The Health Law

Latest California Healthline Stories

New Reform Analogy at National Policy Conference

HHS Secretary Kathleen Sebelius compared health care reform to synchronized swimming this week, an analogy that grew legs of its own at the National Health Policy Conference in Washington, D.C.

Insuring a Better Future for the State?

State officials and health care experts yesterday said the governor’s decision to sign on to optional expansion of Medi-Cal could be a huge step forward for California’s health system — and a huge challenge, as well, they said.

More than 700 stakeholders gathered in downtown Sacramento for the  annual conference of the Insure the Uninsured Project heard dozens of experts evaluate how far California has come in implementing health care reform, and how far it still has to go.

Adding roughly 1.4 million Californians to Medi-Cal eligibility in the optional expansion (adding adults up to 138% of federal poverty level) may be fully funded by the federal government for the first three years, but it also brings a boatload of work to the state. It’s worth the extra effort for the sake of beneficiaries and for the savings the state stands to make in reduced hospital and emergency department costs, said Diana Dooley, state Secretary of Health and Human Services.

Obamacare Will Bring Changes — and Walgreens Wants ‘To Fill the Void’

After more than five years of ramping up health services, Walgreens last month took another major step and launched three accountable care organizations. The chain’s executives say that it’s poised to fill gaps in health care, especially with rising demand brought on by the Affordable Care Act.

Finance, Health Care Linked in Expansion Effort

State health care and finance officials met for the first time with stakeholders Friday to outline some of the differences between two possible approaches — state-based or county-based — to implementing the state’s optional Medi-Cal expansion.

Many details of the proposed expansion of Medi-Cal are unknown, state officials said Friday because they’re waiting for more federal guidance in many areas. One important detail is known: the federal government will fully pay for the expansion benefits for new enrollees for the first three years.

Diana Dooley, the state’s Secretary of Health and Human Services, said implementing the expansion will be influenced in equal parts by financial and health care considerations.

Access Denied? Implications of Medi-Cal Pay Cut

Can you expand Medicaid coverage while cutting provider payments and still preserve access to care? California officials think so, but patient advocates aren’t so sure.

Exchange Outreach Grants Worth $43 Million

Community groups are eligible for a total of $43 million in outreach grants, according to a plan released Friday by officials at Covered California, the new state’s new insurance exchange.

The goal of the outreach effort is for community groups to help get the word out about Covered California and the exchange is willing to pay for that help. About $40 million has been slated for individual coverage outreach, and another $3 million will go to help raise awareness of the Small-business Health Options Program, said Oscar Hidalgo, director of communication and public affairs at the exchange.

“The idea here is to reach out to communities through all kinds of organizations — community groups, faith-based groups, even city and county governments — so they can help raise awareness and provide some education on Covered California,” Hidalgo said.

Three Items on Special Session Agenda

Gov. Jerry Brown (D) yesterday called for an extraordinary legislative session on health care. In his State of the State speech Brown said the special session beginning Monday would “deal with those issues that must be decided quickly if California is to get the Affordable Care Act started by next January,” he said.

Brown also said the two options for Medi-Cal expansion — a state- or county-based approach — would not be decided as part of the special session.

“The broader expansion of Medi-Cal … is incredibly complex and will take more time,” Brown said. “Working out the right relationship with the counties will test our ingenuity and will not be achieved overnight.”

Health Care Stakeholders Await State of State, Special Session

The State of the State speech today by Gov. Jerry Brown (D) could kick off a flurry of health care activity in California.

The governor is expected to address the state’s decision to join the Medicaid expansion (Medi-Cal in California) in today’s speech. Two options proposed by Brown — county- and state-based plans — will be hashed out in the upcoming month or two, most likely during the Legislature’s special session on health care. State health officials have said the special session will be called by Brown by the end of January.

All of that has to be worked out relatively soon, according to Lucien Wulsin, executive director of the Insure the Uninsured Project.

Exchange Readies Its New Website

Covered California, the new brand name for the state’s health benefit exchange, will unveil its new website next week, according to Oscar Hidalgo, director of communication and public affairs at the exchange.

Hidalgo spoke at last week’s exchange board meeting, presenting one of the first building blocks of the marketing structure, an informational website.

“We are just about to launch a consumer-friendly website at the end of the month,” Hidalgo said. He said the unveiling is expected to be Wednesday or Thursday next week.