Payers & Providers California Edition – Issue of July 26, 2012

7/31/2019 Payers & Providers California Edition Issue of July 26, 2012

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Calendar

26 July 2012

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the details of your event, or call(877) 248-2360, ext. 3. It will be

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California Edition

UCLA Healthcare has entered into a deal withMinuteClinic to use the latters walk-infacilities in the Los Angeles area to bettermanage chronic diseases.

Under the arrangement announced onWednesday, UCLAphysicians will manage11 MinuteClinic sitescurrently operating inthe Los Angeles area,while the clinicsthemselves will makereferrals to the largerhealth system whennecessary.

MinuteClinic, anafliate of retail pharmacygiant CVS, operates walk-in

sites in 25 states, including 34 in SouthernCalifornia. Staffed by a nurse practitioner, theyoffer basic primary and preventative careservices, such as treatments for the u andbladder infections. They charge on averageabout $79 for services.

UCLA branding will appear at theMinuteClinic sites, which include two in LosAngeles, as well as others in outlying areasincluding Burbank, Agoura, Montrose,Sherman Oaks, Manhattan Beach, Torrance,Arcadia, Marina del Rey and Pomona.

Additionally, UCLA and MinuteClinic wilwork toward developing an electronic healthrecord for walk-in patients, which will be sentto UCLA with patient consent.

The MinuteClinic locales will also be usedfor current UCLA patientswho have chronic healthissues such as diabetes,high cholesterol and highblood pressure. They cango to the clinics in

between visits to theirprimary care physicians ifthey need additionalmonitoring, ofcials said.

Our commitment is toimprove the health of ourcommunities by exploring

new and innovative ways to deliver patientcare and manage chronic conditions," saidUCLA Healthcare President David Feinberg,By providing access to our physicians'expertise through MinuteClinic services, wecan help members of the community to leadhealthier lives.

However, UCLA ofcials cautioned thatthe clinics would not be used as an alternativeto visiting a hospital emergency room, wheremany patients who cannot control their

August 19-21

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In Brief

HHS Recognizes UCLAAIDS Prevention

Program

The U.S. Department of Health and

Human Services has recognized anHIV-prevention collaborationbetween the UCLA School of Nursingand the National Latino Fatherhoodand Family Institute as a nationalmodel.

The program, known asRespeto/Proteger, focused on Latinoparents with children who are at leastthree years old. They are invited toattend six sessions of HIV preventionlessons that last 12 hours in total.

Young Latino adults areconsidered to be at higher risk forcontracting HIV than other ethnicgroups due to a variety of factors,including poverty and social

isolation, researchers said. Suchfactors can lead to ongoingengagement in unprotected sexualactivity.

The program was based onndings that showed that young menand women are willing to makeprofound changes in their lives whenthey become parents, said DeborahKoniak Grifn, director of the Centerfor Vulnerable Populations Researchat the UCLA School of Nursing. Thecurriculum integrates basicinformation about HIV awarenessand prevention with culturallyrelevant discussions and activities ontaking responsibility for your actionsand being a role model. Respeto/Protegerwas evaluatedby the organizations MathematicaPolicy Research and Child Trends forthe HHS.

The program will be added tothe HHS list of evidence-basedprograms that are successful, andcould provide funding to expand theprogram elsewhere.

Continued on Page 3

NEWS

chronic illnesses often wind up when theirconditions deteriorate.

Although such walk-in facilities had

typically been unafliated with hospitals ormedical groups, MinuteClinic has beenquickly afliating with larger entities. Theentity has inked four such agreements withhospitals in Florida, New Jersey and Tennesseewithin the past six months. Jim Lott, executive vice president of theHospital Association of Southern California,believes such deals will attract unafliated butnewly insured patients as part of theAffordable Care Act.

UCLA/MinuteClinic (Continued from Page One)

The clinics are another primary caredoorway or channel to commercial andgovernment-supported ACOs with which

many hospitals will be aligned, Lott said.UCLA ofcials were fairly close to the

vest as to the nancial arrangements betweit and MinuteClinic.

