Health Industry

Latest California Healthline Stories

California Health Care Quality Dips Slightly in HHS Report Card

According to a national report card issued last week, the quality of California’s health care dropped slightly last year compared to the year before. Hospital officials and physicians welcome quality comparisons but urge patients and purchasers to keep report cards in context.

Medicaid Contractions Inspire New State, National Opposition

Proposals to cut back Medicaid spending at the federal level and in California are galvanizing the opposition and inspiring dark predictions of physician flight and growing barriers to care for beneficiaries.

Bill on Pricing Transparency Moves to Senate Health Committee

A proposal to ban “gag” clauses aims at making more pricing data public to improve price comparison shopping for individual consumers and large industrial buyers of health care. That said, Sutter Health defends the confidentiality agreements as standard practice.

State’s New Catastrophe Response Plan Leaves Nurses Skeptical

Presented as the first of its kind in the nation, California’s comprehensive plan for delivering health care in the event of a major disaster leaves front-line providers — nurses — less than impressed.

California Seeks Changes to Medicare Audit Program

CMS has piloted a Medicare audit program in California since 2005, but many California hospitals, nursing homes and now lawmakers say there are major problems in the program and are calling for it to be re-examined before it is rolled out nationwide.

California Seeks Fines, Penalties Against Insurers for Claims Processing Violations

Cindy Ehnes, director of the Department of Managed Health Care, and Santiago Munoz of the UC Health System spoke with California Healthline about the state’s record fines against PacifiCare for alleged improper claims handling.

Telemedicine Efforts Target Uninsured, Rural Hispanics

Use of telemedicine is becoming a more common way to treat chronic diseases among specific underserved populations, such as Hispanics. Two programs in the state have had early success using the technology to stave off development of more serious and costly conditions among people with diabetes.

Retail Clinics Make Inroads in California, Despite Some Hesitation

California insurers are taking a cautious approach to retail clinics as they open more locations throughout the state, underlining some of the lingering questions over how retail clinics will affect the health care system.