payers & providers california edition – issue of april 19, 2012
TRANSCRIPT
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8/2/2019 Payers & Providers California Edition Issue of April 19, 2012
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!-+'!"*%!#)"#!&!#)"#!/$!.,$8-0!1!.-=;+78-0!.2/'+0:+53%!996
M`ognk`q
03 @xqco 1801
G$D`cocnblHx`sgq}`nkxqlrckgq}.mldzc{e
{eg kg{`co} lb slwq grgn{/ lq m`oo%5::# 1;5$1=28/ gu{. =. C{ zcoo ag
xwaoc}egk cn {eg M`ognk`q }gm{cln/}x`mg xgqdc{{cnj.
M`ocblqnc` Gkc{cln
Gnqloogg} cn Dgkc$M`o qg w}w`ooscdxlrgqc}egk `} ` qgpwcqgdgn{ blq gn{qs cn{l{eg xqljq`d. Elzgrgq/ ` ngz }{wks as {egWMO@ Mgn{gq blq Eg`o{e Xlocms Qg}g`qme
blwnk {e`{ {eg xglxog zel xqlrckg m`qg blqDgkc$M`o qgmcxcgn{} `qg {egd}gorg} lb{gndcqgk cn xlrgq{s.
@mmlqkcnj {l qg}g`qmegq}/ ng`qos 28' lb{eg }{`{g} 13;/888 x`ck Dgkc$M`o m`qgjcrgq} zel m`qg blq `alw{ 7' lb {eg {l{`o Dgkc$M`oxlxwo`{cln ocrg cn xlrgq{s lq ng`q xlrgq{s.[egs zlqf gc{egq `} gdxolsgg}/ lq `} b`dcosdgdagq} lq bqcgnk} lb {eg Dgkc$M`o qgmcxcgn{.
[eg `rgq`jg dln{eos z`jg blq {eg x`ckDgkc$M`o jcrgq} c} +0/3:8/ `nk {egs zlqf `n`rgq`jg lb ;= elwq} xgq zggf. [e`{ zlqf} lw{{l `n elwqos z`jg lb +00 `n elwq `alw{;8' agolz {eg }{`{g} dgkc`n z`jg lb +05.0=
`nk lnos 188' lb {eg bgkgq`o xlrgq{s ogrgo.As mln{q`}{/ m`qgjcrgq} zel `qgn{ x`ck as{eg Dgkc$M`o xqljq`d g`qn `n `rgq`jg lb+;/111 ` dln{e.
X`ck m`qgjcrgq} kl ` ol{ aw{ jg{ x`ck rgqsoc{{og/ }`ck Jglbbqgs Elbbd`n/ {eg }{wks*} og`k`w{elq. [egs xo`s ` mqc{cm`o `nk mldxogu qlogm`qcnj blq lwq `jcnj lq kc}`aogk x`qgn{}/jq`nkx`qgn{}/ bqcgnk} `nk ngcjealq} sg{ m`ng`qn lnos ` oc{{og dlqg {e`n dcncdwd z`jg.Zegn zg {`of `alw{ m`qgjcrcnj/ zg }elwok ag{ecnfcnj nl{ lnos lb {eg }wxxlq{crg }gqrcmg} zg
xqlrckg {l lokgq `kwo{} aw{ `o}l {eg rwongq`aogxglxog xqlrckcnj {el}g }gqrcmg}.
[eg kgd`nk blq {egcq }gqrcmg} c} lnosguxgm{gk {l jqlz `} M`ocblqnc`} xlxwo`{cln
mln{cnwg} {l `jg/ eg `kkgk.Dlqglrgq/ Dgkc$M`o} mwqqgn{ 2 dcooclngnqloogg}/ c} `o}l guxgm{gk {l jqlz as `} dwme`} 78' cb {eg X`{cgn{ Xql{gm{cln `nk @bblqk`aogM`qg @m{ c} nl{ }{qwmf klzn as {eg W.].]wxqgdg Mlwq{/ `o{elwje c{ qgd`cn} {l ag}ggn elz d`ns lb {el}g gnqloogg} zlwokqgpwcqg xgq}ln`o m`qgjcrgq}.
