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"content": "\u003cdiv class=\"post-body\">\u003cp>Kaiser has been in bargaining talks with the National Union of Healthcare Workers (NUHW), which represents these Kaiser workers, for over a year, said Ron Groepper, senior vice president at Kaiser Permanente Greater San Francisco.\u003c/p>\n\u003cp>Groepper said Kaiser has been working on ways to meet growing demand for mental health services and has committed $50 million to support increasing the number of people entering and remaining in the mental health profession. He also said Kaiser expects to add more than 60 new offices for mental health providers in Northern California and denied the union’s assertion that group therapy sessions were overcrowded.\u003c/p>\n\u003cfigure id=\"attachment_11760379\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-11760379\" src=\"https://ww2.kqed.org/news/wp-content/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-800x600.jpg\" alt=\"James Beauford is a clinical psychologist who has worked at Kaiser Permanente’s San Francisco Medical Center for 23 years. He said his clinic is “significantly understaffed.”\" width=\"800\" height=\"600\" srcset=\"https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-800x600.jpg 800w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-160x120.jpg 160w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-1020x765.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-1200x900.jpg 1200w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut.jpg 1920w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-1832x1374.jpg 1832w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-1376x1032.jpg 1376w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-1044x783.jpg 1044w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-632x474.jpg 632w, https://ww2.kqed.org/app/uploads/sites/10/2019/07/07092019_kaiser-permanente_mental-health_National-Union-of-Healthcare-Workers_staffing_Beauford-qut-536x402.jpg 536w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">James Beauford is a clinical psychologist who has worked at Kaiser Permanente’s San Francisco Medical Center for 23 years. He said his clinic is “significantly understaffed.” \u003ccite>(Laura Klivans/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>“Meeting the increased demand for mental health services is a national challenge that faces all health care providers, not just Kaiser Permanente,” Groepper said in a statement.\u003c/p>\n\u003cp>In June, the union \u003ca href=\"https://nuhw.org/wp-content/uploads/NUHW-Complaint_DMHC-SF-ChildAdolescent_06-28-19.pdf\" target=\"_blank\" rel=\"noopener\">filed a complaint\u003c/a> with the California Department of Managed Health Care seeking an investigation into understaffing at the San Francisco clinic.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cp>Thousands of Kaiser Permanente mental health professionals throughout California started a weeklong strike Monday to protest what they say is a lack of staffing that affects care.\u003c/p>\n\u003cp>Outside Kaiser Permanente hospitals and clinics in the San Francisco Bay Area, dozens of workers marched Monday holding signs that said: \"Kaiser, Don't Deny My Patients Mental Health Care,\" and \"Care Delayed is Care Denied.\"\u003c/p>\n\u003cp>About 4,000 psychologists, therapists, social workers, psychiatric nurses and other medical professionals represented by the National Union of Healthcare Workers say they will picket through Friday.\u003c/p>\n\u003cp>Some non-urgent mental health and other appointments may need to be rescheduled but anyone in need of urgent mental health or other health care will receive the services they need, said Elita Fielder, a spokeswoman for Kaiser Permanente.\u003c/p>\n\u003cp>\"They've canceled appointments for these five days, but there's a critical situation every day of the year,\" Sal Rosselli, National Union of Healthcare Workers president, \u003ca href=\"https://www.eastbaytimes.com/2018/12/09/kaiser-strike-mental-health-workers-to-picket-over-staffing-benefits/\" target=\"_blank\" rel=\"noopener\">told\u003c/a> the East Bay Times.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Rosselli said patients have to wait a month or more for follow-up appointments because of inadequate staffing.\u003c/p>\n\u003cp>Fielder said Kaiser Permanente has added more than 500 mental health care therapists and invested $175 million to expand mental health care offices since 2015, when the threat of an open-ended strike was averted after the union and Kaiser agreed to a contract.\u003c/p>\n\u003cp>The union's main concern is increasing its workers' wages, which she said are already the highest in the state.\u003c/p>\n\u003cp>Rosselli said negotiators are seeking pay increases as well as benefits packages equal to those given to other medical professionals.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Although Kaiser has hired hundreds more mental health professionals, patient care and access have stayed the same or worsened as the health care provider has expanded its client base significantly and some caregivers have left, Rosselli said.