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Industry Updates

This broad category includes articles concerning health insurance costs, carrier and health plan news, changing benefits technology, and surveys by the Kaiser Family Foundation and others on employee benefits.

Covered California Touts Early Enrollment, But There’s A Cloud on the Horizon

Covered California has signed up more than 34,000 new individuals for health benefits since open enrollment started Nov. 1, exchange officials said Thursday. That’s about 2,000 a day and “very strong enrollment” for so early in the sign-up period that extends through Jan. 31, said executive director Peter Lee. But there’s a cloud on the ...

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New California Color is Gray, Not Gold as ‘Aging Tsunami” Arrives

From the beach party movies of the 1960s to the hippies of the 1970s and Silicon Valley’s baby billionaires today, California has long projected a youthful ambiance. That’s about to change in a big way. The aging of California’s huge post-World War II baby-boom generation, combined with plummeting birth and immigration rates, means the Golden ...

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Legislation Cut California’s Workers’ Compensation Medical Costs

Three years ago, Gov. Jerry Brown and the Legislature enacted a major overhaul of the system that compensates workers for job-related injuries and illnesses. Senate Bill 863, backed by employers and labor unions, affected many specific aspects of the system but was aimed largely at reducing medical costs and redirecting savings into cash benefit increases ...

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95 California Hospitals Named ‘Top Performers’ by Joint Commission

On Tuesday, the Joint Commission recognized more than 1,000 hospitals in California and other states as “Top Performers” for achieving high performance on key quality measures, the Biloxi Sun Herald reports (Biloxi Sun Herald, 11/16). The fifth-annual “Top Performer on Key Quality Measures” list was included in the organization’s 2015 annual America’s Hospitals: Improving Quality ...

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New Data Show Greater Health Disparities Among Ethnic Groups

There are major differences in health care status among different types of Asians and Latinos in California — and yet the state so far has resisted treating those subgroups differently, according to UCLA researchers who released an updated version of health survey data last month. “Data clearly show the need to disaggregate the Asian community ...

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Ballot Measure Would Limit Drug Costs for State Programs

A new poll suggests widespread support for a measure headed for the 2016 ballot that would cap prescription drug prices paid by state programs. The California Drug Price Act would prohibit the state from using taxpayer money to pay more for any prescription drug than the amount paid by the U.S. Department of Veterans Affairs. ...

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Premium Pain for ‘Grandmothered’ Health Plans

If you work at a business with 50 or fewer employees, watch out for grandma this year. By that, we mean if the company has a “grandmothered” health plan, you may be in for some changes in 2016. Grandmothered is the term insurance agents and brokers have been using for pre-Obamacare policies that were allowed ...

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Health Exchange Hopes to Move Past Troubles in 3rd Go-Round

It's survived an IT meltdown and attempts to kill it in the Legislature. It's now facing the loss of two insurance carriers and an effort to constitutionally ban it.

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Why Kaiser and Dignity Health Decided to Join Forces in Stockton

Dignity Health and Kaiser Permanente have agreed to joint ownership of St. Joseph’s Medical Center in Stockton. Dignity Health will keep an 80 percent ownership interest in the hospital and related operations. Kaiser will buy a 20 percent interest, the two companies announced Monday. The deal is expected to close in mid-2016. The agreement creates ...

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Half of California’s Undocumented Immigrants Could Qualify for Medi-Cal

Half of California’s undocumented immigrants — about 1.4 million — have incomes low enough to qualify for full Medi-Cal benefits should California legislative proposals to offer coverage to the undocumented ever be enacted. That is among the key findings of a Public Policy Institute of California report released Monday night which examines current policy options ...

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