@olnj zc{e {eg olz z`jg}/ Dgkc$M`om`qgjcrgq} `o}l }wbbgq d`ns lb {eg mloo`{gq`ogbbgm{} lb olz cnmldg. Ng`qos =0' o`mf eg`o{ecn}wq`nmg/ mldx`qgk {l og}} {e`n 05' lbwnx`ck m`qgjcrgq} %`mql}} M`ocblqnc`/ {egwncn}wqgk q`{g c} `alw{ 05'#.
[ecq{s$lng xgqmgn{ lb x`ck m`qgjcrgq} `o}l}wbbgq }ldg blqd lb bllk cn}gmwqc{s/ `nk 0;'qgmgcrg bllk }{`dx}.
@dlnj wnx`ck m`qgjcrgq}/ 07.;' }wbbgqgkbqld bllk cn}gmwqc{s `nk 08.:' qgmgcrg bllk}{`dx}.
[eg ol{ lb {eg x`ck m`qgjcrgq} c} nl{ ocfgos{l cdxqlrg/ {eg qgxlq{ nl{gk/ mc{cnj awkjg{qgkwm{cln} cn {eg @kwo{ K`s Eg`o{e M`qg {e`{
@xqco =8$D`s 0
!?8-+4,5!>8'8?88+4+58!!00=4+,
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8/2/2019 Payers & Providers California Edition Issue of April 19, 2012
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!-+'!"*%!#)"#!&!#)"#!/$!.,$8-0!1!.-=;+78-0!.2/'+0:+53%!996
X`sgq} " Xqlrckgq} X`jg 1
[lx Xo`mgdgn{...Al{{ldog}} Xl{gn{c`o
@krgq{c}g Egqg
%5::# 1;5$1=28/ gu{. 1
Cn Aqcgb
Wnc{gkEg`o{em`qg@jqgg} [l Gux`nk
Mlrgq`jg Blq @w{c}d
Wnc{gkEg`o{e`qg e`} qg`megk `n`jqggdgn{ zc{e {eg M`ocblqnc`Kgx`q{dgn{ lb Cn}wq`nmg {l mlrgqage`rclq`o {egq`xs blq `w{c}d.
[eg jqggdgn{ d`fg}Wnc{gkEg`o{em qg {eg blwq{e cn}wqgqcn M`ocblqnc` {l jqgg {l mlrgq {eg{egq`xs b{gq c{ e`k aggn xqgrclw}osgumowkgk blq r`qcg{s lb qg`}ln}.Mcjn` Eg`o{em`qg lb M`ocblqnc`/ Aowg]ecgok lb M`ocblqnc` `nk Eg`o{e Ng{e`rg jqggk {l xqlrckg {eg mlrgq`jgcn qgmgn{ dln{e}.
Cn `kkc{cln {l `kkcnj {egmlrgq`jg/ Wnc{gkEg`o{em`qg jqggk{l d`cn{`cn n kgpw`{g xqlrckgqng{zlqf/ xqlrckg mlrgq`jg ln {gqd}
qgmlddgnkgk as {eg xqlrckgq nkmqg`{g kgkcm`{gk mw}{ldgq }gqrcmgwnc{.
!Zg `qg xog`}gkWnc{gkEg`o{em qg ilcn} blwq l{egqcn}wqgq} cn bwooocnj c{} qg}xln}cacoc{s{l xqlrckg {ec} ngmg}}`qs nk rc{`o{qg`{dgn{ {l {eg }{`{g*} {elw}`nk} lb`w{c}{cm mecokqgn! }`ck M`ocblqnc`Cn}wq`nmg Mlddc}}clngq K`rg Ilng}.![ec} ngz jqggdgn{ dg`n} grgndlqg b`dcocg} bbgm{gk as `w{c}d e`rgelxg blq ` aqcje{gq bw{wqg.
@krlm`ms JqlwxO`wnmeg} ]x`nc}e$
O`njw`jg Zga}c{g[eg ml}{ lb eldg eg`o{e `ckg}gqrcmg} cn M`ocblqnc` e`} qc}gnd`qjcn`oos lrgq {eg x`}{ rg sg`q}/aw{ }{coo qgd`cn} zgoo `alrg {egn`{cln`o rgq`jg/ mmlqkcnj {l }wqrgs as Qcmedlnk/ R`.$a`}gkJgnzlq{e Bcn`nmc`o.
