Latest California Healthline Stories
Dueling Polls Offer Alternative Reform Opinions
Two polls released last week offered conflicting views of public opinion on health care reform. Coming in the same week the Supreme Court announced it would hear reform arguments, the polls also raise a couple of questions: How much influence does public opinion have on the Supreme Court? And vice versa?
Design Element the First Step Toward No-Wrong-Door
California took an important first step toward implementation of the Health Benefit Exchange last week when it unveiled the initial design for enrolling Californians and determining their eligibility in 2014.
The initial design of the project, called Enroll UX 2014 (UX stands for “user experience”), was presented to the Health Benefit Exchange board by project director Terri Shaw.
“We have teams from 11 states participating in the process,” Shaw said. “The objectives are two-fold — to develop a first-class user experience, and to ensure retention of consumers.”
Premium Hikes Report May Be Kindling for California Initiative
Premiums for employer-based health insurance increased by 50% nationally in the seven years before passage of the Affordable Care Act, according to a new report from the Commonwealth Fund. The report comes at the start of a statewide campaign for a ballot measure to give California authority over health insurance rate hikes.
Healthy San Francisco’s Lessons for National Health Reform
It has an employer mandate. It has improved access to care. It has survived a Supreme Court challenge. So, why aren’t national health policy leaders paying more attention to Healthy San Francisco?
Five Key Lines in the Circuit Court Rulings on Reform
Questions about the Affordable Care Act’s constitutionality took center stage again this week, as a fourth appeals court rendered its decision and the Supreme Court prepares to conference on whether to take the case.
New Cost Tool Aims To Boost Pay-for-Performance Model of Care
In an effort to measure value in health care transactions, the Integrated Healthcare Association is introducing a “Total Cost of Care” metric to be used in its pay-for-performance program. IHA hopes the new tool will speed up improvements in clinical quality by providing financial incentives to physicians.
Austerity Won’t Help Physician Shortage, Experts Predict
Cutbacks in Medicare and Medicaid could make it more difficult to deal with a physician shortage in California that threatens to become more severe as millions of newly insured people join the reformed health care system. California groups are lobbying to streamline and subsidize the training of new primary care doctors.
Exchange Board Has Little Interest in Health Care Co-Ops
The federal government is ready to hand out $3.8 billion in loans to start up not-for-profit, member-governed health plans called consumer-operated and -oriented plans, or co-ops.
A deadline recently passed for the first round of applications, with a number of states taking up the idea, but not California.
So far, California has been pretty cool on the idea. At the August meeting of the Health Benefit Exchange board, concern was raised over what a co-op’s market share would be, and that a co-op might undermine what the exchange wants to do by dividing up its pool of participants.
Follow the Money: How Industry Is Lobbying To Preserve Reform Law
New reports on health sector lobbying reveal that the industry continues to donate generously to President Obama and Democrats, despite public criticism of last year’s health reform law.
When a Law Loses Its Teeth, Can the Reform Still Bite?
After months of industry criticism, CMS’ accountable care organizations are winning plaudits after the agency made the program less intimidating for participants. Some suggest that will make ACOs less effective tools of reform, too.