It is not a nancial relationship andthere is no revenue sharing, UCLAHealthcare spokesperson Roxanne Moster.UCLA doctors will be in administrativeoversight roles. The physicians or theiremployer will be reimbursed for theiroversight time at fair market value.

MEET YOUR FELLOW READERS

Need to promote a conference? Your brand? Payers &Provider!se-mail list for all editions is available for yourmarketing needs. Reach out to more than 12,000healthcare professionals who read our publications. CaClaire Thayer at (877) 248-2360, ext. 3 or e-mail her [email protected].

Entire Hospital Foundation ResignsRift Over Fundraising Direction For Sonoma Valley

The entire 12-member board of the charitablefoundation that services Sonoma ValleyHospital has resigned following conicts overits role in fundraising to build a replacementfacility for the 83-bed hospital.

At a meeting of the foundation last week,hospital Chief Executive Ofcer Kelly Matherand two trustees of the Sonoma ValleyHospital District were named to run the

entity. Hospital attorneys are trying todetermine whether the move is legal, reportedthe Santa Rosa Press-Democrat.

The resignations were in response to themanagement of the Sonoma Valley hospitalimposing strict restraints upon the activities ofthe foundation; and requiring the foundationto give up its development activities on behalfof the hospital, foundation executivechairperson Carolyn Stone said in astatement.

Apparently, the hospitals management isat odds with the foundation to raise the nearly$40 million required to build a replacement

facility. According to the Press-Democrat, thehospital has raised about $4.1 million over the

past year, while the foundation has raisedabout $250,000. The latter has primarily doso through overhead-intensive communityevents rather than direct solicitations.

They raise in the thousands. Our needare now in the millions, hospitalspokesperson Bonnie Durrance told the PreDemocrat. Another hospital ofcial noted thaving two entities fundraising for the same

goal may also be causing confusion amongwould-be donors.

The resignations came after the hospitaasked the foundation for its donors list and not return it in a timely manner, according the Press-Democrat.

According to the Association ofHealthcare Philanthropy, healthcareorganizations have seen their charitablepledges slip since the start of the GreatRecession at the end of 2007. Thoseorganizations with better staffed and bettercoordinated development staffs tend to dobetter a job of raising funds in the current

environment, according to a report issued bthe organization last spring.


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Page 3Payers & Providers

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In Brief

Premium RegulationMeasure Narrowly

Misses BallotPlacement

A push to place an initiative on theNovember ballot that would allowregulators to reject premiumincreases by health insurersnarrowly missed qualifying for theNovember ballot.

The measure was backed bySanta Monica-based advocacygroup Consumer Watchdog.

Although the organization hadgathered some 800,000 signaturesto qualify the initiative, an analysisby the Los Angeles CountyRegistrar-Recorder concluded that66.6% of them were valid, fallingshort of the 69% validity thresholdto qualify for placement.

Consumer Watchdog officialssaid they would push to place themeasure on the ballot in 2014.

CalTAF Hopes ReformWill Lead To BetterSubstance Abuse

Treatment

After the United States SupremeCourt upheld the Patient Protectionand Affordable Care Act asconstitutional, the CaliforniaTreatment Advocacy Foundationhas called for better access to

substance abuse programs for thosewho need them.There has never been a better

time to ensure thatcomprehensive care includeseffective and affordable substanceuse disorder treatment, saidCalTAF Executive Director PhillipGreer. Its time to make sure thathealthcare reform does not neglectone of our most pressinghealthcare issues.

According to CalTAF, about 6million Californians needsubstance abuse treatment.

NEWS

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Western University dental schools. It isexpected to provide services to 100,000children countywide over the next ve yearsaccording to First 5 L.A. spokespersonSharon Woodson-Bryant.

Another $25 million will be used tocreate permanent housing for women withyoung children, and $4.1 million to providevision services to children.

