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Payers & Providers California Edition – Issue of February 23, 2012

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  • 8/3/2019 Payers & Providers California Edition Issue of February 23, 2012

    1/7

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  • 8/3/2019 Payers & Providers California Edition Issue of February 23, 2012

    2/7

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    Zmt Thckbeblz,,,Fmzzmehb{{ Tmzblzoch

    Cjybvzo{b @bvb

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    Iobhjola Aoyb{ RKHC[k`mmh mi Trfhok @bchz`

    *24 Eohhoml Aoiz

    Z`b hmlazoeb hbcjbv mi z`b Hm{

    Clabhb{ Kmrlz Jbtcvzeblz miTrfhok @bchz` `c{ ecjb c aoiz mi `o{`mhjola{ ol cl bsrozy ve zm z`bRKHC [k`mmh mi Trfhok @bchz`,

    Ychrbj cz rt zm *24 eohhoml( z`baoiz ivme Gmlcz`cl Iobhjola( E,J, clj`o{ qoib Ncvol Iobhjola o{ z`b hcvab{z{olkb z`b {k`mmh qc{ imrljbj ol z`bbcvhy 3?94{,

    Iobhjola qc{ z`b v{z jovbkzmv miz`b Jbtcvzeblz mi Trfhok @bchz`q`bl oz {thoz mii ivme z`b Hm{ Clabhb{Kmrlz Jbtcvzeblz mi @bchz`[bvyokb{ {op ybcv{ cam( clj c{ bhjz`b tm{z {olkb 3??1, @b c{ fbbl cebefbv mi z`b RKHC ickrhzy {olkb3?1?( {bvola c{ c tvmib{{mv mi bchz`

    {bvokb{ clj tbjoczvok{,Ncvol Iobhjola( {bvb{ c{ clmikbv imv Z`b Bybvk`ohj Imrljczoml(q`ok` imkr{b{ ml chhboczola z`b{riibvola mi Hm{ Clabhb{%cvbck`ohjvbl,#

    &O ce `refhbj fy z`bbpkbtzomlch ablbvm{ozy mi Gmlcz`clclj Ncvol Iobhjola(& {coj RKHCK`clkbhhmv Ablb Fhmkn, &Z`o{olb{zeblz ivme hmlazoeb k`cetoml{mi trfhok `bchz` vbbkz{ mrv {`cvbjkmljblkb ol z`b RKHC [k`mmh miTrfhok @bchz` c{ c vb{mrvkb lmz mlhyimv avbczbv Hm{ Clabhb{ frz z`b blzovbqmvhj,&

    Z`b {k`mmh qohh fb vblcebj z`b

    RKHC Gmlcz`cl clj Ncvol Iobhjola[k`mmh mi Trfhok @bchz`,Z`b Iobhjola{ aoiz kmeb{ ivme

    z`bov `mhjola{ ol Joebl{omlch IrljCjyo{mv{( c Zbpc{%fc{bj olb{zeblzve, Z`b olkmeb {zvbce ivme z`b{bc{{bz{( clj tvmkbbj{ ivme clybblzrch {chb qohh bljmq c k`cov oltmtrhczoml `bchz` clj {rttmvz z`b{k`mmh{ ckzoozob{, Ebjoc vbtmvz{{raab{zbj z`cz Iobhjola{ kmhhbcarb{

    Kmlzolrbj ml Tcab ;

    LBQ[

    C t`ohclz`vmty `bcjbj fy z`b k`covecl mi z`bKchMtzoec `bchz` thcl clj clmz`bvmvaclowczoml `b `bht{ mbv{bb cvb yola imvemvb z`cl *64 eohhoml zm tvmojb kcvb imv oz{blvmhhbb{( tvmetzola kmlokz mi olzbvb{zk`cvab{ fy Mvclab Kmrlzy [rtbvo{mv GclbzLarbl,

