Radio reporter Veronica Zaragovia of KUT in Austin focused her reporting series on the rollout of the ACA in Texas, especially some of its unanticipated effects. Here she reflects on a few of the lessons she learned along the way.
Healthcare Regulation and Reform
When reporter S.E. Ruckman set out to tell the story of how the ACA rollout was faring among Native American communities, she found little help and few resources. But she pushed forward, and found value in persistence and serendipitous connections.
As the media takes stock of the ACA on its five-year anniversary this week, the White House on Wednesday announced a new network of more than 2,800 health care leaders tasked with leading the nation towards a more efficient, less costly model of paying for care.
The old system of paying for health care may be broken, but is the future finally knocking on the door? And if so, what kinds of health care innovations will lead us forward to the promised land of lower costs and quality care? Our recent webinar took up these questions and more.
At the Native American Health Center in East Oakland, health reform has pushed clinic staff to experiment with new ways of delivering care. But changes in the way care is reimbursed and increased competition for patients still leaves clinic leaders nervous about longterm survival.
The 2015 California Health Journalism Fellowship kicked off with a wide-ranging conversation between Gerald Kominski of UCLA's Center for Health Policy Research and Anna Gorman of Kaiser Health News on the past and future of health reform.
Geographic boundaries can have a big impact on health insurance options, particularly for people living in rural regions. Rural residents tend to fare better on premiums and choices when their area is grouped with an urban neighbor.
At La Clínica de la Raza in Northern California, the surge of new Medicaid enrollees has made it difficult for the clinic to meet the demand for care. But the need to make the most of limited resources has also led the organization to adopt new innovations, such as the "morning huddle."
As Medicare makes a big push towards paying providers based on value rather than volume over the next few years, Accountable Care Organizations will be expected to start making good on their promise to cut costs and improve quality of care. But so far, their track record has been rather mixed.
For La Clínica de la Raza, long a source of care for a diverse Oakland community, the ACA has increased the clinic's share of insured patients. But financial pressures are still a constant reality, and the problem will worsen dramatically if federal funding isn't renewed.