[eg dgkc`n ml}{ blq ` kldg}{cmeldgm`qg zlqfgq c} +10 xgq elwq cnM`ocblqnc`/ zc{e eldg eg`o{e ckg
Mln{cnwgk ln X`jg =
NGZ]
zgn{ cn{l gbbgm{ ln @xqco 0 `nk dlrgk d`nsqgmcxcgn{} cn{l ` }{qcxxgk$klzn xqljq`d. @
18' qgkwm{cln cn zlqfgq} elwq} blq {eg Cn$Eldg ]wxxlq{crg ]gqrcmg} xqljq`d/ zecmexqlrckg} kldg}{cm egox }wme `} mllfcnj `nkmog`ncnj {l Dgkc$M`o qgmcxcgn{}/ c} mwqqgn{osagcnj blwje{ cn bgkgq`o mlwq{.
!Mw{} {l }{`{g xqljq`d} blq }gnclq} zcoomldg `{ {eg guxgn}g lb M`ocblqnc`*} }gnclq}/
[eg Mgn{gq} blq Dgkcm`qg `nk Dgkcm`ck]gqrcmg} e`} `jqggk {l }g{{og ` olnj$qwnncnjkc}xw{g qgj`qkcnj qgcdawq}gdgn{} {e`{ mlwokwo{cd`{gos agng{ alw{ e`ob lb {eg el}xc{`o}cn M`ocblqnc`.
[eg }g{{ogdgn{/ zecme cnmowkg} `alw{1/188 el}xc{`o} n`{clnzckg/ cnrlorg} `alw{188 cn M`ocblqnc`. @o{ljg{egq/ {eg }g{{ogdgn{ c}zlq{e alw{ += acoocln/ zc{e {eg el}xc{`o} cnM`ocblqnc` qg`xcnj `alw{ +=08 dcoocln/`mmlqkcnj {l {eg Ol} @njgog} [cdg}.
@dlnj {eg dlqg xqldcngn{ b`mcoc{cg} {l}e`qg cn {eg o`qjg}}g cnmowkg Mgk`q}$]cn`cDgkcm`o Mgn{gq/ zecme guxgm{} {l qgmgcrgdlqg {e`n +0; dcoocln `nk Olnj Ag`meDgdlqc`o Dgkcm`o Mgn{gq/ zecme c} guxgm{gk{l qgmgcrg `alw{ +2 dcoocln/ `mmlqkcnj {l {eg[cdg}.
[eg kc}xw{g k`{g} a`mf {l 0333/ `nkcnrlorg} b`mg{} lb al{e {eg gn{cqg xql}xgm{crgx`sdgn{ }s}{gd `nk {eg z`s qwq`o el}xc{`o}s}{gd} `qg qgcdawq}gk.
[eg blqdwo`} zgqg me`njgk `} x`q{ lb {egec}{lqs A`o`nmgk Awkjg{ @m{ lb 033:.@o{elwje {eg x`sdgn{} zgqg cn{gnkgk {l agawkjg{ ngw{q`o/ d`ns el}xc{`o} mo`cdgk {egszgqg agcnj wnkgqx`ck.
[eg m`}g e`k aggn oc{cj`{gk blq {eg ag{{gqx`q{ lb ` kgm`kg. @ bgkgq`o `xxg`o} mlwq{qgmgn{os }{qwmf klzn ` kgmc}cln {e`{ z`}b`rlq`aog {l MD]/ xqldx{cnj {eg `jgnms {lgn{gq cn{l ngjl{c`{cln} zc{e xqlrckgq}. [eg}g{{ogdgn{ mlqqgm{} wnkgqx`sdgn{} {e`{lmmwqqgk ag{zggn 0333 `nk 1800.
MD] c} nl{ ogj`oos alwnk {l `nnlwnmg `}xgmcm }g{{ogdgn{ `dlwn{/ aw{ la}gqrgq}agocgrg += acoocln c} {eg {l{`o cn kc}xw{g.