    Larybl( q`m ch{m {bvb{ ml z`bKchMtzoec fmcvj( {coj {`b `cj lmz fbblolimvebj z`b Ovyolb @bchz` Imrljczoml{rfeozzbj cl ctthokczoml hc{z emlz` imv c *?,;eohhoml avclz ivme z`b Kblzbv imv Ebjokcvbclj Ebjokcoj Ollmyczoml #c tvmkb{{ {mrvkb{{cy vbkbobj bpzbl{ob c{{o{zclkb ivme

    KchMtzoec {zcii, Z`b KEEO o{ c joo{oml mi z`bKblzbv{ imv Ebjokcvb clj Ebjokcoj [bvyokb{,

    Z`b Ovolb @bchz` Imrljczoml!{ tvb{ojblz(Bjqcvj F, Nckok( 21( `c{ {bvbj ml z`bKchMtzoec fmcvj {olkb 644?, @b qc{cttmolzbj oz{ k`covecl hc{z Crar{z,

    Ol cjjozoml zm zvyola zm {bkrvb z`b avclz(z`b Ovolb @bchz` Imrljczoml `c{ `bhtbj irljclmz`bv tmzblzoch vbkotoblz mi eohhoml{ mijmhhcv{ jovbkzhy ivme KchMtzoec( clj tcy{clmz`bv KchMtzoec zvr{zbb zm {oz ml oz{ fmcvj,

    &Z`cz o{ bvy tvmfhbeczok imv eb,,,oz o{ cjovbkz kmlokz mi olzbvb{z(& {coj Larybl hc{zqbbn, [`b cjjbj z`cz {`b qmrhj kmlibv qoz`

    z`b Fmcvj mi [rtbvo{mv{ clj Kmrlzy Kmrl{bhcfmrz q`cz ckzoml{ {`mrhj fb zcnbl,

    &Qb `cb c k`covecl ml z`b KchMtzoec/fmcvj q`m o{ ctthyola imv z`b{b avclz{ cljjmola chh z`m{b mz`bv z`ola{ lmlb mi r{b qbvbcqcvb mi(& Larybl {coj, &Oi ymr!vb lmz ml z`bfmcvj( `cb irl, Frz c{ c trfhok mikoch mv c{cl cttmolzbb zm c ambvleblz cablky fmcvj(ymr!vb `bhj zm c joiibvblz {zcljcvj,&

    Jmkreblzczoml {rfeozzbj imv z`b ibjbvchavclz {coj z`b irlj{ qmrhj fb r{bj zm kvbczbz`b @bchz`kcvb Ollmyczoml Kblzbv imv MvclabKmrlz, Oz qmrhj kvbczb ebjokch `meb{ cljmz`bv tmzblzochhy emlby%{cola olozoczob{ imv

    KchMtzoec clj mz`bv Ebjo%Kch blvmhhbb{, Oztvmtm{bj c {zcii mi 36 bethmybb{( eclcabj fyz`b Ovolb @bchz` Imrljczoml,

    &Ollmczoml{ qohh fb zb{zbj tvoecvohy r{olaKchMtzoec!{ oa`b{z vo{n ebefbv{`ot mi cfmrz344(444 ebefbv{( tvmojola c tvb%jblbjhcfmvczmvy! z`cz o{ vbcjohy ebc{rvbj cljkmetcvbj(& vbcj cl cf{zvckz mi z`b tvmtm{ch,

    Nckok( chmla qoz` KchMtzoec K`obiBpbkrzob Mikbv Vok`cvj K`cefbv{ cljMvclab Kmrlzy @bchz` Kcvb Cablky Jovbkzmv

    Jcyoj Vohb( {oerhzclbmr{hy mhj {bcz{ ml z`KchMtzoec fmcvj chmla qoz` {bcz{ ml z`b{zbbvola kmeeozzbb mi z`b Eclcabj [{zbe Kcvb, Z`cz fmjy o{ ol holb zm vbkbob c{ erk`c{ *36,1 eohhoml ol irljola ivme KchMtzoec

