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CalHIPSPO receives Medi-Cal EHR incentive program award

The California Department of Health Care Services has awarded the California Health Information Partnership & Services Organization (CalHIPSO), founded by the California Medical Association (CMA), the California Primary Care Association and the California Association of Public Health Hospitals and Health Systems, a Medi-Cal electronic health record (EHR) incentive program technical assistance contract for $15 million. Other organizations also given EHR technical assistance awards include the Health Information Technology Regional Extension Center, the CalOptima Regional Extension Center and Object Health. Over the next three years, these organizations will assist more than ...

California Medical Association responds to vote on Senate Bill 323

Sacramento – After today’s Assembly Business and Professions Committee vote, California Medical Association President Luther F. Cobb, M.D., responded with the following statement regarding Senate Bill 323: "Today was a good day for the health of Californians. We commend the Assembly for rejecting SB 323, which would have significantly compromised patient safety. SB 323 would have done nothing to address access to care, and absent a bar on the corporate practice of medicine, adequate physician and medical board oversight, and the extensive training necessary, this legislation would have only put ...

CMA asks Congress and CMS for two-year grace period for ICD-10 conversion

With the implementation of ICD-10 only 90 days away (October 1, 2015), the window for the transition from ICD-9 is rapidly closing for many physician practices. The California Medical Association (CMA), in collaboration with the American Medical Association and other medical associations, sent a letter to the Centers for Medicare and Medicaid Services (CMS) and Congressional leadership  urging them to help mitigate the impact of the transition by supporting a two-year grace period whereby physicians would use ICD-10 but not have claims delayed, denied or subject to audits because ...

Coalition partners stand together to thank Legislature, Governor Brown for passing and signing Senate Bill 277

Representing tens of thousands of advocates across the state, doctors, parents, school representatives join in Sacramento for one final rally on SB 277. Sacramento – Despite three-digit temperatures, dozens of coalition partners came together to rally one last time for Senate Bill 277 (Pan/Allen). The bill passed out of the State Assembly on Thursday and cleared the final hurdle in the State Senate Monday. Governor Brown signed the bill today. “This is a monumental day for Californians. Senate Bill 277 will help keep kids and communities safe and I thank ...

Educate office staff to avoid fraud and abuse

In February 2015, the California Medical Association (CMA) issued a fraud alert to warn its members about clinical laboratory payments to referring physicians that may trigger fraud and abuse concerns. Some clinical labs have been offering physicians cash and gift incentives for blood draws of Medicare patients. CMA has continued to receive reports about these anti-kickback violations, which have led to several recent physician arrests in New Jersey, Virginia and other states. Furthermore, physicians' employees have also been implicated in these alleged bribes, including clerical staff and physician assistants. ...

Anthem Blue Cross begins medical chart reviews in July

In July, Anthem Blue Cross will begin chart reviews on enrollees who purchased Affordable Care Act (ACA)-compliant plans in either the individual and small group insurance markets (both on and off the exchange, known as “Covered California”). The records requests are a result of the commercial risk adjustment program created by ACA Section 1343. The primary goal of the risk adjustment program is to spread the financial risk borne by payors more evenly in order to stabilize premiums and provide issuers the ability to offer a variety of plans to ...

Vaccine bill passes through state Assembly and Senate; heads to Gov. Brown for signature

A widely supported vaccination bill cleared its second house in the California legislature on Thursday, and passed through the Senate again today. Senate Bill 277, which passed through the Assembly Health Committee on June 9, was approved on the Assembly floor with a 46-30 vote. Today the bill was approved on the Senate floor with a 24-14 vote. The bill’s next stop is the desk of Governor Jerry Brown. “Overwhelmingly, doctors will tell us that vaccines are one of the greatest health achievements in all of mankind,” Assemblywoman Lorena Gonzalez ...

Supreme Court upholds ACA subsidies

In a major victory for the Obama administration, the U.S. Supreme Court upheld a key provision of the Affordable Care Act (ACA), reaffirming that 6.4 million people in 34 states can continue to receive subsidies to purchase health care insurance. The question in the case, King v. Burwell, was what to make of a phrase in the law that seems to say the subsidies are available only to people buying insurance on “an exchange established by the state.” Chief Justice John Roberts and Justice Anthony Kennedy joined the court’s four Democratic ...

Registration now open for IMQ 2015 Medical Staff Conference

The California Medical Association's Institute for Medical Quality (IMQ) has opened registration for its annual Medical Staff Conference, to be held October 29 at Embassy Suites Hotel near LAX. At the conference, attendees will discover solutions and best practices that physicians need to successfully lead their medical staffs. The conference will answer questions about tackling difficult decisions that face medical staffs, such as granting privileges for aging physicians and those reentering practice after an absence. Through examples and discussion, the faculty will demonstrate how, by maintaining a focus on quality and ...

Governor calls for special Medi-Cal session after budget agreement struck with legislators

Governor Jerry Brown has called for a special session of the Legislature to address “Health Care Financing” after he struck a deal with Democratic lawmakers last week. California legislators passed a $115.4 billion budget, part of a deal with Governor Brown to hold back on spending despite the state’s improving financial picture. Left out of the budget agreement were higher rates for Medi-Cal providers. In a typical year, the conclusion of budget negotiations would mean the end of the California Medical Association’s (CMA) hopes of improving access for the over ...