[eg c}}wg }g{{ogk `bbgm{gk dl}{ lb lwqel}xc{`o mocgn{} bqld cnkgxgnkgn{ el}xc{`o}{l n`{cln`o el}xc{`o me`cn} `nk }s}{gd}/ }`ckIln Ngw}{`k{gq/ ` x`q{ngq cn {eg Ol} @njgog}qd lbEllxgq Ownks Allfd`n `nk ` og`k`{{lqngs blq {eg el}xc{`o}. Zg `qg xog`}gk {laqcnj {ec} m`}g {l ` mol}g/ zecme qgxqg}gn{}}grgq`o sg`q} lb me`oognjg} `{al{e {eg `kdcnc}{q`{crg `nk mlwq{ ogrgo}.
[zl lb {eg acjjg}{ zcnngq} `qg blq$xql{el}xc{`o me`cn}/ zecme zcoo qgmgcrg dlqg {e`n08' lb {eg {l{`o }g{{ogdgn{. EM@ Cnm. }`ck c{zlwok qg`x +1:0 dcoocln/ zecog [gng{Eg`o{em`qg Mlqx. }`ck c{ zlwok qgmgcrg `alw{+5; dcoocln. [gng{ lzn} 00 el}xc{`o} cnM`ocblqnc`/ zecog EM@ lxgq`{g} gcje{ b`mcoc{cg
aw{ {egs zcoo `o}l e`qd x`ck m`qgjcrgq}/!Elbbd`n }`ck. !Ze`{ c} nggkgk c} dlqg
}wxxlq{ blq {eg}g gmlnldcm`oos rwongq`aogM`ocblqnc`n} }l {e`{ {egs m`n {`fg ag{{gq m`qgal{e lb lokgq m`qg qgmcxcgn{} `nk {egd}gorg}.
[eg k`{` blq {eg }{wks z`} j`{egqgk{eqlwje {eg M`ocblqnc` Eg`o{e Cn{gqrcgz]wqrgs/ }gqcg} lb gu{gn}crg cn{gqrcgz}mlnkwm{gk as WMO@ cn 1883.
M`qgjcrgq} %Mln{cnwgk bqld X`jg Lng#
El}xc{`o} Qg`x MD] ]g{{ogdgn{Wx {l +=08D G`qd`qfgk Blq M`ocblqnc` B`mcoc{cg}
BLOOLZ [EG DLNGST
M@OCBLQNC@] EG@O[EM@QG CNKW][QS @NKXLO[CM@O BCN@NMG
M@OO %5::# 1;5$1=28/ gu{. 1 {l lqkgqLQ MOCMF EGQG
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8/2/2019 Payers & Providers California Edition Issue of April 19, 2012
3/7
!-+'!"*%!#)"#!&!#)"#!/$!.,$8-0!1!.-=;+78-0!.2/'+0:+53%!996
X`jg =X`sgq} " Xqlrckgq}
Olnjgq @OL]!)
@krgq{c}g Egqg
%5::# 1;5$1=28/ gu{. 1
)Blq lwq k}/ nl{ slwq el}xc{`o
Cn Aqcgb
ml}{cnj +1= xgq elwq. [eg ml}{ blqeldgm`qg }gqrcmg} e`} cnmqg`}gk0.:' xgq sg`q lrgq {eg x`}{ rg sg`q}/zecog {eg ml}{} lb eldg eg`o{e ckge`rg cnmqg`}gk `{ ` 1.;' `nnw`ox`mg. N`{clnzckg/ {eg dgkc`n ml}{}`qg +05 `nk +03 xgq elwq/qg}xgm{crgos.
[eg dgkc`n nnw`o ml}{ blq m`qgcn n }}c}{gk ocrcnj b`mcoc{s cnM`ocblqnc` c} +;1/888/ mldx`qgk {l+=3/288 n`{clnzckg. M`qg cn ` xqcr`{gnwq}cnj eldg qlld c} +3=/355 cnM`ocblqnc`/ mldx`qgk {l +50/8=8n`{clnzckg.