    Z`b Eclcabj [y{zbe mi Kcvb o{ jb{kvofbfy cvomr{ mf{bvbv{ c{ cl cj `mk avmrt mi 6Mvclab Kmrlzy `bchz`kcvb hbcjbv{ cljtvmib{{omlch{ olzblz ml fvolaola emvbbikoblkob{ olzm z`b vbaoml!{ {cibzy lbz {y{zbOz olkhrjb{ zmt bpbkrzob{ ivme @mcaEbemvoch @m{tozch Tvb{fzbvocl( Emlcvk`@bchz`kcvb( Nco{bv Tbveclblzb#clj z`bEbemvoch Kcvb `m{tozch {y{zbe, Oz{ ebefbv

    mvaclowczoml{ `cb kmlzvofrzbj emvb z`cl*3,: eohhoml zmqcvj oz{ mtbvczoml{ {olkb oz{imveczoml ol 644?,

    Z`b Eclcabj [y{zbe mi Kcvb o{ clolozoczob kvbczbj fy z`b @bchz` Irljbv{Tcvzlbv{`ot mi Mvclab Kmrlz, Z`czmvaclowczoml vbkbobj c *:44(444 avclz ol6434 ivme z`b Ovolb @bchz` Imrljczoml imvq`cz o{ jb{kvofbj ol z`b imrljczoml{ zcpvbzrvl c{ kml{rhzola ibb{( zbk`lmhmay-OZ, Z`avclz qc{ fy icv z`b hcvab{z ecjb z`cz ybcv fz`b imrljczoml( kmetvo{ola lbcvhy ?4" mi z`jmhhcv cemrlz ol avclz{ oz ecjb z`cz ybcv(ckkmvjola zm oz{ zcp vbzrvl,

    KchMtzoec fmcvj ebefbv EcvacvozcTbvbbjc( E,J,( q`m mtbvczb{ c kholok imv hmolkmeb vb{ojblz{ ol z`b kmrlzy( ch{m {oz{ ml zOvolb @bchz` Imrljczoml fmcvj, [`b qc{ tcc {zotblj mi *36(244 ol 6434 fy z`bimrljczoml imv `bv {bvokb,

    Larybl lmzbj z`cz {`b `cj chvbcjy vco{kmlkbvl{ vbacvjola z`b vmhb{ mi Nckok(K`cefbv{ clj Vohby qoz` z`b Eclcabj [y{zbmi Kcvb( tcvzokrhcvhy vbacvjola z`b thcl imvKchMtzoec zm aob oz z`b irlj{( q`ok` qmrhjfb kmetvo{bj mi olzbvambvleblzch zvcl{ibv{ivme z`b Jbtcvzeblz mi @bchz` Kcvb [bvyokclj eczk`ola irlj{ ivme KE[, Jmkreblz{

    mfzcolbj fy Tcybv{ ) Tvmojbv{ {cy z`b emlqmrhj fb r{bj m{zbl{ofhy zm tbvimve z`b {cezc{n{ c{ z`b ibjbvch avclz {mra`z fy z`b Ovol@bchz` Imrljczoml,

    Larybl {coj {`b `cj ch{m vco{bjmfgbkzoml{ zm c vbsrb{z fy Vmfbvz Aczb{( cEclcabj [y{zbe mi Kcvb tvmgbkz eclcabv c

    Kmlzolrbj ml Lbpz Tcab

    [bhi%Jbchola Chhbabj Cz KchMtzoecLarybl Kvozokowb{ K`covecl{ Fr{olb{{ Vbhczoml{`ot

  • 8/3/2019 Payers & Providers California Edition Issue of February 23, 2012

    3/7

    #&+*")*!#(/'#(.(#%#(.(#+!#,)!&*-#4#,*36;:&*-#,"+2;-9;10'#??7

    Tcab ;Tcybv{ ) Tvmojbv{

    Hmlabv CHM[#'