\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>Thousands of Kaiser Permanente mental health professionals throughout California started a weeklong strike Monday to protest what they say is a lack of staffing that affects care.\u003c/p>\n\u003cp>Outside Kaiser Permanente hospitals and clinics in the San Francisco Bay Area, dozens of workers marched Monday holding signs that said: \"Kaiser, Don't Deny My Patients Mental Health Care,\" and \"Care Delayed is Care Denied.\"\u003c/p>\n\u003cp>About 4,000 psychologists, therapists, social workers, psychiatric nurses and other medical professionals represented by the National Union of Healthcare Workers say they will picket through Friday.\u003c/p>\n\u003cp>Some non-urgent mental health and other appointments may need to be rescheduled but anyone in need of urgent mental health or other health care will receive the services they need, said Elita Fielder, a spokeswoman for Kaiser Permanente.\u003c/p>\n\u003cp>\"They've canceled appointments for these five days, but there's a critical situation every day of the year,\" Sal Rosselli, National Union of Healthcare Workers president, \u003ca href=\"https://www.eastbaytimes.com/2018/12/09/kaiser-strike-mental-health-workers-to-picket-over-staffing-benefits/\" target=\"_blank\" rel=\"noopener\">told\u003c/a> the East Bay Times.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Rosselli said patients have to wait a month or more for follow-up appointments because of inadequate staffing.\u003c/p>\n\u003cp>Fielder said Kaiser Permanente has added more than 500 mental health care therapists and invested $175 million to expand mental health care offices since 2015, when the threat of an open-ended strike was averted after the union and Kaiser agreed to a contract.\u003c/p>\n\u003cp>The union's main concern is increasing its workers' wages, which she said are already the highest in the state.\u003c/p>\n\u003cp>Rosselli said negotiators are seeking pay increases as well as benefits packages equal to those given to other medical professionals.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Although Kaiser has hired hundreds more mental health professionals, patient care and access have stayed the same or worsened as the health care provider has expanded its client base significantly and some caregivers have left, Rosselli said.\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cspan style=\"font-weight: 400\">Ever since Dwayne Ealy was a kid, he really wanted to work for \u003ca href=\"https://healthy.kaiserpermanente.org/\" target=\"_blank\" rel=\"noopener\">Kaiser Permanente\u003c/a>. \u003c/span>\u003c/p>\n\u003cp>\"I grew up right here by Kaiser Oakland, in this neighborhood, so I’d walk by Kaiser every day,\" he said while rallying outside Kaiser's \u003ca href=\"https://healthy.kaiserpermanente.org/northern-california/facilities/Oakland-Medical-Center-100344\" target=\"_blank\" rel=\"noopener\">Oakland Medical Center\u003c/a>. \"I went to Oakland Technical High School, it’s right down the street. I wanted to work at Kaiser a long time.\"\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">After burning out on his first career as a youth counselor, Ealy finally did get a Kaiser job, as an Integrated Courier at a distribution center in Livermore. He delivers medications to Kaiser Permanente hospitals and pharmacies.\u003c/span>\u003c/p>\n\u003cp>\"It’s a good job, and I can do things for my family, and be successful in my community,\" Ealy said. \"People are happy to work for Kaiser.\"\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Ealy's enjoyed the work so much that he's been at Kaiser Permanente for 13 years, his longest stint with any one employer. Since the fall, however, Ealy senses his position is on shaky ground. His fears that his work will be outsourced led him to this protest outside the hospital two weeks ago. \u003c/span>\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Union workers employed by Kaiser Permanente are staging a series of protests across California. They say the health care provider is thriving financially, but still plans to outsource some jobs, and cut wages for some new hires.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Ealy joined more than a hundred other employees who chanted and marched. Some dressed in hospital scrubs, others in street clothes, and many in the deep purple color associated with their union, Service Employees International Union - United Healthcare Workers West (SEIU-UHW). They chanted \"Who's got the power? We got the power! What kind of power? Union power!\" The rally was one of 32 demonstrations that SEIU-UHW is organizing around California between Feb. 14 - Mar. 9. \u003c/span>\u003c/p>\n\u003cp>SEIU-UHW\u003cspan style=\"font-weight: 400\"> represents roughly 55,000 positions at Kaiser facilities across the state, including medical assistants, housekeeping aides, and pharmacy clerks. