Health

News on health, wellness and health care

Medi-Cal and Obamacare: More Confusing Twists

Jul 16, 2013

Another in a series of Q&A columns answering consumers’ questions about the Affordable Care Act.

Q: If my family of six qualifies for Medi-Cal under the Affordable Care Act, do we have to sign up for that? Or can we still buy subsidized health care plans through Covered California? … I have real concerns about the quality of care we would get on Medi-Cal. I’m hoping for a positive answer!

A: Sadly, I’m about to disappoint Beth from Modesto and others in her situation.

Private Doctors Provide Personalized Care, For a Price

Jul 15, 2013
Pauline Bartolone / Capital Public Radio

While insurance companies stand to gain millions of new customers next year under the Affordable Care Act, one area of health care is taking a step away from the industry. Private medicine – commonly known as concierge care – is a small but growing trend, with California at its center. Health Care Reporter Pauline Bartolone has more about how it works at one practice in the Sacramento area.

The N1 Health Center for Functional Medicine sits in an average looking corporate business park. But there’s nothing average about the doctor’s office inside. 

Joe Moore / Valley Public Radio

 

Lawyers representing inmates at Pleasant Valley State Prison in Fresno County and Avenal State Prison in Kings County filed a class action lawsuit in U.S. District Court Tuesday.

The suit is on behalf of black, elderly, and immune-compromised inmates who acquired valley fever since July 2009, while serving time at the two institutions.

The complaint alleges that state and prison officials knew these groups were at high-risk of contracting the serious, potentially fatal form of the disease, but failed to take adequate steps to protect them.

Camarena Health

In less than three months, thousands of California residents will begin enrolling in expanded health coverage as part of the Affordable Care Act. The law is complex and touches almost every part of the health care system. But what does it mean for residents of the San Joaquin Valley? Over the coming months, we’ll explore that question by visiting with patients, doctors, businesses and clinics in the community of Madera. It’s a city that’s home to more than 62,000 people, more than quarter of whom live below the poverty level.

The summer is a slow time for many occupations, but not for people working to make fundamental changes to the health care system. Millions of uninsured Americans are expected to buy coverage through new health insurance marketplaces called exchanges. Health Care Reporter Pauline Bartolone  has more about how neighboring states are trying to achieve the same end by different means. 

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The “Kid Glitch”: Could Your Family Fall Into Obamacare’s Affordability Gap?

Jul 2, 2013

Another in a series of Q&A columns answering consumers’ questions about the Affordable Care Act.

In my last column, I tackled your questions about choice. Specifically, I wrote about your options under Obamacare if your employer-sponsored health insurance is too expensive or doesn’t provide access to the doctors or hospitals you prefer.

Rebecca Plevin / Valley Public Radio

All inmates at risk of developing a serious form of valley fever must be removed from two Central California state prisons within the next 90 days. That’s what a U.S. District Court judge ruled Monday, upholding a directive from the federal official in charge of prison health care. The ruling comes over the objections of the state Department of Corrections and Rehabilitation, which balked at the complexity of the policy. Valley Public Radio’s Rebecca Plevin takes us behind the prison gates to explain how the state and inmates are coping with the problem. 

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Obamacare and Your Choices: Options for Californians Who Don’t Like Their Work-Based Coverage

Jun 18, 2013

Another in a series of Q&A columns answering consumers’ questions about the Affordable Care Act.

Q: If my husband’s employer offers health care insurance but it is unaffordable, where does that leave us? Will we qualify for help under Obamacare or will we be out in the cold? We make about $45,000 annually.

A: Apparently, lots of you dislike the health insurance options offered by your employers.

Carrie from the Sacramento suburbs submitted this question, but I’ve received a crush of similar queries from all over the state.

California Department of Health Care Services

California lawmakers and Governor Jerry Brown reached a budget agreement this week. The Governor had previously said he had no intention of bringing back services slashed in years past, but a small number of areas won restored funding for next year - dental care was one of them. Health care reporter Pauline Bartolone has more from Sacramento about what that led up to the decision to renew services.

For four years, Karen Wadsack has been struggling to get the dental care she says she needs.