    Cjybvzo{b @bvb

    (011/ 6:0%6;94 bpz, 6

    'Imv mrv cj{ lmz mrv m{tozch

    LBQ[

    Ol Fvobi

    `cj lm ojbc `b `bhj c{{bz{ mi {rk`ychrb,

    NCZ@_ EOHHBV NBHHB_

    KJT@ Iolb{ Imrv

    Lrv{ola @meb{ ImvTczoblz Jbcz`{

    Z`b Kchoimvloc Jbtcvzeblz mi @bchz``c{ hbyobj lb{ clj o{{rbj kozczoml{zm z`vbb Hm{ Clabhb{%cvbc lrv{ola`meb{ zmzchola *6;2(444 imvlbahoablkb z`cz hbj zm tczoblz jbcz`{,

    Z`b Jmqlb Kcvb Kblzbv olJmqlb qc{ lbj *04(444 imv icoholazm ebc{rvb z`b fhmmj ahrkm{b mi cjocfbzok tczoblz q`m `cj fbblcjeozzbj {bybvch zoeb{ ivme `m{tozch{jrvola 644? clj 6434, Z`b tczoblzhm{z kml{komr{lb{{ clj jobj tcvzh c{z`b vb{rhz mi z`b hckn mi emlozmvola,Z`b lrv{ola {zcii {coj z`b cjeozzolat`{okocl `cj lbybv mvjbvbj fhmmjahrkm{b emlozmvola imv z`b tczoblz,

    Z`b Emzoml Tokzrvb Zbhbyo{oml@m{tozch ol Qmmjhclj @ohh{ qc{ lbj*04(444 cizbv c tczoblz qoz`Chw`boebv{ jo{bc{b clj c `o{zmv mihbcyola {rtbvyo{oml clj bptbvoblkolaichh{ ibhh mrz mi `bv q`bbhk`cov ml z`bickohoz{ {zcovqbhh, [`b {riibvbj c{bybvb {tolch ivckzrvb clj c hrefcvivckzrvb c{ c vb{rhz clj jobj c qbbnhczbv,

    Cl olyb{zoaczoml cj jbzbveolbjz`cz z`b tczoblz cj vbkblzh fbblzvcl{ibvvbj ivme c mlb%{zmv frohjolazm c zqm%{zmv frohjola q`bvb {`b `cjtvbyomr{h ichhbl,

    Z`b Imrlzcol Yobq [rfckrzb cljLrv{ola Kblzbv ol Hm{ Clabhb{ qc{lbj *12(444 cizbv c tczoblz q`m `cjfbbl bychrczbj imv c `oa` vo{n miichhola cj fbbl thckbj ol c vbarhcvfbj vcz`bv z`cl mlb emjobj zm fbkhm{bv zm z`b mmv, Z b tczoblz{riibvbj c {rfjrvch `beczmec zm z`bfvcol cizbv ichhola mrz mi fbj clj hczbvjobj ol c `m{tozch,

    Chh z`vbb mi z`b ickohozob{ vbkboybjCC kozczoml{( z`b em{z {bybvb o{{rbjf z`b KJT@,

    @BCHZ@KCVB[ FB[Z CJYBVZO[OLA YCHRU

    TC_BV[ ) TVMYOJBV[ vbck`b{ 2444 `m{tozch `bchz` thcl clj lmtvmz bpbkrzoyb{ {zczbqojb, Z`bvb o{ lm fbzzbv yblrb imv ecvnbzol

    mrv mvaclowczoml mv kmlibvblkb mv vbkvrozola lbq {zcii,

    KCHH (011/ 6:0%6;94 bpz, 6MV KHOKN @BVB

    Chz`mra` z`b jmkreblz{ {raab{z z`bOvyolb @bchz` Imrljczoml qmrhj byblzrchhkbjb crz`mvoz zm eclcab z`b irlj{ zm clmz

    rllcebj blzoz( lm zoebholb imv {rk` c zvclqc{ olkhrjbj ol z`b jmkreblzczoml, Cljq`ohb Nckok {coj KE[ mikoch{ `cj fbbllmzobj mi o{ vbhczoml{`ot qoz` KchMtzoeceblzoml mi oz qc{ ecjb ol z`b avclzctthokczoml( q`ok` ch{m olkhrjbj hbzzbv{ mi{rttmvz ivme hmkch tmhozokch hbcjbv{ {rk` c{Vbt, Hmvbzzc [clk`bw clj {zczb [bl, HmrKmvvbc,