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The union's contract with the health care provider expires in September, and union representatives say Kaiser is considering 20 percent wage cuts for new hires in the Central Valley, and ten percent cuts in the Sacramento area. The union points out that in 2017 Kaiser made $3.8 billion, after expenses. \u003c/span>\u003c/p>\n\u003cp>\"We work hard for Kaiser, Kaiser you’re making a lot of money,\" Ealy said. \"Don’t be unfair to us.\"\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Kaiser plans to hire an outside company to take over storage and distribution of pharmaceuticals in Oakland, and representatives say they fear the loss of 55 jobs there. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But John Nelson, Vice President of Communications at Kaiser Permanente, wrote in a statement that \"The exact number of positions affected by this decision has not yet been determined.\" \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">He called the union's claims \"premature\" and potentially wrong. Nelson also wrote that when there are job changes, Kaiser works to \"reassign and retain our employees first.\"\u003c/span>\u003c/p>\n\u003cp>Union members say they have information that more than 700 other jobs around the state are threatened too, including positions at call centers in Southern California, and warehouse jobs like Ealy’s in Livermore.\u003c/p>\n\u003cp>Nelson stated that Kaiser will not be laying off 700 call center workers, but will \"improve our call center agents' ability to manage member calls and schedule appointments across Southern California.\" He added that the health care provider will make \"additional improvements and changes in the future,\" but will communicate those ahead of time.\u003c/p>\n\u003cp>Nelson also wrote that the union's claims about outsourcing of jobs in the Livermore distribution center are wrong.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Contract negotiations between SEIU-UHW and Kaiser Permanente begin at the end of March, ahead of the current contract's expiration in September. \u003c/span>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cspan style=\"font-weight: 400\">Ever since Dwayne Ealy was a kid, he really wanted to work for \u003ca href=\"https://healthy.kaiserpermanente.org/\" target=\"_blank\" rel=\"noopener\">Kaiser Permanente\u003c/a>. \u003c/span>\u003c/p>\n\u003cp>\"I grew up right here by Kaiser Oakland, in this neighborhood, so I’d walk by Kaiser every day,\" he said while rallying outside Kaiser's \u003ca href=\"https://healthy.kaiserpermanente.org/northern-california/facilities/Oakland-Medical-Center-100344\" target=\"_blank\" rel=\"noopener\">Oakland Medical Center\u003c/a>. \"I went to Oakland Technical High School, it’s right down the street. I wanted to work at Kaiser a long time.\"\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">After burning out on his first career as a youth counselor, Ealy finally did get a Kaiser job, as an Integrated Courier at a distribution center in Livermore. He delivers medications to Kaiser Permanente hospitals and pharmacies.\u003c/span>\u003c/p>\n\u003cp>\"It’s a good job, and I can do things for my family, and be successful in my community,\" Ealy said. \"People are happy to work for Kaiser.\"\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Ealy's enjoyed the work so much that he's been at Kaiser Permanente for 13 years, his longest stint with any one employer. Since the fall, however, Ealy senses his position is on shaky ground. His fears that his work will be outsourced led him to this protest outside the hospital two weeks ago. \u003c/span>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Union workers employed by Kaiser Permanente are staging a series of protests across California. They say the health care provider is thriving financially, but still plans to outsource some jobs, and cut wages for some new hires.\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Ealy joined more than a hundred other employees who chanted and marched. Some dressed in hospital scrubs, others in street clothes, and many in the deep purple color associated with their union, Service Employees International Union - United Healthcare Workers West (SEIU-UHW). They chanted \"Who's got the power? We got the power! What kind of power? Union power!\" The rally was one of 32 demonstrations that SEIU-UHW is organizing around California between Feb. 14 - Mar. 9. \u003c/span>\u003c/p>\n\u003cp>SEIU-UHW\u003cspan style=\"font-weight: 400\"> represents roughly 55,000 positions at Kaiser facilities across the state, including medical assistants, housekeeping aides, and pharmacy clerks. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">The union's contract with the health care provider expires in September, and union representatives say Kaiser is considering 20 percent wage cuts for new hires in the Central Valley, and ten percent cuts in the Sacramento area. The union points out that in 2017 Kaiser made $3.8 billion, after expenses. \u003c/span>\u003c/p>\n\u003cp>\"We work hard for Kaiser, Kaiser you’re making a lot of money,\" Ealy said. \"Don’t be unfair to us.