Friday, April 26, 2013

Medical Board of California could lose investigative powers

Los Angeles Times
The Medical Board of California would be stripped of its power to investigate physician misconduct under a sweeping reform plan by legislators who say the agency has struggled to hold problem doctors accountable. The medical board has come under fire for failing to discipline doctors accused of harming patients, particularly those suspected of recklessly prescribing drugs.

FOX 5 proves medical marijuana card ‘easy’ to get

FOX 5 San Diego
Medical marijuana has had its fair share of headlines this week, from the San Diego City Council considering re-legalizing dispensaries to Drug Enforcement Agents raiding them. FOX-5 decided to investigate a different element of medicinal marijuana: How easy is it to get a card to legally smoke it?

Responsible gambling and the spectacle of the 'problem gambler'

Medical Xpress
Institutions that make big money out of gambling – such as governments, casinos, clubs and pubs – are fond of telling us how much they care about problem gambling. Clubs Australia (the peak body for the institutions where most of Australia's poker machines are located) sees itself as part of the solution – although it also sees the problem as "a small minority" of poker machine gamblers.

Reverse Medi-Cal rate cuts, health providers say

Sacramento Business Journal
An unlikely coalition of doctors, dentists, hospitals, health plans and a health care union launched a statewide campaign Wednesday to support the successful rollout of federal health care reform and oppose further rate cuts in Medi-Cal, the government health care program for the poor. The “We Care California” coalition came together at the State Capitol to announce support for Senate Bill 640 and Assembly Bill 900, which would reverse cuts to California’s Medi-Cal rates, already the lowest in the nation.

HEALTH CARE: New insurance exchange is forum focus

Press-Enterprise
State officials rolled out information on California's consumer exchange for medical insurance — a program triggered by federal health care reform — during a town hall meeting in Riverside on Thursday, April 26. About 200 health care providers, residents and insurance agents got the lowdown on the health benefit exchange, Covered California, which will allow about 4 million uninsured people to compare and buy coverage. The forum at University of California Riverside Extension was the first in a series across the state.

Providers Concerned About Changes in Coverage for Chronically Ill Patients

California Report
Whether you love it or hate it, federal health reform will shake up the health care delivery system. And providers across the state are scrambling to make sure people living with chronic health conditions don't have disruptions to their care during the changeover. Some doctors are particularly worried about one community -- people living with HIV. That's because unlike asthma or cancer, HIV is contagious, and a break in care for those infected could have public health consequences.

NYC Mom Calls On Bars To Help Fight Binge Drinking After Daughter’s Death

CBS New York
The mother of a young actress who died after a night of drinking in Greenwich Village is calling on city bars to help combat what she calls an epidemic of binge drinking by young people. Shana Dowdeswell, a 23-year-old actress who appeared on “Law & Order,” died of alcohol poisoning on December 12 days after she was found collapsed outside her family’s home after drinking heavily at local bars.

Thursday, April 25, 2013

Clean Out Your Medicine Cabinet This Weekend for Prescription Drug Take-Back Day

Patch.com
Sacramento County officials are again asking for residents to turn in their old and unused prescription drugs. "Many Americans are not aware that medicines that languish in home cabinets are highly susceptible to diversion, misuse, and abuse," the Sacramento County Sheriff's Department said in a press release. "Rates of prescription drug abuse in the U.S. are increasing at alarming rates, as are the number of accidental poisonings and overdoses due to these drugs." This weekend, the Sacramento County Sheriff's Department will offer four dropoff locations for National Prescription Drug Take-Back Day.

No health changes for California public employees

Associated Press
California has no plans to move state government workers onto the state's new insurance exchange, said Bill Madison, a spokesman for the California Public Employees' Retirement System. CalPERS provides health benefits to nearly 550,000 current state employees and their dependents. An additional 270,000 retired state workers also receive health coverage through the nation's largest public pension fund, he said. "All employees are staying in CalPERS health plans as long as they're eligible for them," Madison said this week. CalPERS is the third largest purchaser of health care in the nation. It provides benefits to more than 1.3 million public employees, retirees and their families.