    C{ojb ivme Larbl( z`b ycvomr{cvvclabeblz{ olymhyola Nckok `cyb ch{m vcoz`b ovb mi cz hbc{z mlb KchMtzoec bethmbbq`m jb{kvofbj z`b avclz ctthokczoml tvmkb{c{ &{bhi%jbchola& ol c hbzzbv mi kmethcolz {bl

    z`b KchMtzoec fmcvj hc{z qbbn,&Ecl mi r{ qmvnola cz KchMtzoec cvbgr{z {okn cfmrz q`cz o{ `cttblola zm mrvkmetcl( clj qb cvb zovbj mi z`b{b nolj mijbchola{ f mrv fmcvj(& c tmvzoml mi z`b hbzzvbcj,

    Z`b vbybhczoml{ vbacvjola z`b irljolathcl{ {rvickbj z`b {ceb qbbn z`cz hmlazoebKchMtzoec KBM K`cefbv{ cllmrlkbj `bqmrhj {zbt jmql ol Ctvoh zm zcnb c tm{ozomlqoz` Emholc @bchz`kcvb, Lbq{ mi K`cefbjbtcvzrvb kceb {mml cizbv cl olzbvlch crjozhczb Lmybefbv qc{ kvozokch mi `o{ hbcjbv{`oclj {raab{zbj KchMtzoec `cj fbbl

    eo{eclcabj, Z`b Fmcvj mi [rtbvyo{mv{ ch{mvbkblzh cttvmybj c thcl zm bptclj z`bKchMtzoec fmcvj clj bpzblj Larbl!{ zbvf clmz`bv bcv,

    Z`b lbq chhbaczoml{ fvmra`z mrz c eopmi qbcvolb{{ clj qcvolb{{ ivme z`m{b olymhqoz` `bchz` thcl( q`ok` ol{rvb{ :44(444Mvclab Kmrlz Ebjo%Kch blvmhhbb{,O!e abzzola zovbj mi chh z`o{ clmlemr{erj{holaola z`cz o{ amola ml(& {coj KchMtzo{tmnb{ecl Hcbv Tbcvkb,

    &O!e lmz z`vohhbj mi ckkr{czoml{ mioetvmtvobz(& Aczb{ {coj, &Qb!vb gr{z zvola tvmyojb imv z`b kmrlz!{ {cibz lbz,&

    mlbzoeb jovbkzmv mi z`b Mvclab Kmrlz cljHm{ Clabhb{ Kmrlz `bchz` jbtcvzeblz{( zm trzz`b OAZ tceblz o{{rb ml z`b fmcvj cabljc

    hc{z emlz` c{ cl ckzoml ozbe,&O qclzbj zm {bb c frjabz( {mebtbvimveclkb ebc{rvb{( clj `mq kml{rhzclz{qbvb amola zm fb eclcabj(& Larbl {coj(fbimvb {`b qmrhj cavbb zm tvmyojb cl irlj{zm z`b Eclcabj [{zbe mi Kcvb, Z`b ckzomlozbe qc{ k`clabj zm c vbtmvz ozbe imv fmz` z`bGclrcv clj Ibfvrcv ebbzola{, Ckkmvjola zmeolrzb{ ivme z`b Gcl, 2 KchMtzoec fmcvjebbzola( Nckok( K`cefbv{ clj Vohb vbkr{bjz`be{bhyb{ ivme z`b jo{kr{{oml{,

    &O kcl!z abz cl cl{qbv c{ zm q`m!{ tcolaimv q`m( q`m o{ ml v{z clj q`m o{ ml {bkmlj(clj z`cz o{ z`b tvmfhbe(& Larbl {coj,

    Jrvola c zbhbt`mlb olzbvyobq( Nckokjo{khm{bj z`cz z`b Eclcabj [{zbe mi Kcvbthcbj c vmhb ol z`b Ovyolb @bchz` Imrljczomlfbola {bhbkzbj zm ctth imv z`b avclz,

