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Covered California Announces Preliminary Rates and Carriers for 2020

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Covered California announced today that the preliminary average rate change for the 2020 individual market will be 0.8% — lower than the actual average increase over the past five years (7.9%), and the lowest rate change since Covered California first began offering coverage in 2014. 

CHA-Led Behavioral Health Action Coalition Hosts Governor’s New Mental Health Advisor

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Tom Insel, MD, Gov. Newsom’s special advisor on mental health care, spoke on June 25 to the statewide Behavioral Health Action coalition — a group of more than 50 organizations that is co-founded and co-chaired by CHA and the National Alliance on Mental Illness, California. Dr. Insel shared with coalition members his ideas for how California can begin to transform its behavioral health system. 

DHCS Requests Updates to Hospital Fee Program Contact List

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Last week, the Department of Health Care Services (DHCS) emailed hospitals requesting updates to their lists of contacts who receive information related to the hospital fee directed payment program. DHCS uses the list to update hospitals regularly as information becomes available for the current and future directed payment programs. Hospitals should complete and return the Excel file (download) to privatedp@dhcs.ca.gov no later than July 19.

Is “Medicare For All (Who Want it)” Enough?

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In the 2nd night of the Democratic Primary debate on June 27, 2019, Pete Buttigieg was asked whether he supported Medicare-For-All. He responded, “I support Medicare for all who want it.”

In doing so, he side-stepped the controversial debate over shifts of power from states to the federal government, and trusted that logic would eventually prevail over a collusive Medical-Industrial Complex with an iron lock grip on a system that deals everyone imaginable in on the sickness profitability curve – except the patient.

Performance Improvements Underway for CDPH Licensing and Certification Program

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At a recent CHA Certification and Licensing Committee meeting, representatives from the California Department of Public Health (CDPH) shared updates about their work to transform the program. The update responded to CHA’s concerns about CDPH’s continued steep increases in hospital licensing fees, which increased on July 1 up to 20% statewide and up to 35% in Los Angeles County, for a fifth consecutive year of fee increases.

Immediate Jeopardy Administrative Penalties

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An overview of the most recent immediate jeopardy administrative penalties, announced June 18, 2019, by the California Department of Public Health (CDPH), is provided below. To view information about each incident — including the CDPH district office that investigated the event, the penalty amount, a description of the event and a link to the CDPH 2567 form — click the hospital name for a full display below the tabs.

California is on the verge of a ‘gray wave.’ Health care needs to keep up

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As the baby-boom generation ages, the number of senior citizens in the state is about to explode. The 65-and-over population will nearly double within a decade, which means a larger percentage of seniors here in California than in Florida. And it’s not clear if we’re ready for the societal, economic and health care demands this shift represents.

“California has a relatively young population that’s about to gray rapidly, and we are woefully unprepared,” said Bruce Chernof, president of The SCAN Foundation. “The state’s approach to aging services is a six-decade collection of well-meaning but one-off programs that are siloed from one another.”

Chernof was one of several of The Bee’s California Influencers who lauded Gov. Gavin Newsom’s “Master Plan on Aging,” which Newsom recently announced to address the needs of the state’s growing senior population.

Team Spotlight

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If you’re ever in need of quality data on hospitals in California, Scott Masten is a great person to start with. 

As VP of Measurement Science and Data Analytics at HQI, he provides statistical consulting, program evaluation, and education for member hospitals.

Scott joined HQI in 2016 to help develop the Hospital Quality Intelligence Initiative (HQI2) data warehouse and advance our data processing, analysis, and reporting capabilities.

Our View

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No one can whistle a symphony. It takes a whole orchestra to play it. – H.E. Luccock, professor, Yale Divinity School

A typical full-size orchestra has as many as 100 members, and here among our four associations and affiliated organizations, we have nearly twice that number of employees.

A modern orchestra has about 20 different instruments, and it’s truly awe-inspiring that such a variety of sounds can come together to produce melodies that ring across generations.