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Latest California Healthline Stories

California Behind National Curve in Care for Chronically Ill Children

California is behind the national curve in caring for chronically ill children, according to a study released last week by the Lucile Packard Foundation for Children’s Health based in Palo Alto.

In particular, the coordination of care and access to specialists for California’s chronically ill children ranks among the worst six states in the nation, according to the study.

Report Shows Central Valley Behind in ACA Preparation

A study examined in a public forum last week finds that health reform implementation in the Fresno region is hindered by poverty, physician shortages, lack of collaboration and bureaucratic barriers.

Covered California Lands $674 Million Federal Grant

Peter Lee could hardly contain himself yesterday.

“In 2010, California was the first state in the nation to say we want a state-based exchange. Then, earlier this month, the federal government approved our blueprint for the exchange,” said Lee, the executive director of the state’s health insurance exchange, Covered California.

“And now,” Lee said, “the feds have given us the resources we need to launch Covered California. This is an historic moment.”

How Will Covered California Service Centers Work?

Service centers — the places where California consumers will be directed  through an 800 phone number and a web portal to get answers to their exchange and eligibility questions  — are on the agenda at today’s meeting of the Health Benefit Exchange board.

Betsy Imholz, director of the West Coast office of Consumers Union, hopes her questions about service centers will be answered at today’s meeting.

Consumers Union is one of 13 advocacy groups that signed onto a recent letter to the exchange board, asking for assurance that the board hasn’t yet adopted a particular type of protocol model for the service centers, a protocol that Imholz said could discourage people from participating in the exchange.

Should Calif. Be Model for National Mental Health System?

We asked mental health experts and lawmakers how California and the nation should respond to the public debate triggered by the killing of 26 people at an elementary school last month. Senate President Pro Tempore Darrell Steinberg has urged the White House to use California’s mental health system as a national model.

Assembly Hearing Addresses Issues of Risk

It was not your usual subject for an Assembly hearing in the Capitol Building.

Yesterday’s hearing convened by the Assembly Committee on Health took on the arcane and important subject of adverse selection and risk pools. The nerdy-tech tone of the hearing was not lost on its participants.

“I have to applaud the committee — for taking on such a dry topic,” said David Panush, director of government relations for Covered California, the state’s health exchange. “But it is so important. I’m really glad to see it.”

Inside Three ACOs: Why California Providers are Opting for the Model

Nine organizations named among the latest round of participants in the Medicare Shared Savings Program will serve patients in the Golden State. Administrators of several new ACOs explain why they joined the program.

Provider Rate Cut Case May Linger

The state budget proposed by Gov. Brown counts on $488.4 million in savings from rate reductions to Medi-Cal providers in keeping with a law passed in 2011 that hasn’t yet been implemented because it’s been held up in court.

Last month, a three-judge panel in federal Circuit Court overruled previous injunctions issued by federal appellate judges. However, the injunctions will remain in place and provider reimbursements won’t be cut at least until the end of this month. Litigants in each of the four lawsuits have until Jan. 28 to file a re-hearing request.

At least one of those litigants — the California Hospital Association — is going to file a re-hearing request, according to Jan Emerson-Shea, CHA’s vice president of external affairs.

Hospital Tax May Go to Reserve

The state budget proposed by Gov. Jerry Brown extends the Hospital Quality Assurance fee, which is due to expire at the end of 2013. The complicated fee structure was originally planned to gather about $2.8 billion from private hospitals over the 30-month life of the fee. Some of the money is used to tap federal matching money, which benefits both hospitals and the state.

The state estimates extending the fee would add $310 million to the state’s general fund in fiscal year 2013-14.

Private hospitals have no problem paying the Hospital Quality Assurance fee, according to Jan Emerson-Shea, vice president of external affairs for the California Hospital Association.

Online Game Asks Players To Design Hospital of the Future

A crowdsourcing game staged by the Institute for the Future in Palo Alto attracted more than 600 players from disparate parts of the world who compared and competed with ideas about what hospitals should look like in the future.