Latest California Healthline Stories
Insurers Must Pay Rebates, Cover Women’s Services
Nearly two million California consumers and small business owners will get money back on their health insurance premiums this month because of new federal and state statutes requiring insurers to use at least 80% of their premium dollars for patient care. For employers with more than 51 covered employers, the threshold is 85%. Insurers will return almost $74 million in California.
Another Affordable Care Act requirement goes into effect today ensuring women receive eight types of preventive and diagnostic care in their health coverage, including breastfeeding support services.
The California rebate average of about $65 per person might not be much individually, but it could mean quite a bit to small-business employers, according to Anthony Wright, executive director of Health Access California.
Diane Meier of the Center to Advance Palliative Care Talks About Treating Critically Ill Patients
In part two of a two-part report, Diane Meier — professor of geriatrics and palliative medicine at Mount Sinai School of Medicine and director of the Center to Advance Palliative Care — spoke with California Healthline about how her experience treating critically ill patients led her to become an advocate for palliative care and other approaches that focus on the needs of patients and families.
Breaking Down the Three Health Reforms Taking Effect Today
Defenders of the Affordable Care Act can point to a pair of reforms taking effect today that offer immediate benefits. Meanwhile, Oregon moves forward with its own transformative health care pilot.
Access, Clinic Finances, ED Overuse All Major Concerns for CMA
With health care reform and the state’s cutbacks and reorganization of its health care system, the practice of medicine in California is about to undergo major changes. California Medical Association officials have serious concerns about some of those changes.
“Yes, we are in a budget crunch, and yes, money is tight,” said Doug Brosnan, an emergency department physician and a member of the CMA’s board of trustees. “But there is suffering. Patients are suffering because they lack access to basic services.”
Brosnan was part of a group of CMA officials who met with reporters on Friday in Sacramento to talk about California’s recent spate of budget cuts to health programs and the outlook for reform after the Supreme Court’s decision to uphold most of the Affordable Care Act. CMA officials said they are concerned about the state’s efforts to reorganize existing services — such as the duals demonstration project, or the shift of 873,000 children from the Healthy Families program to Medi-Cal managed care.
Reform Talk Moving From Rhetoric to Bottom Line in Business Community
A new report based on a statewide “listening tour” indicates small business owners in the state are eager to move beyond political and legal wrangling and start figuring out what health reform will mean for the bottom line.
To Gauge ObamaCare Impact, Ignore CBO and Focus on AQC
Which three-letter acronym actually matters most in health reform this month? Many are focusing on the CBO’s projections — but news about the AQC, a Massachusetts pilot project, could hold the keys to unlocking ObamaCare’s potential.
How Much Will States’ Medicaid Expansions Really Cost?
State officials are wrestling with whether to join the Affordable Care Act’s Medicaid expansion, but as part of their evaluation process, many are relying on cost estimates that are not accurate.
Important Bills on Horizon for CMA
The California Medical Association, which keeps an eye on all health-related legislation in California, last week released its “Hot List” of proposed health care bills in the next legislative session.
“Given that health care reform continues to be such a big concern, access to care for patients is going to be a big one,” said Molly Weedn, director of media relations for CMA. “And we’re looking at a lot of public health issues this year, like childhood obesity, for instance.”
There are 30 pieces of proposed legislation on this year’s Hot List, including nine bills sponsored by CMA.
How Active Should Exchange Be in Defining Market?
As the California Health Benefit Exchange board refines its design and marching orders, we asked stakeholders how far the exchange should lean in applying its considerable influence on the state’s insurance marketplace.
The Medicaid Mess: Where Do States Stand on ObamaCare Expansion?
State leaders are wrestling with whether to take part in the Affordable Care Act’s newly voluntary Medicaid expansion. Several policy and political concerns are driving their decisions.