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News from Community Clinic Voice

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The CCI New service has moved to CCI Center for Care Innovations, please join us at: http://www.careinnovations.org

Read more about the Voice transition.

This site will remain available as a research archive through April, 2014, but will no longer be updated. Click the issue bars at right to browse archived news stories by topics.

If you have questions, please contact Sue, sue@careinnovations.org.

Updated: 5 hours 10 min ago

L.A. Clinics Undertake Challenging Outreach to Enroll Homeless in Insurance

January 7, 2014 - 16:01
As many as 1.2 million homeless people could be newly eligible for Medicaid under the national health law that allows states to expand the program to include poor people without children or disabilities, writes Kaiser Health News.

While other states have only recently started signing up homeless people for Medicaid, California got a head start, signing up more than 660,000 uninsured, poor patients into a county-based coverage program since 2011. On Jan. 1, those patients, including many who are homeless, were automatically transferred into Medi-Cal in California.

Insuring homeless people and connecting them to health clinics could lead to more routine medical care and less reliance on costly emergency rooms, doctors and health care advocates say...

2014 California Children’s Report Card: How Kids Are Doing in Our State and What Needs to Be Done About It

January 7, 2014 - 09:01
A new study released 1/7/14 by Children Now, 2014 California Children’s Report Card: How Kids Are Doing in Our State and What Needs to Be Done About It, provides a comprehensive evaluation of the current status of California’s kids to ensure that the state’s leaders make sound policy decisions and make kids a priority in 2014 and beyond. It offers a detailed assessment of the advancements made in 2013 and a path forward as the Governor and Legislature begin to plan their agendas for the year.

California is not adequately meeting the health care needs of children living in the state, according to the report, which gave the state six Bs; eight Cs; and thirteen Ds. The state scored highest, a B+, for children's health coverage because of the increased availability of public health insurance programs. However, the report notes that 78% of the state's 738,000 children who are eligible for such programs are not enrolled in coverage...

Community Health Vote Launches Site & Toolkit for Voter & ACA Registration, Webinar 1/22

January 7, 2014 - 09:01
Community Health Vote today launches a new website – www.communityhealthvote.net. The site features a wealth of national and state resources designed for health centers to incorporate voter registration into their services, including ACA health insurance enrollment.

The Community Health Vote Website contains a Health Center Voter Registration Toolkit that can be downloaded in as well as voter registration guides for all 50 states and answers to frequently asked questions about voter registration in the states. They have worked with Rock the Vote to create a simple online voter registration platform that can be accessed by just a click from the ACA online marketplace or on any computer, tablet, or smartphone with a printer.

On Wednesday, 1/22/14 at 11 am PT, they host a free national webinar to provide an introduction to the Community Health Vote website, its training resources and online voter registration platform...

Kaiser 50 State Report on the Impact of the ACA on Coverage In Every State

January 6, 2014 - 08:01
New reports for each of the fifty states from the Kaiser Family Foundation show how the Affordable Care Act (ACA) changes insurance coverage in each state. The state-level reports serve as a guide to the potential impact of the ACA in each state and the District of Columbia.

The ACA has the potential to extend coverage to many of the 47 million nonelderly uninsured people nationwide, including the 7 million uninsured Californians.

Based on analysis by Kaiser researchers, each state report provides a breakdown of how many uninsured people are eligible for Medicaid or for financial assistance to help them buy private insurance in the new Marketplace, and how many may gain new coverage but will not receive any financial assistance. Each report also details the income levels at which people in each state are eligible for Medicaid or financial assistance in the Marketplace...

NHSC Expands, Stories from Current Corps Clinicians

January 6, 2014 - 08:01
A Boston Globe article calls the National Health Service Corps (NHSC) "the best investment you've never heard of."

Since 1972 it has provided medical education loan repayment for young medical professionals who provide primary care services in medically underserved areas of the U.S. NHSC provides scholarships to medical, osteopathic, dental and behavioral health students or loan repayment after they graduate in exchange for their service to needy populations in health professional shortage areas (see map).