\"\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Kaiser plans to hire an outside company to take over storage and distribution of pharmaceuticals in Oakland, and representatives say they fear the loss of 55 jobs there. \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">But John Nelson, Vice President of Communications at Kaiser Permanente, wrote in a statement that \"The exact number of positions affected by this decision has not yet been determined.\" \u003c/span>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">He called the union's claims \"premature\" and potentially wrong. Nelson also wrote that when there are job changes, Kaiser works to \"reassign and retain our employees first.\"\u003c/span>\u003c/p>\n\u003cp>Union members say they have information that more than 700 other jobs around the state are threatened too, including positions at call centers in Southern California, and warehouse jobs like Ealy’s in Livermore.\u003c/p>\n\u003cp>Nelson stated that Kaiser will not be laying off 700 call center workers, but will \"improve our call center agents' ability to manage member calls and schedule appointments across Southern California.\" He added that the health care provider will make \"additional improvements and changes in the future,\" but will communicate those ahead of time.\u003c/p>\n\u003cp>Nelson also wrote that the union's claims about outsourcing of jobs in the Livermore distribution center are wrong.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cspan style=\"font-weight: 400\">Contract negotiations between SEIU-UHW and Kaiser Permanente begin at the end of March, ahead of the current contract's expiration in September. \u003c/span>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cp>\u003cem>We asked readers for their wildfire stories. If you were impacted by the fires, or know someone who was, \u003ca href=\"https://ww2.kqed.org/news/2017/10/10/share-your-california-wildfire-story/\">we’d like to hear your story\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>Here is one of the responses. It has been edited for length and clarity.\u003c/p>\n\u003cp>My partner, Heather Leiker, and I had a 7:30 p.m. appointment on Oct. 8 in the labor and delivery unit at Kaiser Permanente Santa Rosa to do a non-stress test on her 40-week pregnancy. Due to circumstances, the doctor determined that it was best to induce labor. She received her first dose at 11 p.m. and was due for the second at 3 a.m. During the wait, we were brought to a delivery room and my mother brought her mother and our 3-year-old, Arthur, to visit. When my mother found out that the process could take up to three days, and it was already so late, she decided to take Arthur home. Shortly thereafter is when we found out that the pleasant campfire smell we had been enjoying was actually a wildfire.\u003c/p>\n\u003cp>At 2:45 a.m. the delivery team came into our room and told us that if we were mobile enough, then we should evacuate. The fire was coming our way, and the Hilton (hotel) was already on fire. If Heather started to feel like she was going into labor, then we were to head south to the nearest Kaiser with labor and delivery. As we exited the hospital, we were hearing a constant cacophony of explosions from the north. Boom. Boom. Boom. Almost one per second. Heather’s car is in the shop, so we were stuck using my compact truck. The three of us piled into my little truck and headed west to our place past Fulton.\u003c/p>\n\u003cp>The 5-mile journey took us two hours. At the corner of Range and Piner, we saw a truck on fire and a tree across the street in flames. As we went down Piner, we could see the bright glow against the smoky ceiling getting closer to our traffic pile up. Once we got past the railroad tracks, we turned down Bay Village Circle — my partner’s navigation skills still up to par. As we went down past the Marlow Apartments, the police came roaring up to the complex to start the mandatory evacuation. Surprisingly, we also saw a garbageman doing his rounds at the shopping center, seemingly unconcerned and just doing his duty. Once on Marlow, we headed south and managed to sweep into Crosspoint and connect to Guerneville. Finally, with some space to move, we headed home.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Once at home, we prepped for evacuation, loading my truck, consoling our son, and taking turns lying down next to him for short rests. We searched for the nearest Kaiser with a labor and delivery and discovered that we’d need to go to San Francisco. My mother would stay with Arthur and flit back and forth between her place (just outside the evacuation area), our place (2 miles from the evacuation area) and a friend’s place in Sebastopol. Once again, the three of us piled into my little truck and this time headed down to San Francisco. The 60-mile trip took just as much time as the previous 5-mile one.\u003c/p>\n\u003cp>I finally fell unconscious for about four hours lying next to my partner sometime in the evening of Oct. 9, having been awake since 7 a.m. the morning before.