Latest California Healthline Stories
Long-Term Care Crisis Is Now, Report Says
By 2030, the number of Californians 85 and older will rise by 40% and the overall senior population will comprise about 18% of all Californians. That’s the sobering news from a fact sheet released this week by the SCAN Foundation, a not-for-profit organization that tracks long-term care issues.
“There are many changes evolving here in the state, so being able to articulate that we’re in a time of increasing need is important,” said Gretchen Alkema, vice president for policy and communications at SCAN. “We feel there will be increasing needs in the state, especially when we’re seeing a scaling-back for providing those services.”
The higher demand for senior services, particularly from the 85-plus population, coupled with budget cuts to health care programs adds up to a potentially huge problem, Alkema said. “We need to transform our systems of care, and not just for seniors because we know those long-term care needs aren’t created in a vacuum, they’re usually brought on by a number of chronic conditions.”
Smoking In Long-Term Care Facilities Debated
California already prohibits smoking inside hospital buildings, so Assembly member Wilmer Amina Carter (D-Rialto) thought it made good sense to extend that ban to long-term nursing facilities.
The often elderly, frail population at nursing facilities might need more protection from secondhand smoke than most people, Carter said at a Senate Committee on Health meeting yesterday.
“There is no safe level of exposure to tobacco smoke,” Carter said. “One lit cigarette inside a long-term health facility exposes non-smoking workers, non-smoking patients and those who visit these facilities to over 7,000 harmful chemicals, of which over 70 of these chemicals cause cancer.”
Bill Aims to Expand Number of Residency Slots
Most of the health care reform expansion effort has focused on the logistics of adding coverage for up to 3 million more Californians, but that’s just the start, according to Senate member Michael Rubio (D-Shafter). Those millions of health insurance cards won’t be worth their weight in plastic if you don’t make sure the state has the providers to take care of all of those people, he said.
“Even if we resolve the issue of health insurance,” Rubio said, “health access still is a significant issue.”
Rubio spoke on the Senate floor last week on behalf of his bill to expand the number of residency slots in California, a plan with the potential to significantly increase the number of providers in the state, he said. Setting up the infrastructure to accept private contributions for residency expansion creates an opportunity to add providers in California without using any more general fund dollars, Rubio said.
State Health Officials Intrigued by New Medi-Cal Data
Len Finocchio is a numbers guy, so he’s genuinely excited by a new set of survey data that paints a picture of recipients’ impressions of the Medi-Cal program.
“There is lots of data, lots of it,” said Finocchio, associate director of the Department of Health Care Services. “We will be continuing to mine it for a long time, to get insights about how to make the program better.”
Last week, the California HealthCare Foundation, which publishes California Healthline, released a survey of the attitudes and concerns of Medi-Cal beneficiaries. It has been a relatively long time since a similar survey was completed in 2000, so state health care officials were extremely pleased to get updated information, Finocchio said.
Duals Project Goes to CMS for Approval
It was a big moment for officials in the Department of Health Care Services.
“We are thrilled to be getting this in,” said Jane Ogle, deputy director of DHCS. “It’s a big project. So to get this in, we’re all really excited. This is the result of a year’s planning, a year of planning and work with advocates and stakeholders and within the department. And all of that comes together in this document.”
The project is the Coordinated Care Initiative, also known as the duals demonstration project, and the document is the project’s final plan, which was submitted late last week to CMS.
Flu Vaccine Bill Approved by Senate
There’s more than one kind of resistance to the flu virus.
Senate member Lois Wolk (D-Davis) found that out, and Wednesday introduced to the Senate floor a substantially reworked version of her bill, SB 1318, which would require health care facilities to meet a 90% flu vaccine health-worker compliance rate by 2015.
The bill passed on a 23-9 vote. However, that vote came at a price.
Pre-Existing Condition Reform Passes
When state Sen. Ed Hernandez introduced his bill SB 961 to the Senate floor yesterday, the West Covina Democrat’s speech was laden with the historic nature of the legislation.
“As we all know, on March 23rd of 2010, the president of the United States of America signed into law the comprehensive health care reform bill known as the Patient Protection and Affordable Care Act,” Hernandez said.
“I feel tremendous responsibility to ensure that California continues to lead the nation in implementing federal reform,” he said, “and that we serve as a model for the rest of this country.”
CMS Weighs in on Enrollment Question
Federal health officials have informed the state that CMS would favor passive enrollment with an opt-out provision but it does not support lock-in enrollment for the dual-eligible demonstration project in California.
That’s according to Kevin Prindiville, deputy director of the National Senior Citizens Law Center in Oakland, who spoke to CMS officials on Friday.
“CMS has told us that’s all they will allow,” Prindiville said. “It’s not a big surprise, but it’s very welcome. We think the passive enrollment system is problematic in some ways, but CMS has said all along they would allow passive enrollment, but there would have to be a way to opt out at any time.”
Community Dental Beneficiaries Go to Liberty
Community Dental Services health plan, plagued with financial troubles and quality-of-care problems, has shut down its managed care dental plan in Sacramento and Los Angeles counties.
On Friday, the state announced that all 16,000 Medi-Cal beneficiaries at CDS, the bulk of them in Sacramento County, would switch to Liberty Dental Plan of California. Also making the change will be 4,000 non-Medi-Cal patients. State officials said beneficiaries’ providers would remain the same in almost every case.
The failure of CDS may be good news for the state and the beneficiaries in the plan, since that company had the lowest utilization rate among the five health plans providing dental coverage in Sacramento County. The state has been under fire recently because of low utilization rates in the pilot “geographic managed care” system. In the 2010-2011 fiscal year, fewer than one-third of Sacramento County Medi-Cal children went to a dentist, compared with a utilization rate of nearly 50% for the rest of the state.
State Proposes Delaying Start Date For Budget Cuts
The state is planning to delay the starting date for budget cuts by switching implementation from the start of the year to calendar year, according to a Department of Health Care Services summary of possible changes to trailer bill language for the May budget revision.
That’s one of many revisions outlined in the summary. The DHCS changes reflect input and concerns from stakeholders.