Professional Documents
Culture Documents
California Edition
Calendar
Oct. 30-Nov. 1
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November 1-2
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December 3-4
WEBINAR
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NEWS
Mendocino (Continued from Page One)
As a result, Valentine observed that there has been a lot of patient out-migration to Santa Rosa, 110 miles to the south and the nearest city of any size, where regional powerhouse Sutter Health operates a hospital. Adventist Health also operates several smaller hospitals closer to Fort Bragg. Physician shortages have bedeviled many hospitals in rural areas, according to Tom Petersen, executive director of the Association of California Healthcare Districts. If you dont have surgical specialists, the secondary effect is that the patients also wind up using primary care physicians out of the area, he said. Petersen added that nearly 60% of Californias physicians practice in just ve of the states 58 counties those that are the most heavily urban. And Californias overall shortage of physicians is already severe to begin with, he noted. Hino conrmed that his hospital has struggled with out-migration to other facilities
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In Brief
Sacramento County Launches LIHP
Sacramento County will be launching its low-income health plan next month as part of Californias Bridge to Reform initiative. The Bridge to Reform is intended to expand Medi-Cal coverage prior to the planned expansion under the Affordable Care Act in 2014. It relaxes MediCal eligibility to include childless adults. As many as 400,000 Californians are expected to be enrolled under the initiative. Sacramento County expects between 10,000 to 14,000 lives will be added to the Medicaid via the low income health plan in the coming months. Long Beach-based Medi-Cal managed care payer Molina Healthcare will be administering benefits. Tremendous work has gone into getting us to this point, and LIHP is a true testament to the commitment these providers in our region have to serving those in need, said Rep. Doris Matsui, a Sacramento-area Congresswoman and Democrat.
for years. And while Mendocino Coast recently recruited a second orthopedic surgeon, it did not stem the ow of patients out of the area. People got used to leaving town and then referring their friends as well, Hino said. He added that his hospitals size makes it difcult to compete with Sutter and Adventist on price. The districts fate was sealed over the summer when negotiations with its major creditors failed. They included the United Food and Commercial Workers union, which represents 80% of Mendocino Coasts 320 employees, and Cal-Mortgage, which holds about $30 million in district bonds. By the time the board decided to vote for bankruptcy, it was projected the hospital could lose as much as $2.5 million this year, a negative operating margin of nearly 6%. Cash on hand had dwindled to where it could sustain ongoing operations for less than three days.
Continued on Page 3
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NEWS
ACO (Continued from Page One)
increase adherence to prescription medications. Cigna's collaborative accountable care program is based on our belief that a system that's focused on the value of care rather than volume of care offers the best path to improved health and lower medical costs, said Peter B. Welch, president of Cignas Northern California division. We look forward to collaboratingto advance a patient-centered healthcare system that
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*For our ads, not your hospital
In Brief
help them make decisions moving forward. "Approximately 3-6% of the mammography population who have no history of cancer fall into the high risk category," said Michele Van Zuiden, the executive director of El Caminos Women's Hospital. This comprehensive offering will allow us to help our patients assess and understand their lifetime risk and then make informed choices about further testing, diagnosis, risk reduction strategies and treatment options. El Camino is also offering special 3-D screening equipment for women who have dense breast tissue. About 40% of women with dense breast tissue cannot have potential cancers diagnosed using traditional mammograms. And the 3-D equipment tends to diagnose about 30% more tumors than mammograms do. Additionally, El Camino is the rst hospital in Northern California to offer such screening for women with dense breast tissue.
emphasizes prevention and primary care, and rewards physicians for outcomes. Cigna typically pays its ACO providers on a fee-for-service model, with a care coordination fee added on a per-member permonth basis. The additional payment is in lieu of providing specic patient data and meeting benchmarks for improving care. If the outcomes improve, the fee is increased in subsequent years.
Contexo Media is an independent provider of revenue-enhancing solutions for medical practices to maximize their coding, reimbursement and compliance efforts. Thousands of health care professionals rely on Contexo Medias coding books, software, eLearning and educational workshops to stay on top of critical updates across the fast-changing medical landscape.
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OPINION
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MARKETPLACE/EMPLOYMENT
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