Latest California Healthline Stories
CO-OP Program Moves Forward in Senate
California took a small step toward instituting a new type of health insurance plan in the state — a not-for-profit, member-governed plan dubbed the Consumer Operated and Oriented Plan, or CO-OP.
The new bill was introduced to the Senate in last week’s Senate Committee on Health hearing. AB 1846 by Assembly member Rich Gordon (D-Menlo Park) would pave the way for California to apply for some of the $3.8 billion the federal government is planning to loan to states to start CO-OPs. So far, 12 states have started the process.
“It’s a new type of health insurance, intended to offer affordable, consumer- friendly coverage … in the individual and small group market,” Gordon said. “This bill streamlines the licensure process, and allows California to take part in this program, and tap federal dollars.”
California Physician Groups Vow To Continue Reforming, Regardless
At a meeting with national representatives last week in Washington, D.C., California physician groups said they plan to continue working to improve care coordination for patients no matter what the Supreme Court says in the much-anticipated Affordable Care Act ruling.
Senate Rejects ACA/Exchange Bill
If the Supreme Court overturns part or all of the Affordable Care Act in a ruling expected within the next 10 days, California should be ready, according to Senator Tom Harman (R-Huntington Beach).
Harman yesterday introduced SB 1321, which would require the California Health Benefit Exchange to submit a report to the Legislature within 90 days, if the Supreme Court reverses any part of the ACA.
The Senate Committee on Health rejected the measure.
Paramedics Could Lighten L.A. County’s EMS Load
Proponents of expanded roles for emergency medical personnel say a goldmine of untapped health care resources in Los Angeles County is ripe for mining. Changes brought on by health care reform could make the transition smoother.
Details of Exchange Begin to Emerge
California Health Benefit Exchange Board members yesterday heard presentations on a number of topics including stakeholder opinions on qualified health plans, potential exchange users’ opinions on what they need from the exchange and possibilities for creating call centers. All of those discussions seemed to lead to the same two things: cost and service.
“If we drop the ball on service, we will drop the ball on everything,” said Peter Lee, executive director of the exchange board. “Service matters.”
Lee was discussing the results of a discussion group of possible users of the exchange, who articulated what they would want in an exchange. He was also referring to a report submitted yesterday on defining the parameters for qualified health plans that will participate in the exchange.
The Simple Reason — Maybe? — Why Health Costs Have Slowed Down
Health costs are growing at their slowest level in 50 years. Some say it’s because of new cost-control efforts; others chalk it up to implementation of the Affordable Care Act. But there’s probably an easier explanation: the recession.
Exchange Looks at Outreach, Focus Groups, By-Laws
The Supreme Court decision on the fate of the national health care reform law, expected this week or next, could have a significant impact on the work and purpose of the California Health Benefit Exchange.
But that isn’t slowing the project one bit.
Today, the exchange board meets to discuss some big agenda items: outreach, marketing, insurance coverage assisters and agents, the second phase of its establishment grant and yet another look at its bylaws.
Study Estimates High Enrollment for Exchange
As many as 2.1 million Californians will get subsidized health insurance coverage through the state’s new Health Benefit Exchange by 2019, according to a study released yesterday by the UC-Berkeley Labor Center and UCLA Center for Health Policy Research.
Another 1.1 million from the unsubsidized individual health insurance market are expected to join the exchange as well, said UCLA researcher Dylan Roby. That would bring the estimated total to about 3.2 million.
CMMI: ‘Pork Project’ or Manhattan Project?
Some herald the Center for Medicare and Medicaid Innovation as a transformative reform. Others say it’s a $10 billion slush fund. On the eve of another round of funding awards, here’s a look at both sides.
Health Care Task Force Starts Up
This is not your usual task force, according to Diana Dooley, secretary of the state Health and Human Services department. This one, she said, is less interested in the ideal and more focused on producing real-world results. The idea is to figure out which programs across the state improve health care and keep costs down and then encourage and support them.
Dooley was in Los Angeles yesterday to co-chair the first meeting of the health care task force created last month by Gov. Jerry Brown (D). Dooley said the first gathering could not have gone much better.
“I thought it was energized, and energizing,” she said. “It went a long way toward really substantively addressing a meaningful plan, to see what it would look like for California to be healthier in 10 years than it is today. And how do we make some real changes to improve health, lower cost and reform the delivery system. I thought it was a great start.”