Covered California hires replacement IT chief away from CalPERS

Sacramento Business Journal
The state’s health benefits exchange announced Tuesday that Karen Ruiz has been hired as new program director for the computer system that will handle eligibility, enrollment and retention in the new insurance marketplace. Ruiz replaces James Joseph Brown Jr., who was arrested March 15 and left employment at Covered California on March 25, the day he was arraigned on charges of felony conflict of interest and perjury for allegedly failing to disclose personal ties related to a contract award in his previous job at the Justice Department.

Autism, Dental, Mental Health Focus of Transition Concerns

California Healthline
Daniel Harris, age 4, is just one of 600,000. But he's an important one, and not only to his mom. Daniel is one of the first kids in California to have lost insurance coverage for certain health care services as a result of the state's transition from Healthy Families to Medi-Cal managed care. Daniel has autism, for which he had been getting treatment through the Healthy Families program. His mom, Rachel Harris, said he was showing marked improvement in the applied behavioral analysis program.

Calif. Health Exchange Delays Action on Model Health Plan Contract

California Healthline
On Tuesday, the board of Covered California -- the state's health insurance exchange -- announced that it plans to delay until next month any action on its proposed model health plan contract, the Sacramento Business Journal reports. The board heard testimony from health insurers on various issues related to the model contract.

Unlikely coalition vows joint battle against Medi-Cal rate cuts

Sacramento Bee
A veritable army of politically powerful but unlikely partners vowed today to jointly fight California's planned rate cut to Medi-Cal providers. The broad-based coalition includes groups representing physicians, health plans, hospitals, dentists, first responders, and the state's largest labor union of health-care workers - Service Employees International Union.

California Needs to Address Rising Retirement Healthcare Costs

Independent Voter Network
California’s unfunded public pensions have been a growing burden in the state’s budget, reaching more than $300 billion in 2013. However, left out of the equation are the other post-employment benefits (OPEB), mainly healthcare benefits for current retirees, which weigh on the state’s finances. Most public employees in California are being offered, on top of their pension, full healthcare benefits when they retire. It is only since the mandatory public disclosure of these costs in 2008 that the true costs of the OPEB became clear. With healthcare costs rising and people living longer, California’s liability for OPEB is $63.9 billion.

Wednesday, April 24, 2013

A Cure for CURES

California Health Report
In October of 2003, Jimena Barreto lost control of her Mercedes, running into and killing Bob Pack’s 10-year-old son Troy and 7-year-old daughter Alana. Barreto was under the influence of alcohol and prescription painkillers. She had been doctor-shopping, going from one physician to another to get multiple prescriptions for the drugs she craved. Pack questioned how authorities could not have noticed someone obtaining an exorbitant amount of pain pills, and wondered why there was no system in place to monitor such action.

Doctors To Meet On Health Care Reform For Hispanic Uninsured .

Wall Street Journal (Press Release)
About one-third of Latinos or 15 million people will be seeking new doctors for diabetes, hypertension, cancer and preventive services when they become eligible to receive or buy health care coverage under the new health care reform law, the Affordable Care Act (ACA). As the nation's Latino doctors come together this week for the 17(th) Annual Conference of the National Hispanic Medical Association, the implementation of the ACA and ensuring access to the benefits of the new law for Hispanic patients will be at the forefront of the agenda. The conference opens Friday, April 27(th) at 9:00 am at the Marriott Wardman Park Hotel in Washington, DC.

Employer health premiums rose 170% in California in last decade

Los Angeles Times
Premiums for employer health insurance in California jumped 170% over the last decade, more than five times the 32% increase in the state's inflation rate. That escalation in premiums has taken a toll on employers' willingness to offer health benefits, according to an annual survey by the California HealthCare Foundation. The report found that 60% of California firms offered health benefits last year, down from 73% three years ago.

Millions eligible for Obamacare subsidies, but most don't know it

CNN
Nearly 26 million Americans could be eligible for health insurance subsidies next year, but most don't know it. That's because relatively few people are familiar with provisions in the Affordable Care Act, aka "Obamacare," that will provide tax credits to low- and middle-income consumers to help them purchase health coverage through state-run insurance exchanges.