\u003c/p>\n\u003cp>The morning of Oct. 10 brought our little boy into the world. Amazingly, the easiest part of the whole ordeal was the actual delivery. At 10:02 a.m. we joked with the doctor that we figured he was waiting for 10:10 on 10/10. She took that as a challenge, and Heather started pushing. Four sets of three pushes showed the top of his head. We had time so Heather relaxed, but our newest addition didn’t. He finished the job himself, head and hand first as if he were swimming out. Heather said she could feel his feet pushing against her. Killian Crevan McDowell is a very healthy little boy.\u003c/p>\n\u003cp>Of course, then comes what to do now. We really couldn’t take him home with how bad the air quality is in Santa Rosa. The staff at Kaiser came up with a plan. We stayed the mandatory 24 hours, and they worked wonders. The staff actually found a hotel for us to stay at and paid for a three-day stay, so that Killian’s first few days wouldn’t be spent breathing smoke. Ruth is a miracle worker and we couldn’t be more appreciative. All of the staff at both Kaisers were amazing, and we thank them all for what they have done for us and our little boy.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>https://docs.google.com/forms/d/e/1FAIpQLSeKnC7qUgcKqyil-URTM0SFisi1a4_ZXOiJbM_VWFkgRhOC2A/viewform\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cp>\u003cem>We asked readers for their wildfire stories. If you were impacted by the fires, or know someone who was, \u003ca href=\"https://ww2.kqed.org/news/2017/10/10/share-your-california-wildfire-story/\">we’d like to hear your story\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>Here is one of the responses. It has been edited for length and clarity.\u003c/p>\n\u003cp>My partner, Heather Leiker, and I had a 7:30 p.m. appointment on Oct. 8 in the labor and delivery unit at Kaiser Permanente Santa Rosa to do a non-stress test on her 40-week pregnancy. Due to circumstances, the doctor determined that it was best to induce labor. She received her first dose at 11 p.m. and was due for the second at 3 a.m. During the wait, we were brought to a delivery room and my mother brought her mother and our 3-year-old, Arthur, to visit. When my mother found out that the process could take up to three days, and it was already so late, she decided to take Arthur home. Shortly thereafter is when we found out that the pleasant campfire smell we had been enjoying was actually a wildfire.\u003c/p>\n\u003cp>At 2:45 a.m. the delivery team came into our room and told us that if we were mobile enough, then we should evacuate. The fire was coming our way, and the Hilton (hotel) was already on fire. If Heather started to feel like she was going into labor, then we were to head south to the nearest Kaiser with labor and delivery. As we exited the hospital, we were hearing a constant cacophony of explosions from the north. Boom. Boom. Boom. Almost one per second. Heather’s car is in the shop, so we were stuck using my compact truck. The three of us piled into my little truck and headed west to our place past Fulton.\u003c/p>\n\u003cp>The 5-mile journey took us two hours. At the corner of Range and Piner, we saw a truck on fire and a tree across the street in flames. As we went down Piner, we could see the bright glow against the smoky ceiling getting closer to our traffic pile up. Once we got past the railroad tracks, we turned down Bay Village Circle — my partner’s navigation skills still up to par. As we went down past the Marlow Apartments, the police came roaring up to the complex to start the mandatory evacuation. Surprisingly, we also saw a garbageman doing his rounds at the shopping center, seemingly unconcerned and just doing his duty. Once on Marlow, we headed south and managed to sweep into Crosspoint and connect to Guerneville. Finally, with some space to move, we headed home.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Once at home, we prepped for evacuation, loading my truck, consoling our son, and taking turns lying down next to him for short rests. We searched for the nearest Kaiser with a labor and delivery and discovered that we’d need to go to San Francisco. My mother would stay with Arthur and flit back and forth between her place (just outside the evacuation area), our place (2 miles from the evacuation area) and a friend’s place in Sebastopol. Once again, the three of us piled into my little truck and this time headed down to San Francisco. The 60-mile trip took just as much time as the previous 5-mile one.\u003c/p>\n\u003cp>I finally fell unconscious for about four hours lying next to my partner sometime in the evening of Oct. 9, having been awake since 7 a.m. the morning before.\u003c/p>\n\u003cp>The morning of Oct. 10 brought our little boy into the world. Amazingly, the easiest part of the whole ordeal was the actual delivery. At 10:02 a.m. we joked with the doctor that we figured he was waiting for 10:10 on 10/10. She took that as a challenge, and Heather started pushing. Four sets of three pushes showed the top of his head. We had time so Heather relaxed, but our newest addition didn’t. He finished the job himself, head and hand first as if he were swimming out. Heather said she could feel his feet pushing against her. Killian Crevan McDowell is a very healthy little boy.\u003c/p>\n\u003cp>Of course, then comes what to do now. We really couldn’t take him home with how bad the air quality is in Santa Rosa. The staff at Kaiser came up with a plan. We stayed the mandatory 24 hours, and they worked wonders. The staff actually found a hotel for us to stay at and paid for a three-day stay, so that Killian’s first few days wouldn’t be spent breathing smoke. Ruth is a miracle worker and we couldn’t be more appreciative. All of the staff at both Kaisers were amazing, and we thank them all for what they have done for us and our little boy.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>https://docs.google.com/forms/d/e/1FAIpQLSeKnC7qUgcKqyil-URTM0SFisi1a4_ZXOiJbM_VWFkgRhOC2A/viewform\u003c/p>\n\n\u003c/div>\u003c/p>",
