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Implementation of AB 97 Medi-Cal Provider Payment Reductions

The Department of Health Care Services (DHCS) has announced the implementation plan for the provider payment reductions required pursuant to Assembly Bill 97 (Chapter 3, Statutes of 2011). AB 97 requires DHCS to implement 10% provider payment reductions to most categories of services in Medi-Cal fee-for-service (FFS) as well as actuarially equivalent reductions in Medi-Cal managed care. DHCS received federal approval for the reductions, effective June 1, 2011, but has been prevented from implementing many of these reductions due to a court injunction in the Managed Pharmacy Care, et al ...

Wawona Packing Company Fruit Recall and Listeria monocytogenes

Wawona Packing Company Fruit Recall and Listeria monocytogenes Date: July 24, 2014 This health alert informs the medical community about a recent fruit recall due to possible Listeria monocytogenes contamination and provides resources for clinicians on listeriosis and on the management of high-risk individuals with potential exposure. Fruit Recall Wawona Packing Company of Cutler, California, voluntarily recalled certain lots of whole peaches (white and yellow), nectarines (white and yellow), plums, and pluots packed between June 1, 2014, and July 12, 2014, due to potential contamination with Listeria monocytogenes. Wawona Packing has notified retailers ...

CMA Capitol Insight With Anthony York

CMA Capitol Insight Is a Biweekly Column by Veteran Journalist Anthony York, Reporting on the Inner Workings of the State Legislature The Calm Before the Storm July is the eye of the hurricane in the state capital. The town is eerily quiet. As temperatures skyrocket, politicians scatter for their districts — or places ever farther afield. More on that in a minute. In the meantime, there’s not a lot of visible activity under the dome. The Legislature is on its annual month-long summer recess, and the town has ground to a virtual ...

San Diego Medical Office Overview: Q1 2014

By Chris Ross — Mr. Ross is vice president of healthcare solutions for Jones Lang LaSalle. He is a commercial real estate broker specializing exclusively in medical office and healthcare properties in San Diego County. He can be reached at (858) 410-6377 or at chris.ross@am.jll.com. Market Conditions and Trends Real estate activity among the county’s larger health systems remains steady. In particular, Scripps Health, Sharp Healthcare, and UC San Diego Health System have been relatively active in the leasing, acquisition, and/or construction of both acute care and outpatient facilities, especially over the ...

MICRA Lawsuit Measure Assigned Proposition Number. Will Appear on November Ballot

MICRA Lawsuit Measure Assigned Proposition Number. Will Appear on November Ballot The California trial lawyers’ MICRA lawsuit initiative will appear on the November 2014 general election ballot as Proposition 46. The true intent of this measure is to eliminate the Medical Injury Compensation Reform Act (MICRA), increasing the overall number of medical lawsuits. I am asking you to join thousands of your colleagues across the state in contributing to the protection of MICRA today! If passed, the initiative will raise the healthcare costs of California’s state and local governments by “hundreds of ...

Chikungunya Case Confirmed in San Diego County Resident

Chikungunya Case Confirmed in San Diego County Resident Date: July 9, 2014 This health alert informs the medical community about the first case of chikungunya virus (CHIKV) infection confirmed in a San Diego County resident and provides resource links for clinicians on this emerging disease. The County of San Diego Health and Human Services Agency (HHSA) requests that healthcare providers report suspect cases of CHIKV to the Epidemiology Program, especially when CHIKV testing is being considered or has been requested. Case Description A previously healthy San Diego County resident was visiting Haiti in ...

Eligible Professionals Must Submit Hardship Exception Applications by July 1, 2014

Eligible Professionals Must Submit Hardship Exception Applications by July 1, 2014 By the Centers for Medicare & Medicaid Services CMS reminds eligible professionals that the deadline to submit a hardship exception application is approaching. An interactive tool is available to help eligible professionals determine if they will avoid upcoming 2015 and 2016 Medicare EHR Incentive Program payment adjustments by demonstrating meaningful use, or if they should apply for a hardship exception. If an eligible professional determines that they need to apply for a hardship exception, the application must be submitted by July ...

Urge Your Assemblymember to Oppose Dangerous Optometrist Scope Expansion

Urge Your Assemblymember to Oppose Dangerous Optometrist Scope Expansion CLICK HERE TO TAKE ACTION NOW A bill (SB 492, Hernandez) that would allow optometrists to examine, prevent, diagnose, and treat any disease, condition, or disorder of the visual system, the human eye, and adjacent related structures will be heard in the Assembly Business, Professions and Consumer Protection Committee next week. This bill would allow optometrists the ability to do delicate eye surgery with lasers and scalpels and to inject medications after minimal additional experience and an undefined amount of additional classroom work. ...

June 25 Seminar: Covered California Tips for All Physicians

Covered California Tips for All Physician Practices • A Seminar for All Physicians on Wednesday, June 25, 5:30pm–7:30pm Get Timely Information at This Free Seminar: Verify and Document Patient Eligibility Identify Qualified Health Plans in the Exchange Understand the “Grace Period” Know When to Collect Deductibles From Patients Answer Patient Questions Easily and Efficiently Use CMA Economic Services for Members WHERE: Barnhart Cancer Center, Sharp Chula Vista Medical Center, 769 Medical Center Court, Chula Vista, CA 91911 WHEN: June ...

June 30 Deadline Looms for Opting out of Anthem Individual / Exchange Network

By the California Medical Association June 16, 2014 Physicians who do not want to participate in Anthem Blue Cross's individual / exchange network have until June 30, 2014, to opt out. In March, Anthem Blue Cross notified over 11,000 practices that are currently participating in its individual / exchange network of a contract addendum that will become effective July 1, 2014. The amendment only applies to physicians who are currently participating in the Anthem Blue Cross individual / exchange network. One provision of significant concern is language in section 12 of the addendum ...