HHS stages multimillion-dollar PR campaign to promote ObamaCare

Fox News
The federal agency charged with implementing the Affordable Care Act announced a multimillion-dollar public relations contract last week in order to convince people to join the program and keep it from collapsing, critics claimed. Enrollment in Obamacare's health insurance exchanges is lagging, raising concerns about the viability of the exchanges, which are the law's primary means of delivering health insurance. The bill's congressional architects have warned the Department of Health and Human Services (HHS) may be unable to establish a functional health insurance marketplace.

Advice for small businesses on health reform: Keep on top of developments

Sacramento Business Journal
Bob Graboyes has a kernel of hope in a long list of woes he sees coming down the pike for small business owners under federal health reform. A health care economics expert for the National Federation of Independent Business, Graboyes thinks "California is probably doing a better job than just about any other state" when it comes to launching the new insurance marketplace for small business owners.

Senate Panel Rejects Two Retiree Health Benefits Bills

California Healthline
On Monday, a Senate committee voted 3-2, along party lines, in two separate votes to reject bills related to retiree health care benefits. The first bill (SB 774) would have required state workers hired on or after Jan. 1, 2015, to work 15 years to qualify for 50% of their retiree health benefits costs and 25 years for full coverage. The second bill (SB 775) would have required the Controller's Office to assess the cost of buying out state workers' vested retiree health care benefits.

Are High-Risk Pools a Preview of Obamacare's Failure?

California Healthline
Following the Obama administration's announcement about the suspension of enrollment in a high-risk health insurance program known as the Pre-Existing Condition Insurance Plan, a flurry of commentary began on what the move means for the Affordable Care Act. Some observers said that the program's underwhelming enrollment numbers and high costs foreshadow inevitable problems with the ACA's health insurance exchanges, while others drew a clear division between a program intended to insure only those with pre-existing health conditions and state marketplaces designed to spread risk by insuring both those who are sick and those in good health.

Gov. Brown donors rally against his healthcare cuts

Los Angeles Times
In the healthcare world, there’s not a whole lot that insurers, doctors and union workers all agree on. But a new coalition of powerful Capitol players from all three groups is hoping to reverse recent budget cuts, pushed by Gov. Jerry Brown, to those who provide care to the poorest Californians. But doctors, hospital officials and others say the rate cuts could threaten the success of the federal law. They say lower reimbursements for treating poor patients will reduce the number of people who agree to treat Medi-Cal patients.

Lawmakers wonder if VA underestimates impact of health care reform

Marine Corps Times
A House committee is concerned that the Veterans Affairs Department may be underestimating the cost and burden of national health care reform for veterans’ hospitals and clinics. Beginning next year, the Affordable Care Act penalizes people who do not have health insurance — part of a move intended to control overall health insurance costs by expanding the number of people with insurance. VA could end up with some of those people because its health plan meets the new law’s definition of “minimum essential coverage.”

Veterans Corner: Study finds doctors ignoring VA guidance

Lake Country Sun
Department of Veterans Affairs doctors are continuing to prescribe tranquilizers such as Valium and Xanex to veterans diagnosed with post traumatic stress disorder, despite VA guidelines advising against their use for the condition. That finding is according to Dr. Nancy Benardy, clinical psychologist with the VA's National Center for PTSD. Her research can be found under Veterans Education and Research Association of North New England. Almost a third of veterans being treated for PTSD are prescribed benzodiazepines, a class of sedatives commonly used to treat insomnia, anxiety, seizures and other conditions.

Congressional committee looking into VA medical center deaths in Decatur

WSBTV.com
The chairman of a powerful congressional committee says he wants officials at the Atlanta VA Medical Center in Decatur disciplined, potentially suspended or fired, because of the scandal first reported by Channel 2 Action News. Channel 2's Scott MacFarlane spoke to Rep. Jeff Miller, the chairman of the U.S. House Veterans Affairs Committee, which oversees the VA. Miller says he's also considering formal hearings to investigates what's been happening in Decatur.

Improving mental health starts with early childhood relationships

Medical Xpress
Making sure children grow up in a safe and stable environment is the goal of Iowa State University researchers working on a statewide evaluation through the Iowa Department of Public Health and the Maternal, Infant and Early Childhood Home Visiting programs. Researchers want to improve effectiveness as well as access for families to prevention and intervention programs.

