Latest California Healthline Stories
How Health Care Changed While You Were Watching the Election
A handful of recent deals and reforms in the private sector could prove to be transformative for health care — and may ultimately matter more than who’s sitting in the Oval Office.
How to Deal With Remaining Millions Uninsured
Health care experts gathered in Sacramento this week to take on the thorny issue of what to do about the estimated 3.1 million to 4 million Californians who will remain uninsured after five years of implementation of the Affordable Care Act.
The symposium, held on Monday and sponsored by the Insure the Uninsured Project, focused on what to do about the new estimate of uninsured in California.
Last month, the UC-Berkeley Center for Labor Research and Education and the UCLA Center for Health Policy Research issued a joint report, “After Millions of Californians Gain Health Coverage under the Affordable Care Act, Who Will Remain Uninsured?”
Premium Reduction Approved for State High-Risk Coverage
Change is coming for the 5,823 current enrollees in California’s Major Risk Medical Insurance Program, and it’s change they’re going to feel in their pockets.
Premium rates are about to go down to match the rates paid in the similar federal program, the Pre-Existing Condition Insurance Plan.
The Managed Risk Medical Insurance Board, which oversees the state plan, voted last week to adopt the new premium rate cut that was made possible by a new state law.
What HHS Would Look Like Under President Romney
Paging Bobby Jindal: With Mitt Romney surging in the polls, “Road to Reform” examines what HHS might look like — and who could lead it — under his administration.
Commissioner: CO-OPs Important Option for Low-Income Californians
California Insurance Commissioner Dave Jones has high hopes for Consumer Owned and Operated Plans (CO-OPs), a new form of health insurance that will be allowed in the state starting Jan. 1.
The not-for-profit, member-governed plans are designed for individuals and small groups, including small businesses.
“One of the most pressing issues facing Californians is the lack of options for obtaining affordable health coverage,” Jones said. “CO-OPs can serve as one option available to nearly one million low-income individuals and their families.”
Ambitious Transition Plan for Healthy Families
State officials this week submitted a four-phase strategic plan to eventually move 875,000 children from the Healthy Families program into Medi-Cal managed care plans.
Health care advocates have expressed some reservations and concerns about the transition. State officials have said they’re confident they’re ready to meet the deadlines that have been set for it. The new plan hopes to simultaneously improve quality of care for children and save the state money.
It will happen quickly. On Jan. 1, the state plans to launch the first phase of the transition, shifting 415,00 of the Healthy Families kids to a managed care plan.
Watch Sears and Darden, Not Obama vs. Romney, for Future of Health Care
Sears Holdings and Darden Restaurants are adopting a new direct contribution model for their employees’ health benefits, a change that may prompt other major companies to follow suit.
Governor Nixes Long List of Health Bills
Gov. Jerry Brown (D) vetoed a number of health care bills over the weekend. They ranged from a program designed to improve flu vaccinations among health care workers, to a proposal to define and promote patient-centered medical homes, to a regulation on hospital-nurse staffing ratios.
The governor had a variety of reasons he gave for the different vetoes, but at least one of those explanations didn’t make much sense, according Assembly member Henry Perea (D-Fresno). Perea is the author of AB 1000, a measure designed to make oral chemotherapy more affordable and accessible for Californians.
“While I support the author’s efforts to make oral chemotherapy treatments more affordable for the insured, this bill doesn’t distinguish between health plans and insurers who make these drugs available at a reasonable cost and those who do not,” Brown wrote in his veto message.
Millions Will Fall Through ACA Cracks in California, Report Predicts
A new joint report from UC-Berkeley Labor Center and UCLA Center for Health Policy Research predicts that as many as four million Californians still will be without health insurance after national health reforms are in place.
New Attention on End-of-Life Care
Partnership HealthPlan of California, a health insurer covering roughly 200,000 Medi-Cal beneficiaries in six Northern California counties, has decided to offer the optional benefit of palliative care to its members.
“It’s part of health care, and part of life,” said Richard Fleming, the regional medical director for PHP. “That’s why we’re arranging for greater availability of palliative care. It’s an enhanced benefit, for people before they’re in hospice.”
People in palliative care are severely ill, but don’t fall specifically into the definition of being within six months of dying. “They need a lot more medication management, and there are social issues they need help with,” Fleming said.