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Monday, May 11 2015

Full Issue

State Highlights: Calif. Vaccine Bill Progresses With Changes; Fla. Gov. Rick Scott Calls For Investigation Of Hospital Finances

News outlets examine health care issues in California, Florida, Arizona, Connecticut, North Carolina, Massachusetts, New York and Illinois.

A bill originally aimed at ensuring that virtually all schoolchildren are fully vaccinated is getting watered down -- but in a politically astute way that will most likely ensure its historic passage. (Seipel, 5/9)

Gov. Rick Scott鈥檚 call for an investigation of hospital finances, officially issued this week, had a familiar ring to Floridians in the health-care industry. 鈥淢y first thought was, 鈥楪ee, didn鈥檛 we just do that?鈥欌 said Linda Quick, president of the South Florida Hospital and Healthcare Association. She was one of those asked to testify at a 2011 hearing held by Scott鈥檚 first hospital-financing panel, created shortly after he was sworn into office. (Gentry, 5/8)

Arizona lawmakers serve the public in a part-time role, but the vast majority of these elected officials take year-round health-insurance plans that are among the most generous state-funded benefits in the nation. (Alltucker, 5/9)

Connecticut Gov. Dannel Malloy and state Democratic leaders begin budget negotiations Monday as the two sides seek a compromise over their diverging spending plans. Mr. Malloy, a Democrat, has said the proposed budget from the Democratic-controlled Legislature spends too much and places an undue burden on the middle class. ... Last month, the Legislature鈥檚 appropriations committee proposed $19.91 billion and $20.57 billion in spending for fiscal 2016 and 2017 that would restore funding to developmental services, mental-health providers, higher education and other categories. That is about $515 million more than what Mr. Malloy proposed in February. (De Avila, 5/10)

Waiting to be registered at a health fair at Hsi Lai Temple on Sunday, a group of women exercised, stretching and moving their arms in circles as they complained about the sacrifices required to stay well. "You can't eat noodles, fish, shrimp, rice, beef," said one woman, who asked that her name not be used to protect her medical information. "What am I supposed to eat? "Exercise," suggested one of her friends. "Salads," said another. (Shyong, 5/10)

Hoag Memorial Hospital Presbyterian, one of the largest and most respected facilities in Orange County, needed to move quickly. A big insurer had warned that its maternity costs were too high and it might be cut from the plan鈥檚 network. The reason? Too many cesarean sections. "We were under intense scrutiny," said Dr. Allyson Brooks, executive medical director of Hoag鈥檚 women鈥檚 health institute. The C-section rate at the time, in early 2012, was about 38 percent. That was higher than the state average of 33 percent and above most others in the area, according to the California Maternal Quality Care Collaborative, which seeks to use data to improve birth outcomes. (Gorman, 5/11)

North Carolina's health agency is violating part of the federal "motor voter" law requiring voter registration help for low-income residents, a coalition of groups said Friday, adding they'll sue the state unless changes are made. The state Department of Health and Human Services is failing to provide voter registration cards along with applications for food stamps and Medicaid, the groups said. (Dalesio, 5/8)

A Florida doctor charged with corruption alongside New Jersey Sen. Bob Menendez was ordered Friday to remain jailed while he awaits trial in a separate case alleging he oversaw a massive Medicare fraud scheme. U.S. Magistrate Judge James Hopkins sided with federal prosecutors, who argued Dr. Salomon Melgen's profound wealth and strong international ties offer ample chance to flee to his native Dominican Republic or anywhere else in the world. (Sedensky, 5/8)

Under pressure to control spending, health insurers, doctors, and hospitals are increasingly ditching the old fee-for-service system that compensates them for every test, procedure, and hospital stay, and turning instead to a more personal managed care approach that rewards providers for sticking to a budget while keeping patients healthy and out of hospital beds. (Dayal McCluskey, 5/11)

Overall performance of the private health care provider for New York City鈥檚 jails failed to improve last year amid heightened scrutiny over inmate deaths that put the company鈥檚 contract under review, according to an evaluation obtained by The Associated Press. (5/11)

At the University of Illinois at Chicago, nearly 800 patients await kidney transplants. Dr. Enrico Benedetti, co-director of the transplant program, is reluctant to operate on most of them. The federal government cited his program last year for success rates that were lower than expected, given the mix of patients and quality of organs used. To become compliant, Benedetti said he must be extra careful about which organs he accepts and which patients he puts them in. (Wahlberg, 5/10)

These are uncertain times for North Carolina鈥檚 rural hospitals. Hospital systems are buying small, struggling independent hospitals, while all hospitals have taken financial hits due to budget cuts and the state鈥檚 decision not to expand Medicaid. North Carolina Health News鈥 Taylor Sisk asked UNC-Chapel Hill health economist Mark Holmes to assess the status of rural hospitals in North Carolina today and to talk a bit about what he sees in their future. (Hoban, 5/11)

The House Republican minority controls the fate of a heavily lobbied labor bill that would expand workers鈥 compensation coverage in Connecticut by declaring some forms of cancer to be an occupational hazard of firefighting. (Pazniokas, 5/11)

This is part of the Morning Briefing, a summary of health policy coverage from major news organizations. Sign up for an email subscription.
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