Opportunities, Risks, and Updates with the Delivery System Reform Incentive Pool (DSRIP)
| July 13, 2011 | Posted by Ashley Cohen under Blog |
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California’s public hospital system serves 2.5M patients annually and provides about half of all hospital care to the state’s 7M uninsured, according to the California Association of Public Hospitals (CAPH). The Delivery System Reform Incentive Pool (DSRIP) under the §1115 Waiver provides California’s 21 hospitals with an opportunity to reform… more
Study Finds Medicaid a Plus for the Poor
| July 12, 2011 | Posted by Christina Vane under Blog |
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It has long been debated whether or not state Medicaid programs had any effect on the health of the low-income population that it serves. The differences between Medicaid beneficiaries and the indigent populations have made it difficult to compare the two groups. A new study by the National Bureau of… more
HHS Releases First Set of Exchange Regulations
| July 11, 2011 | Posted by Ashley Cohen under Blog |
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Today, HHS released the first set of proposed regulations for state-based health insurance Exchanges. This notice of proposed rulemaking (NPRM): Sets forth the federal requirements that states must meet if they elect to establish and operate an Exchange; Outlines minimum requirements that health insurance issuers must meet to participate in… more
ADAP and State to County Cost Shifting
| July 8, 2011 | Posted by Alison Klurfeld under Blog |
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With LIHP enrollment beginning in earnest, counties are facing a little-discussed side effect of joint county-federal financing for the program. Whereas counties presently use local funding to pay for care of their uninsured low-income residents, they will now receive a 1-to-1 federal match. In most cases, this federal support should… more
Senate Committee on Health Passes AB 52
| July 7, 2011 | Posted by Kandis Driscoll under Blog |
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On Wednesday, the Senate Committee on Health passed AB 52 (Feuer) with a 5-3 vote and one abstention from Senator Michael Rubio (D-Bakersfield). AB 52 would authorize state regulators to reject excessive health insurance rate increases. Current state law only allows the Department of Insurance (DOI) to review rate increases… more
Quick Update on PCIP Enrollment Numbers
| July 7, 2011 | Posted by Ashley Cohen under Blog |
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According to our source at MRMIB, PCIP enrollment reached over 3,200 today (up from 1,600 in March). The state is currently reviewing options to ease eligibility criteria and reduce premiums. If approved, individuals seeking enrollment will be able to submit a letter from a medical professional testifying the presence of… more
Creating a Successful Small Business Exchange
| July 6, 2011 | Posted by Ashley Cohen under Blog |
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Small businesses continue to face unique challenges in providing coverage to their employees. ACA allows states to create exchanges for small businesses called “Small Business Health Option Programs” (SHOPs) where small employers can shop for quality, affordable coverage and the lower wage employers can access tax credits. California’s Former Small… more
HHS Seeks Public Comment on Data Collection
| July 5, 2011 | Posted by Ashley Cohen under Blog |
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Section 4302 of ACA requires data collection on race, ethnicity, sex, primary language and disability status beginning in 2012. HHS’s The Office of Minority Health is now seeking public comment on draft standards for this data collection. According to the National Health Law Program (NHeLP), HHS considered the following in… more
Brown Signs the Budget
| July 5, 2011 | Posted by Christina Vane under Blog |
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Last Thursday, Governor Jerry Brown signed California’s budget into law. The package of bills assumes larger-than-expected tax revenues and triggers additional cuts if those revenues are not generated. Brown exercised his right to impose line-veto cuts of an extra $270 million to state spending. Noteworthy cuts include: $623 million in… more
Physicians More Willing to See Medicare Patients than the Privately Insured
| July 1, 2011 | Posted by Kiwon Yoo under Blog |
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A study published in the Archives of Internal Medicine found that doctors were less willing to treat privately insured patients than Medicare beneficiaries. In 2008, 88% of physicians were willing to accept privately insured patients, down from 93% in 2005. In contrast, 93% of physicians were willing to accept Medicare… more
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