyists earned more money from more clients in California in 2011 than ever before, according to the secretary of state.