The Health Law

Latest California Healthline Stories

Clues to How the Supreme Court Might Rule on Health Reform

The fate of the Affordable Care Act rests in the hands of the Supreme Court justices, who next week will hear oral arguments over three days. How the court might rule is a hot topic — and several historic court decisions provide some hints as to which way the case will go.

Trying To Provide Solutions to Patient Access

California is in a bit of a fix, according to Senate member Ed Hernandez (D-West Covina), chair of the Senate Committee on Health.

The state doesn’t have enough physicians and other primary care providers now, according to some estimates. That shortage will become more acute in 2014 when the Affordable Care Act brings up to four million newly insured Californians into the system, looking for providers to care for them.

“2014 is essentially here,” Hernandez said yesterday at a Senate health committee hearing on primary care workforce issues. “We have had a historic piece of legislation pass at the federal level, the most historic health legislation since the Lyndon Johnson administration, when the Medicare Act was passed. But there are a lot of unknowns still, including how to implement it.”

Is California Ready for Millions of Newly Insured?

Not only does the state face a challenge in training enough health care workers to care for millions of newly insured Californians in 2014, state officials also have to figure out how to distribute the workforce efficiently, according to the Center for the Health Professions at UC-San Francisco.

On the Health Reform Trail: The Good, the Bad and the Ugly

At the two year anniversary of the Affordable Care Act, California has made significant progress in establishing an insurance exchange and undertaking other provisions of the law. However, the road ahead is marked by uncertainty, and California must meet more challenges before the job is done.

Reforms Will Continue in California, Leaders Predict

No matter what the Supreme Court rules in the challenge to the Affordable Care Act, health care reform will continue in California, according to state leaders. The pathways and pacing could change, but efforts already underway — including the California Health Benefit Exchange — will move forward, leaders predicted.

Health Care Reform Driving Physicians Together

Hospitals increasingly are employing physicians, while independent doctors are teaming up to jointly contract with health insurers — driven in large part by the Affordable Care Act. Both trends have led to larger provider networks, though the effect on health care costs is not yet clear.

Study Looks at Language Barriers to Exchange Coverage

Communities of color are expected to make up a large portion of the California Health Benefit Exchange population. Many potential enrollees have limited English skills, which could get in the way of obtaining coverage.

That’s according to a report due to be released today as a joint project of the UCLA Center for Health Policy Research, the California Pan-Ethnic Health Network and the UC Berkeley Center for Labor Research and Education.

“We estimate that about 2.65 million nonelderly adults will be eligible for the exchange. Of that 2.65 million, about 67% of them are people of color,” UCLA researcher Daphna Gans said. “That’s mostly Latino, followed by African American, then Asian.”

Are ACOs Casting a Wide Net for Patients?

With the launch of the Pioneer Accountable Care Organization Model in January, health care provider organizations have been working to build their patient bases. Early signs point to a heated competition among Pioneer ACOs to attract a diverse population now in order to reap financial benefits in later years.

Working Out the Details of the Exchange

James Robinson can sum up the ultimate ideal and goal of the health benefit exchange in California:

“We want to cover all services, for everyone, without prior authorization,” he said. “And without having to pay for it.”

Robinson, director of the UC Berkeley Center for Health Technology, was part of a panel discussion at yesterday’s California Health Benefit Exchange board meeting. Health experts chimed in on a series of panel discussions designed to help the board make sense of the complexity of the new exchange.