!Lrgqzegodcnjos/ @dgqcm`n}xqgbgq {l qgmgcrg olnj {gqd m`qg cn {egeldg nk {eg qgo`{crgos dw{gk qc}g cneldg m`qg ml}{} n`{cln`oos lrgq {egx`}{ bgz sg`q} m`n ag rcgzgk `} `xl}c{crg blq mln}wdgq} cn M`ocblqnc`/!}`ck ]{grg Y`ago/ Jgnzlq{e} }gnclqrcmg xqg}ckgn{ lb olnj {gqd m`qg.
WM Agqfgogs Lbbgq}
Lnocng DXE Kgjqgg
[eg Wncrgq}c{s lb M`ocblqnc` `{Agqfgogs e`} agjwn lbbgqcnj ` d`}{gq}lb xwaocm eg`o{e kgjqgg zegqgrcq{w`oos `oo lb {eg mlwq}g zlqf d`s agmldxog{gk lnocng.
[eg kgjqgg/ `cdgk `{ dck$m`qggqxqlbg}}cln`o} zel mwqqgn{os elok ila}cn eg`o{em`qg/ qgpwcqg} {egs ag lnm`dxw} blq lnos 07' lb {egmlwq}gzlqf/ zc{e {eg qg}{ xgqblqdgklnocng.
!Lbbgqcnj mlwq}gzlqf lnocngd`fg} WM Agqfgogspw`oc{s xwaocmeg`o{e gkwm`{cln mmg}}caog {l o`qjgq
xlxwo`{cln lb zlqfcnj xqlbg}}cln`o}zel m`nnl{ og`rg {egcq bwoo{cdg ila} {lla{`cn kgjqgg/! }`ck ]{gxegn]elq{goo/ kg`n lb {eg {eg ]mello lbXwaocm Eg`o{e. ![eg ln$m`dxw}mldxlngn{ lb {eg xqljq`d gnqcmeg}{eg }{wkgn{}* og`qncnj guxgqcgnmg as`oolzcnj {egd {l mlnngm{ b`mg${l$b`mgzc{e b`mwo{s/ mo`}}d`{g}/ `nk l{egqjq`kw`{g }{wkgn{} ln m`dxw}.!
Agqfgogs lbmc`o} nl{g {e`{ {egqgc} }elq{`jg lb 178/888 {q`cngk xwaocmeg`o{e xqlbg}}cln`o} n`{clnzckg/ zc{eM`ocblqnc` nggkcnj {l oo alw{ =8/888lb {el}g xl}c{cln}.
NGZ]
El}xc{`o Kc}{qcm{} Jg{ @nl{egq OllfOgjc}o`{crg Mlddc{{gg Xqlag} [egcq ]xgnkcnj
@ eg`qcnj egok as o`zd`fgq} cn ]`mq`dgn{lo`}{ zggf d`s og`k {l }{qcm{gq jwckgocng} cnelz {eg }{`{g} :; el}xc{`o kc}{qcm{} `oolm`{g{egcq bwnkcnj.
[eg @}}gdaos Mlddc{{gg ln@mmlwn{`acoc{s `nk @kdcnc}{q`{crg Qgrcgzln @xqco 00 eg`qk }{lqcg} lb kc}{qcm{} nlolnjgq lxgq`{cnj el}xc{`o}/ aw{ }{coo}{lmfxcocnj dlngs.
Lnos ;; lb {eg :; eg`o{em`qg kc}{qcm{} cnM`ocblqnc` e`rg el}xc{`o} wnkgq {egcqd`n`jgdgn{. ]ldg e`rg {gn} lb dcoocln} lbkloo`q} ln e`nk `nk lb{gn w}g c{ blqeg`o{em`qg }gqrcmg} jqwkjcnjos/ cb `{ `oo/
`mmlqkcnj {l ` qgmgn{ qgxlq{ as {eg A`sMc{cygn/ `n cnrg}{cj`{crg zga}c{g {e`{ mlrgq}ngz} cn {eg ]`n Bq`nmc}ml `qg`.
Cn kc}{qcm{} zegqg el}xc{`o} qg }{coolxgq`{cnj aw{ `qg }ldg{cdg} mln{q`m{gk lw{{l xqcr`{g lxgq`{lq}/ ewjg kc}xw{g} m`n gqwx{lrgq elz bwnk} `qg d`n`jgk `nkkc}{qcaw{gk.