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"content": "\u003cfigure id=\"attachment_20683\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/5371998566_179533eed7_z.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-20683\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/5371998566_179533eed7_z.jpg\" alt=\"Kaiser Permanente's lower rates on the California health exchange for 2015 may be meant to attract customers. (Ted Eytan/Flickr)\" width=\"640\" height=\"528\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/27/2014/08/5371998566_179533eed7_z.jpg 640w, https://cdn.kqed.org/wp-content/uploads/sites/27/2014/08/5371998566_179533eed7_z-400x330.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/27/2014/08/5371998566_179533eed7_z-320x264.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kaiser had been fighting the fine, levied last year by the California Department of Managed Health Care. (Ted Eytan/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ciframe loading=\"lazy\" width=\"100%\" height=\"20\" scrolling=\"no\" frameborder=\"no\" src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/167143743&color=ff5500&inverse=false&auto_play=false&show_user=true\">\u003c/iframe>\u003c/p>\n\u003cp>Kaiser Permanente agreed to pay a $4 million fine over claims that it did not provide adequate access to mental health care services for its patients.\u003c/p>\n\u003cp>The state’s Department of Managed Health Care levied the fine last year, citing survey results that indicated patients had to wait excessively long periods between therapy appointments, and that they were effectively dissuaded from seeking individual treatment.\u003c/p>\n\u003cp>Kaiser had contested the fine, calling it “unwarranted and excessive.” The two parties were scheduled to give opening statements before an administrative law judge on Tuesday in Kaiser’s appeal, but Kaiser faxed a letter to the court Monday evening saying it will pay the full fine, and asked the judge to dismiss the case.\u003c!--more-->\u003c/p>\n\u003cp>“It’s an admission by Kaiser that it has knowingly violated California mental health laws and shortchanged its patients,” said Clement Papazian, a social worker at Kaiser’s Oakland Medical Center. It’s “a vindication of what Kaiser mental health clinicians have been saying for years.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Papazian was one of several Kaiser clinicians lined up to testify in the hearings, slated to run through early October. The clinicians\u003ca title=\"Therapists, Patients Criticize Kaiser Over Delays\" href=\"http://ww2.kqed.org/stateofhealth/2014/07/17/therapists-patients-criticize-kaiser-over-long-delays-for-therapy/\" target=\"_blank\" rel=\"noopener\"> have complained \u003c/a>that they weren’t able to offer individual therapy appointments in a timely manner to patients with severe depression, anxiety and other conditions, sometimes leading to wait times of up to four weeks or more between appointments. Others say patients were directed to group therapy, even in cases where the patient wasn’t receptive to group therapy and requested individual care.\u003c/p>\n\u003cp>The National Union of Healthcare Workers, which represents mental health professionals at Kaiser, argued that \u003ca title=\"Patients, Therapists Allege Long Wait Times at Kaiser\" href=\"http://ww2.kqed.org/stateofhealth/2014/07/21/kaiser-therapists-patients-allege-long-waits-for-mental-health-care/\" target=\"_blank\" rel=\"noopener\">these wait times\u003c/a> and policies led to tragic outcomes, even suicide, in some cases.\u003c/p>\n\u003cp>“Kaiser simply does not staff its psychiatry departments with enough psychologists, therapists and social workers to handle the caseload,” said Sal Rosselli, the union’s president, adding that the caseload is only increasing as more and more people sign up for Kaiser’s coverage under the Affordable Care Act.\u003c/p>\n\u003cp>Kaiser issued a lengthy statement saying that even though it agreed to pay the fine, it still disagreed with the penalty and believed it had not violated regulations around timely access.\u003c/p>\n\u003cp>The health plan vowed to make statewide improvements, including more convenient appointment times and locations, and adding more individual therapy. It says that over the years, it has been “continually analyzing our staffing levels throughout our care delivery system, and hiring appropriate mental health providers to meet growth in membership and our members’ needs.”