California Insurance Commissioner Dave Jones says Anthem Blue Cross should be left out of the new health insurance marketplace for small businesses next year.

Jones says Anthem’s planned premium rate increase for small employers next month is excessive.

He says the Affordable Care Act requires him to evaluate whether insurers are suitable to participate in the new marketplace.

The California state budget deal reached this week includes some restored funding for dental care for the poor, and millions of dollars for mental health services. And as Pauline Bartolone in Sacramento reports, county and state officials are finalizing the details of how local governments will use health care money.  

After months of negotiations, the Brown administration and county representatives have struck a deal - the state can redirect some money away from county health programs, but the counties will have some choice in how that’s done.   

Workplace Wellness Takes Off, Using Money As a Motivator

Jun 3, 2013
Capital Public Radio

The demands of the workplace and home life can make it hard to find time to be physically active. Many employers are incorporating healthy activities into the workplace, often using money as a motivator. But as Pauline Bartolone in Sacramento reports, the trend comes with concerns about who’s paying more for health care.

Susan Southard walks 10 miles a week without taking her eyes off a computer screen.

“The maximum speed is two miles. So I’ll do the maximum,” says Southard.

Ben Adler / Capital Public Radio

One of the biggest unresolved issues in California budget negotiations is what to do with more than $1 billion counties currently spend on health care for the poor.  Governor Jerry Brown says counties won’t need that money once the new federal health law kicks in next year.  But as Ben Adler reports from Sacramento, the counties disagree.

New Data Show A Decline In Reported Cases of Valley Fever

May 28, 2013
The Californian

California’s tally of valley fever cases dropped by more than 1,000 last year and some counties have also seen fewer cases in the early months of 2013.

But public health officials say it’s too early to identify long-term trends in the numbers.

California’s new health insurance exchange has announced what plans and prices may look like for millions of people who will be buying individual coverage next year. Health Care Reporter Pauline Bartolone has more about what the changes may mean for people already in the market.  

Some people may pay the same rate for a health insurance policy next year. But, Janice Rocco from the California Department of Insurance says many people will see a premium increase, with added benefits and fewer other costs. 

Details of California’s new health insurance exchange were announced today. As Katie Orr reports from Sacramento, about five million people are eligible to get covered through the exchange.

California is opening the exchange to comply with federal healthcare reform. Thirteen insurance agencies will offer a variety of plans. While some plans will be available throughout the state, others will be targeted to specific regions.

Depending on where they practice, doctors in different parts of California are more likely to recommend certain procedures. It’s a phenomenon called “variance.” A study from The California Healthcare Foundation shows it’s a consideration both patients and physicians should be aware of. The Foundation’s Maribeth Shannon says doctors might not realize what they’re doing.

Rebecca Plevin / Valley Public Radio

The quest for the perfect pinot noir lured Todd and Tammy Schaefer from Malibu to Paso Robles in 2001. But a different fate awaited them and their business, called Pacific Coast Vineyards.

“My wife and I had just come up here, to set up shop and continue our practice of winemaking, and, ‘Welcome to Paso Robles, here’s valley fever,’” Todd recounts.

In October of 2003, Todd was running a bulldozer through a vineyard, and kicking up lots of dust. They had no idea that dust would make him ill.

Andrew Nixon / Capital Public Radio

 California Governor Jerry Brown’s revised budget proposal shows clear intent for a state-based Medi-Cal expansion under the Affordable Care Act. January’s budget suggested a possible county-led expansion.  

California Health and Human Services Secretary Diana Dooley says the budget also proposes a way the state will seek to capture money counties currently use to treat the uninsured.   

Valley Public Radio

California lawmakers are considering a measure that would tax sugary drinks a penny per fluid ounce. The proposal is intended to cap soda consumption in order to reduce obesity rates. Health Care Reporter Pauline Bartolone in Sacramento has found a range of opinions on the soda tax.

It’s a hot afternoon in Sacramento’s Oak Park neighborhood. Teenagers are out of school for the day. Some have beverages in their hands. Kirk Allen is sixteen years old:

"What are you drinkin’?" "Tiki punch, Shasta."

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