Controlling alcohol habits as students find 'release' may avoid later addiction

Medical Xpress
Current college culture allows for an environment where risks of addiction and alcohol dependency increase while mental health decreases. According to an American Psychological Association report, there is a rising number of students grappling with mental health problems. Similar to the data seen at Penn State's Counseling and Psychological Services, the most common of the disorders seen in students are depression, anxiety, suicidal, ideation, alcohol abuse, eating disorders, and self-injury. According to a 2010 National Survey of Counseling Center Directors, 45.7 percent have reported an increased number of clients struggling with alcohol abuse.

Binge drinking in your 20s can trigger heart disease, as being young has no protective effect against alcohol

Daily Mail
Binge drinking, even as a young student, can cause heart disease, a study has warned. Research has found that regularly drinking large quantities of alcohol caused immediate changes in circulation that increase an otherwise healthy young adult's risk of developing cardiovascular disease later in life. ‘Regular binge drinking is one of the most serious public health problems confronting college campuses, and [thanks to them] drinking has become more pervasive and destructive,’ said Professor Shane Phillips, senior author and associate head of physical therapy at the University of Illinois at Chicago.

Tuesday, April 23, 2013

4 a.m. Bar Bill Draws Opposition in Sacramento

Sacramento Bee (Press Release)
Alcohol Justice, and the statewide Coalition to Stop Leno's 4 a.m. Bar Bill, are asking people to call the Senate Governmental Organization (GO) Committee today with the simple message to stop the dangerous public health and safety policy that will result in California if bars, restaurants and nightclubs are able to continue selling alcohol from 2-4 a.m.

Time for California to Decriminalize, Tax & Regulate Marijuana

Huffington Post (Opinion)
It is time for California to decriminalize, tax and regulate marijuana and decide who sells it, who can buy it legally, and for how much. When California became the first state to approve medical marijuana, we led the nation on progressive drug policies, and now it is time to lead again.

Covered California plans updates on model health plan contract, supplemental benefits

Sacramento Business Journal
The board at Covered California, the state health benefit exchange for individuals and small business employers, will provide updates on program planning, service centers and the enrollment system at a meeting Tuesday in Sacramento. The meeting will be held from 9 to 4 at 1500 Capitol Ave., but the public portion is expected to begin about noon.
Full Article >

In rural California, physician shortages expected to increase

HealthyCal.org
In the coming year, millions of currently uninsured Californians will gain coverage under the federal Affordable Care Act — but that does not necessarily mean it will be any easier for them to see a doctor. As the state prepares for the expected onslaught of newly insured patients, health-care professionals are warning there may not be enough doctors — particularly, those practicing primary care — to meet the increased demand. Some say that the problem will be even more amplified in rural California, which already suffers a physician shortage and dwindling workforce, as the majority of rural physicians nears retirement and recruitment of new doctors lags in replacing them.

California could end April $3.5 billion ahead of expectations

ABC News10
California's tax revenues began 2013 stronger than expected and will end the all-important month of April some $3.5 billion ahead of Gov. Jerry Brown's assumptions. That's according to a new snapshot from the independent Legislative Analyst's Office, a reflection of this month's impressive tax collections. "Last week, we had two days of over $2 billion a day in collections," says deputy analyst Jason Sisney.  "Those were among the largest revenue days in California history."

San Francisco to probe allegations of Nevada 'patient dumping'

Sacramento Bee
San Francisco City Attorney Dennis Herrera on Monday opened a formal investigation into whether the state of Nevada improperly "dumped" psychiatric patients in his city and throughout California. In a letter to the director of Nevada's Department of Health and Human Services, Herrera demanded that the state turn over documents related to its aggressive practice of discharging patients from a Las Vegas state mental hospital via Greyhound bus and transporting them to cities across America.

Prescription drug abuse by teens up sharply: study

CBS News
More parents need to talk with their teens about the dangers of abusing Ritalin, Adderall and other prescription drugs, suggests a new study that finds discouraging trends on kids and drug use. When teens were asked about the last substance abuse conversation they had with their parents, just 14 percent said they talked about abusing a prescription drug, said the report released Tuesday by The Partnership at Drugfree.org.

