Latest California Healthline Stories
Exchange Timeline Runs From Ambitious to Over the Top
Setting up California’s health benefit exchange is a monumental task. With so many systems to create and coordinate, the complexity and scope of the project makes the end-of-2013 deadline seem impossibly soon.
More Emphasis Now on Mental Health Care
The California Senate Office of Research released a new policy brief this week that outlines some of the new ways mental health issues will need to be handled in California.
The brief laid out several developments in mental health care:
Don Berwick Wants You To Judge the Quality, Not Quantity, of His Service
Much of the news coverage — and political debate — on the federal health care overhaul has focused on long-term changes to health coverage. Although CMS head Don Berwick’s full quality agenda has received less of the spotlight, his plans are intended to immediately affect millions while saving billions.
Obesity, Diabetes Lead Latino Health Agenda
Greg Talavera said he’s never seen anything like it.
Talavera, vice president of clinical affairs at the San Ysidro Health Center in Southern California, was in Sacramento last week for a forum on health risks in the Latino community.
“From a public health perspective, I am alarmed,” Talavera said. “Child obesity is an epidemic. This is the biggest epidemic since the AIDS epidemic.”
Physicians Scarce for Latinos in California
There are two main hurdles to getting quality health care among the Latino population, according to David Hayes-Bautista, founding director of UCLA medical school’s Center for the Study of Latino Health and Culture.
Access is the No. 1 issue and linguistic competency is No. 2, Hayes-Bautista said.
Hayes-Bautista was part of a forum convened last week in Sacramento by the Latino Community Development Foundation — a forum that included Health and Human Services Secretary Diana Dooley and a number of state Senate and Assembly members.
Counties Face New, Expanded Health Care Challenges
California counties’ role in delivering health care using a patchwork of federal and state programs and funding is about to become more complex, if not more difficult, because of health care reform and budget constraints. We asked stakeholders and experts how policymakers could best navigate new waters.
Joint Ventures on Table for County-Run Plans
A number of county-run health insurance plans, such as the San Francisco Health Plan or the Santa Clara Family Health Plan, could find themselves at a disadvantage when the state’s health benefits exchange goes into operation in 2014.
A new bill, SB 222 by state Sen. Elaine Alquist (D-Santa Clara), is aimed at addressing the problem before it arises.
“In 2014 people will be required to obtain health insurance,” Alquist said at a Senate health committee hearing this week. “Local health plans and county-run health plans have the potential to provide coverage, but they lack the clear statutory authority to form joint ventures or to initiate joint coverage agreements on a regional basis. This bill provides authority for local health plans to provide health insurance coverage to individuals and groups on a regional basis.”
Clearing a Path Through the Smog
The thumbnail summary of California’s air quality is abysmal. Los Angeles and Bakersfield have the worst air quality in the nation, according to the annual State of the Air report by the American Lung Association. On the county grading scale, 37 of California’s 58 counties get an F in air quality.
“California is unique,” Bonnie Holmes-Gen of the American Lung Association of California said, in explaining why air pollution is so bad in this state.
“Our large population, combined with our sunny days,” help foul the air, she said. “Plus you see a lot of diesel emissions at our ports, and a lot of diesel because of our agriculture. There are geographic elements, where the San Joaquin Valley is like a big bowl that holds the smog. And of course, there has been a large increase in vehicle miles traveled. People do love their cars in California.”
Speeding Up Reform Learning Curve, One Clinic at a Time
The California Primary Care Association’s Ambassador program, which started partly as a political campaign to gain public support for health care reform, is evolving into a navigational tool and now is a model for other states.
Insurers, Advocates Face Off Over Rate Regulation
Assembly member Mike Feuer (D-Los Angeles) said the issue boils down to this:
“In the United States, health care costs went up 3.4% last year. At the same time in California, health care premiums went up by as much as 39%,” Feuer said. “Medical costs are going up, no question. But premium costs are going up much more quickly, and that’s the gap we’re trying to bridge here.”
That’s the point of AB 52, heard yesterday in the Assembly Committee on Health. The bill was co-authored by Feuer and Jared Huffman (D-San Rafael) to give the state’s insurance commission the power to review premium rate hikes by health insurers, and to limit them if they’re deemed excessive.