5 Things California: Dems Gain on Health Care, Lorena Gonzalez Fletcher, San Diego Featured Panels

We are looking forward to seeing you next Wednesday the 28th in San Diego for our 2018 Southern California State of Reform Conference.  We have some fantastic conversations lined up with some of the most forward-facing, relevant thought leaders around.

There’s still space left, so if you haven’t yet, register here to get in on the action!

Marjie High
State of Reform


1. Join Asm. Lorena Gonzalez Fletcher for our Lunch Keynote

Representing California’s 80th LD, the southernmost district in the state, Assemblywoman Lorena Gonzalez Fletcher is the Chair of the Assembly Appropriations Committee.  Her powerful committee reviews all bills for fiscal impact before they can move to a floor vote. She has unique insight into the Legislature’s focus and policy direction in the upcoming session.

Prior to being elected to the Assembly, she served as secretary-treasurer and CEO of the San Diego-Imperial Counties Labor Council, AFL-CIO.  In this conversation, Asm. Gonzalez Fletcher will discuss the state of politics in California today, her hopes for the next legislative session, and some key bills to watch in 2019.


2.  Health care drives Dems to historic victories

Congressional Democratic candidates campaigned hard on health care this fall to turn historically red Orange County solidly blue for the first time in 82 years. The promise of coverage expansion also played well for state Dems’ Assembly and Senate races, giving the party, and the Governor-elect, a supermajority in both chambers of the state Legislature.

The prospect of a smooth legislative path has health access advocates activated, with a coalition of over 50 reps meeting last week to discuss the legislative agenda – with a path to universal coverage likely center stage. Meanwhile, Governor-elect Newsom announced the appointment of health care experts Ann O’Leary as chief of staff and Ana Matosantos as Cabinet secretary, perhaps indicating that he is gearing up to address the issue come January.

3.  Explore the Future of California’s Delegated Model with us

California’s model of empowering provider groups through risk-based or capitated contracts appears at a crossroads.  Regulatory action, and resulting lawsuits, have created questions about the future of this long-employed approach to plan-provider relations.

Paul Durr is the CEO of Sharp Community Medical Group. He will be joined by Bill Barcellona, Senior Vice President of America’s Physician Groups, to explore what’s next for the delegated model in California’s health care system.


4. Care1st, Wildflower, CHCF Collaborate for maternal health

Wildflower Health, Care1st Health Plan (Blue Shield of California Promise Health Plan effective 1/1/19), and the California Health Care Foundation (CHCF) will collaborate using Wildflower’s mobile health platform to deliver pregnancy and birth information to Medi-Cal families. Wildflower’s Family Health App will integrate CHCF’s My Birth Matters educational campaign to reduce the overuse of low-risk, first-birth cesareans.

While C-section births can be lifesaving in certain circumstances, California has a high average rate of the high-cost, high-risk procedures, at almost 30 percent of births. The collaboration hopes to target populations who have historically been more vulnerable to adverse birth outcomes by bringing the resources to Care1st’s Medi-Cal membership of nearly 500,000 Californians.


5. The Next Generation of Health Care Jobs and Workforce

Meeting the consumer demand for health care services will take active development of new pipelines of providers, as well as a reconsideration of how providers are trained and utilized to deliver care.  Systemic growth will involve collaboration from all silos to train and deploy the workforce of the future most effectively.

On this panel, Diana Shiba, MD, of Southern California Permanente Medical Group will join Aaron Byzak from Tri-City Medical Center and Brooke Valle of the San Diego Workforce Partnership. The panel of experts will take up the workforce challenges and highlight lessons from across California.