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End-of-Life Choices

Trends in end-of-life care show that not only does the care given vary widely from region to region and hospital to hospital, but also patients often don't get the care they prefer. What can be done?

Care Management Puzzle

Chronic diseases and the cost of care are rising. Are disease management programs improving outcomes for patients with complex, chronic conditions?

No Middleman

Under the "direct primary care" model, patients pay a monthly fee for basic medical services. Learn about the history and current landscape of physician practices offering this arrangement.

Health Care Reform

Monday, July 23, 2012

Latino Health Advocates Concerned With Speed of Exchange Planning

At a meeting of the Latino Coalition for a Healthy California on Friday, members expressed concern that planning of the California Health Benefit Exchange might be moving too fast, KQED's "State of Health" reports (Aliferis, "State of Health," KQED, 7/20).

About the Exchange

The federal health reform law requires states to launch online insurance marketplaces by 2014.

The California Health Benefit Exchange primarily will serve individuals and small businesses. An estimated 4.4 million California residents are expected to use the exchange by the end of 2016.

Officials plan to open registration for the exchange in October 2013 (California Healthline, 7/17).

Details of the Concerns

At the LCHC meeting, Board Director Gil Ojeda discussed the speed of exchange planning.

Ojeda said, "When you move a freight train at 90 miles an hour, some things are going to get put aside," referring to interim deadlines for health plans to determine essential health benefits for the exchange.

He questioned why essential benefits must be determined by September.

According to "State of Health," LCHC members also said that they are concerned that California does not have enough primary care providers to absorb the estimated three million residents who will be newly insured under the reform law ("State of Health," KQED, 7/20).

States have the option of expanding Medicaid coverage to individuals with incomes of up to 133% of the poverty level, according to the reform law. The law’s Medicaid expansion provision also will expand coverage to low-income adults who have no children (California Healthline, 7/16).

Ojeda said, "We don't have a chance of achieving the numbers (of primary care providers) we need by 2014" ("State of Health," KQED, 7/20).

Broadcast Coverage

On Friday, KQED's "The California Report" reported on a recent meeting in Oakland of the California Health Benefit Exchange Board (Kim, "The California Report," KQED, 7/20).



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