\u003c/p>\n\u003cp>The state’s Department of Managed Health Care says it is currently conducting a follow-up survey of Kaiser’s mental health systems, to be completed this fall. Any remaining deficiencies will be addressed through corrective action plans, penalties or even the installation of a monitor.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I am committed to protecting California’s health plan enrollees and ensuring they get timely access to all medically necessary health and mental health care services,” said Shelley Rouillard, the department director, “and will continue to aggressively monitor and take action against health plans that violate the law.”\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20683\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/5371998566_179533eed7_z.jpg\">\u003cimg loading=\"lazy\" decoding=\"async\" class=\"size-full wp-image-20683\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/5371998566_179533eed7_z.jpg\" alt=\"Kaiser Permanente's lower rates on the California health exchange for 2015 may be meant to attract customers. (Ted Eytan/Flickr)\" width=\"640\" height=\"528\" srcset=\"https://cdn.kqed.org/wp-content/uploads/sites/27/2014/08/5371998566_179533eed7_z.jpg 640w, https://cdn.kqed.org/wp-content/uploads/sites/27/2014/08/5371998566_179533eed7_z-400x330.jpg 400w, https://cdn.kqed.org/wp-content/uploads/sites/27/2014/08/5371998566_179533eed7_z-320x264.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kaiser had been fighting the fine, levied last year by the California Department of Managed Health Care. (Ted Eytan/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003ciframe loading=\"lazy\" width=\"100%\" height=\"20\" scrolling=\"no\" frameborder=\"no\" src=\"https://w.soundcloud.com/player/?url=https%3A//api.soundcloud.com/tracks/167143743&color=ff5500&inverse=false&auto_play=false&show_user=true\">\u003c/iframe>\u003c/p>\n\u003cp>Kaiser Permanente agreed to pay a $4 million fine over claims that it did not provide adequate access to mental health care services for its patients.\u003c/p>\n\u003cp>The state’s Department of Managed Health Care levied the fine last year, citing survey results that indicated patients had to wait excessively long periods between therapy appointments, and that they were effectively dissuaded from seeking individual treatment.\u003c/p>\n\u003cp>Kaiser had contested the fine, calling it “unwarranted and excessive.” The two parties were scheduled to give opening statements before an administrative law judge on Tuesday in Kaiser’s appeal, but Kaiser faxed a letter to the court Monday evening saying it will pay the full fine, and asked the judge to dismiss the case.\u003c!--more-->\u003c/p>\n\u003cp>“It’s an admission by Kaiser that it has knowingly violated California mental health laws and shortchanged its patients,” said Clement Papazian, a social worker at Kaiser’s Oakland Medical Center. It’s “a vindication of what Kaiser mental health clinicians have been saying for years.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Papazian was one of several Kaiser clinicians lined up to testify in the hearings, slated to run through early October. The clinicians\u003ca title=\"Therapists, Patients Criticize Kaiser Over Delays\" href=\"http://ww2.kqed.org/stateofhealth/2014/07/17/therapists-patients-criticize-kaiser-over-long-delays-for-therapy/\" target=\"_blank\" rel=\"noopener\"> have complained \u003c/a>that they weren’t able to offer individual therapy appointments in a timely manner to patients with severe depression, anxiety and other conditions, sometimes leading to wait times of up to four weeks or more between appointments. Others say patients were directed to group therapy, even in cases where the patient wasn’t receptive to group therapy and requested individual care.\u003c/p>\n\u003cp>The National Union of Healthcare Workers, which represents mental health professionals at Kaiser, argued that \u003ca title=\"Patients, Therapists Allege Long Wait Times at Kaiser\" href=\"http://ww2.kqed.org/stateofhealth/2014/07/21/kaiser-therapists-patients-allege-long-waits-for-mental-health-care/\" target=\"_blank\" rel=\"noopener\">these wait times\u003c/a> and policies led to tragic outcomes, even suicide, in some cases.\u003c/p>\n\u003cp>“Kaiser simply does not staff its psychiatry departments with enough psychologists, therapists and social workers to handle the caseload,” said Sal Rosselli, the union’s president, adding that the caseload is only increasing as more and more people sign up for Kaiser’s coverage under the Affordable Care Act.\u003c/p>\n\u003cp>Kaiser issued a lengthy statement saying that even though it agreed to pay the fine, it still disagreed with the penalty and believed it had not violated regulations around timely access.\u003c/p>\n\u003cp>The health plan vowed to make statewide improvements, including more convenient appointment times and locations, and adding more individual therapy. It says that over the years, it has been “continually analyzing our staffing levels throughout our care delivery system, and hiring appropriate mental health providers to meet growth in membership and our members’ needs.”