The changes were in response to asuccessful legal challenge by the First 5Commission to AB 99, a law designed toaddress state budget shortfalls by taking backabout $1 billion in tobacco tax revenues

meant to go to the First 5 programsthroughout California. Lawmakers contendedthat under the law, much of the funds werebeing unused because they had to createnew services rather than supplant existingones. A state court threw out AB 99 late lastyear.

Yaroslavsky said the new expendituresreect a 'pressing of the reset button' asfar as our approach to investments.

After prevailing over a legislative attempt totake back hundreds of millions of dollars of itsfunding, the First 5 Commission of LosAngeles County has begun adding newprograms and is funding existing programs onan accelerated timetable.

Altogether, the commission hasearmarked about $70 million for newprograms and another $110 million on anaccelerated spending timetable for existingprograms. Thats in addition to the $200million included in its operating budget for the2012-13 scal year.

First 5 L.A. is stepping up to make a

signicant difference for our youngestchildren," said Los Angeles County Supervisorand First 5 LA Commission ChairmanZev Yaroslavsky. Los Angeles County kidsneed these health, dental, vision and otherservices.

$40 million will be used to expand dentalservices to children up to the age of 5. Themoney will go to community clinics and otherpoints of care operated by the UCLA, USC and

First 5 L.A. To Expand ServicesResponse to Favorable State Court Ruling

U.S. News Best Hospitals NamedTwo of 17 Facilities Are Located in California

Ronald Reagan UCLA Medical Center andUCSF Medical Center were the twohospitals in California to make the honorroll ofU.S. Newsbest hospitals in thenation.

UCLA was ranked fth nationwide outof the 17 hospitals that made the list, whileUCSF was ranked 13th. Massachusetts General Hospital wasthe top-ranked hospital on the list. Johns

Hopkins Hospital, which had been the rankethe best hospital for the past 21 years, wasranked second.

U.S. News ranked the hospitals based othe specialty services they offered, patientsafety and outcomes and the facilitysreputation among its physicians.

Those facilities chosen for the listcomprise less than one-half of 1% of thenations 5,000 hospitals.


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Payers & Providers PageOPINION

New Tools For Battling Health FraudPredictive Analytics, Link Analysis Playing Larger Role

John C. Goodman is founder, president and

CEO of the National Center for Policy

Analysis.

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Payers & Providers MARKETPLACE/EMPLOYMENT Page 6

HEALTH PLAN/HOSPITAL CONTRACTING CONSULTANT(flexible hours)

A dynamic and growing medical group in the Los AngelesCounty area is currently seeking a highly experienced con-tracting consultant for the purpose of leading and success-fully negotiating and renegotiating health plan and hospitalcontracts. The ideal candidate will have an understandingof all product lines within the managed care industry, bewell-versed in contractual language, excel at maintainingpositive working relationships internally and externally, anddemonstrate an understanding of legal, financial and opera-tional processes that meet company objectives. Flexiblehours and telecommuting are available.

If interested, please email your cover letterand resume to:[email protected]

Casa Colina Centers for Rehabilitation, a nationally recognizeleader in the field of medical rehabilitation located in Pomona, iseeking to fill the vital role of Controller to oversee the Financand Accounting functions for the entire rehabilitation continuumwith a total bed complement of 178 beds, and consisting of hospital, brain injury program, 3 long term care facilities, an AduDay Health Center and outpatient childrens program.

The selected candidate will be responsible for all financial, payroand A/P activities. Oversees internal controls to ensure revenucycle effectiveness, expenditure management and safeguardinof assets. Prepares financial statements in a timely, accuratand efficient manner. Supervises all accounting and payroll stafResponsible for tax returns and regulatory filings. Requirementinclude a Bachelors degree in Accounting or Business relatefield, two (2) years of supervisory experience, prior hospitalhealthcare accounting experience, and a working knowledge oaccounting software programs. CPA background is strongly preferred. Excellent work ethic and motivation required.

Competitive compensation and excellent benefit optionsavailable. To apply, visit us at www.casacolina.org/jobs.

Principals only at this time.

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Payers & Providers California Edition – Issue of July 26, 2012

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