    &O cavbbj zm jm {m ml mlb kmljozoml % z`czz`b O@I lmz ckkbtz cl emlb imv oz{{bvyokb{/(& {coj Nckok( q`m jblobj c{{bvzoml{f {mrvkb{ z`cz `b `cj blaolbbvbj erk` miz`b tvmkb{{ `oe{bhi, Nckok kmrhj lmz {c q`t`ohclz`vmtok mvaclowczoml{ cihoczbj qoz`Ebemvoch Kcvb( @mca mv Nco{bv joj lmz ctthimv z`b avclz ol{zbcj,

    Aczb{ {coj z`b olzblz qc{ zm `cyb z`bOvyolb @bchz` Imrljczoml ckz c{ c zbetmvcv

    kmljroz, Z`b ctthokczoml lbbjbj zm fb{rfeozzbj f c 243k/;/ lml%tvmzmvaclowczoml( q`ok` z`b Eclcabj [{zbe miKcvb o{ lmz( clj `cj zm fb kmethbzbj f hczbhc{z emlz`,

    &Qb jojl!z `cyb c hmz mi zoeb zm {tblj{rfeozzola z`b ctthokczoml( clj z`o{ qc{em{zh c{ cl ckkmeemjczoml imv z`b Eclcabj[{zbe mi Kcvb,,,clj z`b qbvb b{{blzochh cthckb`mhjbv(& {coj Aczb{, @b cjjbj oz qc{honbh z`b Eclcabj [{zbe mi Kcvb ec {mmlkmlybvz zm c 243k/;/ clj byblzrchh vbkboybem{z mv chh mi z`b avclz emlb,

    KchMtzoec (Kmlzolrbj ivme Tcab Zqm/

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  • 8/3/2019 Payers & Providers California Edition Issue of February 23, 2012

    4/7

    #&+*")*!#(/'#(.(#%#(.(#+!#,)!&*-#4#,*36;:&*-#,"+2;-9;10'#??7

    Tcybv{ ) Tvmojbv{ TcabMTOLOML

    @bchz`kcvb Z`b Mvclab Kmrlzy QcyKchMtzoec{ Amybvlclkb Vbihbkz{ Tmhozokch Krhzrvb

    Goe Hmzz o{ z`b bpbkrzob okb tvb{ojblz mi

    @m{tozch C{{mkoczoml mi [mrz`bvl Kchoimvloc

    >32"8'#

  • 8/3/2019 Payers & Providers California Edition Issue of February 23, 2012

    5/7

    #&+*")*!#(/'#(.(#%#(.(#+!#,)!&*-#4#,*36;:&*-#,"+2;-9;10'#??7

    ECVNBZTHCKB-BETHM_EBLZTcybv{ ) Tvmojbv{ Tcab 2

    @M[TOZCHO[Z(Hm{ Clabhb{ KC - @oa` Jb{bvz KC - Emjb{zm KC -

    T`mblop CW - Hc{ Ybac{ LY/

    Z`b @m{tozcho{z tvmyojb{ Olzbvlch Ebjokolb [bvyokb{ zm tczoblz{, Vb{tml{ofohozob{ olkhrjb7Vmrlj ol z`b `m{tozch ol z`b emvlola{ clj{bb{ cl cybvcab mi 9 zm 34 tczoblz{, Kmlibvblkb kchh{ qoz` Kc{bEclcabv{ zm vbyobq tczoblz{ clj jo{kr{{ z`b jo{k`cvab lbbj{ cljthcl{, Cjeoz z`b tczoblz{ ivme z`b BV ol z`b cizbvlmml (r{rchh 6zm : tczoblz{/ oi z`b cvb c{{oalbj ihmcz tm{ozoml imv z`b aoybl jc,Qmvn qoz` Kc{b Eclcabv{ ol zvcl{ibvvola z`b tczoblz{ ivme mrz mi

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  • 8/3/2019 Payers & Providers California Edition Issue of February 23, 2012

    6/7

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  • 8/3/2019 Payers & Providers California Edition Issue of February 23, 2012

    7/7

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