National Prescription Drug Take-Back Day scheduled for Saturday

WPXI.com
Prescription drug abuse is a problem that affects all ages, all races and all genders. "Prescription drugs are something that are big on our radar right now because of the abuse," said Gary Davis, Asst. Special Agent in Charge of DEA, Pittsburgh. In fact, two seminars are planned in Washington County this week to address prescription drug abuse by teenagers.

New study links poor drinking habits to poor eating habits

WBTV.com
Every calorie counts towards your daily intake, so don't forget about the liquid ones! And on top of that a new study suggests when we drink, we just don't eat right. Rob Debreczeni was the poster child for the freshman 15 when he was in school. "I started probably at 185, 180, somewhere in that range," said Rob. But cafeteria food was not the culprit for the weight gain. "Sitting down and having five or six beers I probably gained an easy 15 pounds," said Rob. He admitted to being a binge drinker in college.

Monday, April 22, 2013

Kaiser program leads to huge reduction in Vicodin and Oxycontin prescriptions

Southern California Public Radio
Much of the recent attention on the nation’s prescription drug epidemic has focused on corrupt or negligent doctors. But there’s another significant problem in the medical community -- many physicians are routinely prescribing powerful drugs like Vicodin and Oxycontin because they don’t know how addictive and dangerous they can be. A two-year program at Kaiser Permanente has drastically reduced the number of prescriptions for these brand name drugs by teaching front-line doctors how to safely prescribe pain medication. 

Bipartisan Policy Center Releases Health Care Cost Containment Plan

California Healthline
On Thursday, the Bipartisan Policy Center released a health care cost containment plan that would reduce the federal deficit by about $560 billion over the next decade, including about $300 billion in Medicare savings, Kaiser Health News' "Capsules," reports. The report was compiled by former Democratic and Republican congressional lawmakers and health care experts, including former Senate Majority Leader Tom Daschle (D-S.D.), former Congressional Budget Office Director Alice Rivlin and MIT economist Jonathan Gruber.

Some Lawmakers Seek Care for Undocumented Immigrants

California Healthline
Some California lawmakers are promoting a plan that would use an estimated $700 million in county savings from the Medi-Cal expansion to offer basic health care services to undocumented immigrants, the Sacramento Bee reports. Background: California's Low Income Health Program is an optional federal program that offers health coverage to uninsured legal residents in preparation for a Medi-Cal expansion under the Affordable Care Act.

School-Based Health Center Proponents Lobbying for Funding

California Healthline
California school and health care leaders have joined ranks with officials from other states urging Congress to put money behind an idea with widespread but underfunded support: health care centers based in schools. Tom Torlakson, California's state Superintendent of Public Instruction, and 18 superintendents from school districts across the state added their names to a letter delivered to Congress asking for $50 million in federal funding.

The limits of Obamacare

California Health Report
Kalwis Lo, 24, says Obamacare saved his life. But his story is also a cautionary tale about the limitations of the Affordable Care Act — especially as it applies to young people. Lo could not access insurance through a provision of the health care law meant to help younger adults like him, so he went without coverage. He was then hit by a serious illness at a time when most young people feel they are invincible and may pass on insurance. And Lo wasn’t aware of new coverage that might have helped him once he developed his illness – so he didn’t sign up for it.

Many retired California state executives still in high-pay state jobs

Sacramento Bee
Despite the Brown administration's edict last year to sweep out nearly all retirees from the state workforce, more than two dozen departments still use them to fill some of the highest-paying positions in government, according to state data reviewed by The Bee. The numbers in an internal Department of Human Resources report show a total of 75 retirees in 26 departments held "career executive assignments" in February. The positions pay the retirees from $45 per hour to $75 per hour on top of their pensions.

Illegal ecstasy being studied to treat PTSD

USA Today
Dubbed the "hug drug" and "X" by its users, the illegal drug ecstasy is being researched as a possible treatment for sufferers of serious stress disorders. But a lot more research is needed before ecstasy-assisted psychotherapy ever would be made legal in the United States, said Gary Gudelsky, a University of Cincinnati professor who has spent 25 years studying side effects of the drug on the brain.