The Affordable Care Act provided an additional $284 million to expand the Corps, and, according to HRSA, 8,900 health professionals are now NHSC providers serving about 9.3 million Americans, more than double the number since 2008. HRSA reports more than 85% of National Health Service Corps providers continue to serve in high need areas two years after their service commitment is met."

Read more, including stories from 40 current NHSC clinicians.

Study: Increased Funding for CHCs Has Improved Access to Care for Low-Income Adults

January 6, 2014 - 07:01
Increased federal funding for community health centers since 2000 has helped low-income adults get access to primary care and dental care, according to a new study in Health Services Research. The study underscores the important roles such centers will play under the Affordable Care Act (ACA).

The study found that among the uninsured, greater health center funding in an area was associated with a low-income adult being more likely to have a "usual source of care", such as a primary care physician, and with having at least one clinic visit in the past year. Furthermore, in areas with greater health center funding, people with Medicaid were more likely to have a usual source of care and were less likely to rely on the emergency department for care or to delay seeking care due to cost.

Almost 60 percent of health center users had public or private insurance, a share poised to grow under the ACA, say the authors...

Pioneering Ideas: RWJF on Innovators in Healthcare

January 3, 2014 - 10:01
Robert Wood Johnson Foundation's Pioneering Ideas blog highlights healthcare innovators such as Dr. Sanjeev Arora, the social entrepreneur and creator of Project ECHO -- a model for lifelong medical learning and collaborative practice.

Their latest podcast features BJ Fogg, director of the Stanford Persuasive Technology Lab, a social scientist, innovator, and teacher who creates systems to change behavior, talking about the need to help people understand how behavior works so they can be more effective in changing their own behavior.

See more at: http://www.rwjf.org/en/blogs/pioneering-ideas.html

Health Disparities: Cultural Competence, the Role of Data in the Fight for Equity

January 3, 2014 - 01:01
What do we know about racial and ethnic disparities in health care? How can we increase equity? Finding Answers hosted an equity chat with experts from AHRQ talking about cultural competence and barriers to care created by stigmas, as well as the roles of data and the media in reducing disparities. Read more.

AND SEE: Their Roadmap to Reduce Disparities: A guide to achieving equity while improving quality of care.

Expert Predictions on How Obamacare will Fare in 2014

January 3, 2014 - 01:01
How will Obamacare will look on January 1, 2015?

The New Republic posed that question to eight experts who follow health policy, including Anthony Wright of Health Access California, Gail Wilensky, who has served as director of Medicare and Medicaid and she has chaired the Medicare Payment Advisory Commission, and others . They represent different political perspectives and come by their expertise in different ways, but their predictions have more in common than might be expected. Read more.

iHealthBeat on Health IT Progress in 2013, Hopes for 2014

January 2, 2014 - 14:01
2013 marked significant growth in the adoption and meaningful use of electronic health records, as well as some key changes that could affect the future of the program, writes iHealthBeat Editor in Chief Kate Ackerman.

For the third year in a row, iHealthBeat asked a variety of stakeholders to weigh in on health IT progress, disappointments and hopes for the future. Each answered three questions about the most significant health IT development in 2013, the biggest disappointment in the past year and how the remaining barriers to widespread health IT adoption should be addressed in 2014. Read more.

Protecting Americans from Infectious Diseases: CA Falls Short on Public Health Indicators

January 2, 2014 - 12:01
California is not adequately prepared to protect some facets of public health, such as preventing the threat of various infectious diseases, according to a December 2013 report by Trust for America's Health and the Robert Wood Johnson Foundation.

The report found that California was unable to increase or maintain funding levels for public health services from fiscal year 2011-2012 to FY 2012-2013; was unable to meet the federal government's goal of vaccinating 90% of 19- to 35-month-olds against pertussis, or whooping cough; and does not require teens to obtain a vaccination for HPV. In addition, fewer than 50% of the population obtained flu shots.

The national report finds that a majority of states (33) score five or lower out of ten key indicators of policies and capabilities to protect against infectious disease threats. California scored six of ten...