Capitol Desk

Latest California Healthline Stories

Providers Set To Reap Cash from IT Incentive Program

California has a new interim coordinator for health information technology.  Linette Scott stepped in for Jonah Frohlich, who resigned as deputy secretary of health IT at the California Health and Human Services Agency to take a job in the San Francisco law office of Manatt, Phelps & Phillips.

Scott presided over her first stakeholder meeting last week at an opportune time. CMS had just opened up registration for financial incentives for electronic health record implementation.

“This effort is much broader than just an IT project,” Scott said. “This is a way to improve health of all Californians.”

Telemedicine in California Becoming Tele-Reality

Telemedicine may seem futuristic, but it’s not. Not anymore.

“The good news is, at CTN [the California Telehealth Network], we have actually activated sites,” CTN Executive Director Eric Brown said. “Which is huge. This is really huge for us.”

Brown said approximately 25 sites have activated their connections since Dec. 1, and that’s just the run-up to a much bigger launch.

Broader Enforcement Power for Insurance Commissioner?

A few hours after he was sworn in as the new commissioner of the California Department of Insurance, Dave Jones said he wanted the state to make sure PPO health insurers spend 80% of their revenue on health benefit payouts.

That 80% figure is the new federal mandate, and Jones wants to make it clear to insurers that the state is going to check up on them and enforce that law, according to Janice Rocco, deputy commissioner of health policy for the DOI.

“Historically, the department has reviewed for 70% medical loss ratios in the individual market,” Rocco said. “Now that federal law meets 80% individual standards, we feel it’s important that the federal law be enforced at the state and federal level.”

Third Time’s the Charm for Single Payer?

The megaphones and what-do-we-want cheers were in full force earlier this week on the steps of the Capitol building. It was all to support passage of a single-payer system in California, which  twice already has been passed by the Legislature and vetoed by the governor.

Amanda Foran, an occupational therapist at the California Hospital Medical Center in Los Angeles who attended the rally, said national reform will help ease some of the problems of health care, but doesn’t get to the root of what she sees every day at work.

“As a clinician, I see patients come into the ER all the time because that’s the only way they can see a doctor. And of course, it’s the most expensive.”

Deeper Cuts Won’t Come From Health Services

It was standing room only in the governor’s conference room yesterday, as reporters from around the state gathered to hear just how bad it was going to be.

Pretty bad, according to Jerry Brown.

“This is very difficult,” Brown said, as he announced his intention to cut about $6 billion from health-related services — everything from reducing child care subsidies to imposing co-payments for Medi-Cal services.

Health Care Changes Happening — and Coming

Jerry Brown is expected to release his budget proposal today, and it won’t be pretty.

Some of those cuts are likely to hit health care programs in California. To be ready, Diana Dooley, the new secretary of Health and Human Services, recently appointed several familiar names to her team:

Health Insurance Regulation Proposal Is Back

This week’s large rate hike announcement by Blue Shield makes the perfect backdrop for debating an Assembly bill to regulate those kinds of rate increases, according to Assembly member Mike Feuer (D-Los Angeles), who introduced  AB 52 last month.

“It sure adds fuel to the significance of AB 52,” Feuer said. “I am optimistic that the day is coming when insurers will need to justify increases like this.”

Feuer’s bill was eligible to go to committee yesterday.

Researcher Paints Scary Picture of State’s Future

The Medi-Cal system in California is flawed in a basic way, according to researcher Stephen Moses of Pacific Research Institute, a California-based think tank.

“Instead of Medi-Cal being a safety net for the poor,” he said, “it provides very generous benefits to many in the middle class, far more than just the poor.”

The state provides long-term care to people who might have had the means to pay for some form of that care in their lifetimes, Moses contends.

State Gathering Info on Hospital-Acquired Infections

The state Department of Public Health recently released its first report on “healthcare-associated infections” (HAI) — those infections patients actually get while they’re in the hospital, such as surgical site infections or the antibiotic-resistant staph infection known as MRSA. (The full name of MRSA is the methicillin-resistant staphyloccocus aureus infection).

HAIs prompted some public outrage, both nationally and in California, and public health was charged doing something about it.

A year from now, state officials expect to have enough consistently compiled data to provide valid comparisons, officials said.