LACare: We Have an MOU – Now What?

Since the Cal MediConnect Memorandum of Understanding (MOU) was signed on March 27, L.A. Care has been hard at work preparing for the Readiness Review. Every health plan participating in Cal MediConnect must pass a comprehensive joint CMS/DHCS Readiness Review. In an effort to ensure transparency, L.A. Care previously posted a copy of the Readiness … Continue reading

Reuters: Healthcare costs to negate state, local budget improvements: outlook

WASHINGTON | Mon Apr 29, 2013 6:37pm EDT (Reuters) – State and local governments can expect ever-widening budget gaps through 2060, as rising healthcare costs for both citizens and public employees surpass recent improvements in their revenue, the Government Accountability Office said on Monday. Closing the gap may require drastic action. If state and local governments were … Continue reading

The Hill: Healthcare experts propose $1 trillion in savings

By Elise Viebeck – 04/29/13 05:48 PM ET A bevy of healthcare experts released recommendations Monday for cost-conscious reforms to Medicare, Medicaid and private insurance they said could save $1 trillion over two decades.  In a Brookings Institution study, the experts urge Washington to embrace small, consensus-driven policy moves to lower healthcare costs rather than wait for … Continue reading

SacBee: Experts see growing mental health needs among homeless elderly

By Cynthia H. Craftccraft@sacbee.com Published: Tuesday, Apr. 30, 2013 – 12:00 am | Page 3B Last Modified: Tuesday, Apr. 30, 2013 – 7:52 am With the population growing older, mentalhealth experts warned Monday of a comingtsunami of behavioral health care needs among elderly homeless people. Elderly people with substance abuse problems and early stages of Alzheimer’s disease will require special intervention, said … Continue reading

Governing.com: 6 State and Local Questions About Sequestration

BY: Liz Farmer | February 28, 2013  The March 1 sequestration deadline has arrived and while the administration has said it will wait until late Friday to approve the law, Washington is settling in for lean times. Congress is leaving town and President Barack Obama said on Friday that he plans to sign the $1.2 trillion in … Continue reading

California Healthline: Geographic Regions Set at Six, But Only for Now

by David Gorn Floor votes in the Assembly and Senate yesterday approved the first bills of the special session on health care. The bills would eliminate pre-existing conditions as a means for denying health insurance coverage. They also would establish new geographic rating regions to help determine variable rates by area in California, one provision … Continue reading

USA Today: Obama, congressional leaders: No deal on sequester

David Jackson, USA TODAY3:55p.m. EST March 1, 2013 President Obama and congressional leaders failed to reach a deal Friday ahead of the deadline for the sequester, $85 billion in automatic budget cuts that both sides say will be bad for the economy. WASHINGTON — Preparing to leap into the fiscal unknown, President Obama and congressional Republicans … Continue reading

The Washington Post: Health law’s rules help hospitals cut patient readmission rate

3 of 9Adult Day Health Care dilemma Trinidad Contreras is a fixture at Gardner Family Health Network Adult Day Health Care facility in San Jose, Calif. on Wednesday, June 6, 2012. Due to budget cuts, the state declared Contreras no longer eligible for benefits, but Gardner Family Health Network Adult Day Health Care is continuing to let him participate in its programs without getting reimbursed while he appeals. He spends the hours between about 10 am and 2 pm playing dominos, walking the courtyard and tending the small garden boxes. (Dan Honda/Staff)

By N.C. Aizenman, Published: February 27 Over the past several months, America’s hospitals have achieved a feat that long seemed beyond reach: substantially reducing the share of patients who must return for treatment almost as soon as they are discharged. According to statistics compiled by the Obama administration, the nationwide rate of hospital readmissions of Medicare patients within … Continue reading

The Hill: Sequester cuts are here to stay

By Alexander Bolton – 02/28/13 05:00 AM ET The sequester is here to stay — at least for a while. Lawmakers and aides say they do not expect Congress to turn off budget sequestration before April and that negotiations to freeze the automatic spending cuts could drag into May or beyond. Over the last few weeks, … Continue reading

Payers & Providers: DMHC Actions, Fines Drop Significantly

Group Blames Former Insurance Lobbyist’s Appointment By Ron Shinkman Between 2009 and 2011, the Department of Managed Health Care issued nearly 1,000 enforcement actions against health plans, fining them nearly $9 million for a variety of misdeeds and demanding they take corrective actions to protect the interests of their enrollees.  But after Aug. 11, 2011, when Gov. Jerry Brownappointed … Continue reading

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