]`mq`dgn{l$a`}gk el}xc{`o lxgq`{lq]w{{gq Eg`o{e qgmgn{os gn{gqgk cn{l`qac{q`{cln zc{e {eg D`qcn Eg`o{em`qgKc}{qcm{ lrgq `alw{ +058 dcoocln kc}{qcm{lbmc`o} `oogjgk ]w{{gq }cxelngk lbb zecoglxgq`{cnj D`qcn Jgngq`o El}xc{`o wnkgq `
olnj${gqd og`}g. [eg kc}{qcm{ }wgk ]w{{gq {laqg`f {eg og`}g g`qos.@{ ]`ocn`} R`oogs Dgdlqc`o Eg`o{em`qg/
mln{qlrgq}s `ql}g lrgq {eg dwo{cdcooclnkloo`q x`slw{} lb c{} nlz qg{cqgk mecgbgugmw{crg lbmgq/ `} zgoo `} jo`qcnj mlncm{}lb cn{gqg}{ qgj`qkcnj c{} al`qk dgdagq} nk{egcq aw}cng}} mlnngm{cln}.
Xgncn}wo` Eg`o{em`qg Kc}{qcm{ [qg`}wqgq`nk al`qk {qw}{gg O`zqgnmg Z. M`xxgo{g}{cgk agblqg {eg mlddc{{gg {e`{ ec}kc}{qcm{ e`k }elzn }m`o xqwkgnmg/ mc{cnj{eg qgmgn{ mln}{qwm{cln lb ` qgxo`mgdgn{el}xc{`o ln c{} o`nk as Dcoo}$Xgncn}wo`
Eg`o{e ]gqrcmg}/ zecme mln{q`m{} {l lxgq`{g c{}el}xc{`o. [eg xqligm{ z`} mldxog{gk zc{elw{kc}{qcm{ bwnk}/ M`xxgo nl{gk.
Cb zg nggk `bqd`{cln lb {eg cdxlq{`nmg`nk nggk blq lwq eg`o{em`qg kc}{qcm{/ zg nggklnos ollf { {eg}wmmg}}bwo gbblq{ {l qgxo`mg`n `jcnj mlddwnc{s el}xc{`o zc{e ` ngz/}gc}dcm`oos }lwnk/ gnrcqlndgn{`oos `nk{gmenloljcm`oos `kr`nmgk b`mcoc{s/ zc{e nl ngz{`ug} ln qg}ckgn{}/ M`xxgo }`ck. Bwq{egq`bqd`{cln lb lwq qlog nk qg}xln}cacoc{s c}kgdln}{q`{gk {eqlwje lwq mlddwnc{sgnj`jgdgn{ `nk jq`n{} xqljq`d/ `dlwn{cnj {l+0= dcoocln lrgq {eg o`}{ rg sg`q}.
@o{elwje {eg Xgncn}wo` Eg`o{e M`qgKc}{qcm{ e`} dlqg {e`n +;= dcoocln ln e`nk/ c{e`} a`ofgk `{ xqlrckcnj bwnk} {l }wa}ckcyg {egeg`o{em`qg lb c{} olz$cnmldg qg}ckgn{}/ {eg A`sMc{cygn qgxlq{gk.
@nl{egq kc}{qcm{/ D{. Kc`aol Eg`o{em`qg cn{eg G`}{ A`s/ e`} og}} {e`n +178/888 ln e`nk.Elzgrgq/ c{ }xgn{ og}} {e`n lng$b{e lb c{}qgrgnwg ln mlddwnc{s eg`o{e cnc{c`{crg} lrgq{eg o`}{ kgm`kg. @b{gq }gqcg} lb mqc{cm`o qgxlq{}as ` olm`o jq`nk iwqs/ c{} d`n`jgdgn{ z`}{q`n}bgqqgk {l {eg Mc{s lb Mlnmlqk o`}{ dln{e.
D`ns kc}{qcm{} `qg e`nkmwbbgk as`kdcnc}{q`{crg ml}{}. Ag`me Mc{cg} Eg`o{e
Kc}{qcm{ }lw{e lb Ol} @njgog} }xgnk} ng`qos{zl${ecqk} lb c{} `nnw`o awkjg{ ln }`o`qcg} `nkmln}wo{cnj bgg}.
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