\u003c/p>\n\u003cp>The state’s Department of Managed Health Care says it is currently conducting a follow-up survey of Kaiser’s mental health systems, to be completed this fall. Any remaining deficiencies will be addressed through corrective action plans, penalties or even the installation of a monitor.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I am committed to protecting California’s health plan enrollees and ensuring they get timely access to all medically necessary health and mental health care services,” said Shelley Rouillard, the department director, “and will continue to aggressively monitor and take action against health plans that violate the law.”\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Sacramento Patient Being Tested for Possible Exposure to Ebola",
"title": "Sacramento Patient Being Tested for Possible Exposure to Ebola",
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"content": "\u003cfigure id=\"attachment_20919\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/79997774.jpg\">\u003cimg class=\"size-large wp-image-20919\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/79997774-640x426.jpg\" alt=\"Ebola virus magnified 108,000 times. (Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Ebola virus magnified 108,000 times. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Lisa Aliferis and April Dembosky\u003c/strong>\u003c/p>\n\u003cp>Don't panic, folks. Really.\u003c/p>\n\u003cp>A patient who \u003cem>may\u003c/em> have been exposed to the Ebola virus is being tested at Kaiser's South Sacramento Hospital.\u003c/p>\n\u003cp>The other key information here is that California Department of Public Health officials call the unidentified patient \u003ca href=\"http://www.cdph.ca.gov/Pages/NR14-073.aspx\" target=\"_blank\">\"low risk,\"\u003c/a> \u003cspan class=\"Apple-style-span\">\u003cspan style=\"color: #000000\">according to criteria established by the CDC that considers travel history, exposure to infection, and clinical features. \u003c/span>\u003c/span>\u003c/p>\n\u003cp>In a call with reporters Wednesday afternoon, CDPH deputy Dr. Gil Chavez said the state has received no reports of any high risk patients. CDPH said the patient is being tested out of an \"abundance of caution.\"\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>\u003ca href=\"http://share.kaiserpermanente.org/article/kaiser-permanente-comments-on-patient-being-tested-for-ebola-virus/\" target=\"_blank\">In a statement\u003c/a>, Dr. Stephen Parodi, director of hospital operations for Kaiser Northern California, said the unidentified patient is being kept in a specially equipped negative pressure room, and staff working with the patient are using \"personal protective equipment.\"\u003c!--more-->\u003c/p>\n\u003cp>Samples from the patient are on their way to the Centers for Disease Control and Prevention for testing, and the results will take several days. No other information about the patient was readily available, including whether the person had recently traveled to any of the West African countries where an Ebola outbreak is ongoing.\u003c/p>\n\u003cp>The CDPH said there are no confirmed cases of Ebola in California. \u003ca href=\"http://www.abqjournal.com/447619/abqnewsseeker/health-department-cdc-testing-new-mexico-woman-for-ebola.html\" target=\"_blank\">One woman in New Mexico\u003c/a> who recently returned from Sierra Leone, one of the countries with an Ebola outbreak, is also in quarantine, awaiting results of testing for Ebola. Two patients who were flown in from West Africa are being treated in Atlanta.\u003c/p>\n\u003cp>While Ebola is very deadly, it is difficult to transmit. The virus is passed only through direct contact with bodily fluids, and a person is only infectious once they become very ill.\u003c/p>\n\u003cp>\"Those characteristics of the disease make it very unlikely that it would be something that would spread across the world,” said San Francisco public health officer Tomas Aragon. “We're not going to have a pandemic with Ebola.\"\u003c/p>\n\u003cp>He says any suspected cases that turn up in California will be quickly contained under American infectious disease protocols.\u003c/p>\n\u003cp>“It's not rocket science. It's not high tech,” Aragon said. “But it has to be very disciplined. In the U.S., people are very well trained, and they have the resources to be able to do this kind of work.”\u003c/p>\n\u003cp>Unlike the West African countries hard hit by Ebola, isolation units are widely available in hospitals throughout the state. Any patients would be cared for by specially trained health care workers. And the public has a greater trust of public health officials, so warnings to family members or any other people that may have come in contact with an infected person are much more likely to be heeded.\u003c/p>\n\u003cp>Chavez says the Sacramento case is an example of how quickly the system can identify and isolate potential infections.\u003c/p>\n\u003cp>“We knew it was a matter of time before we had a patient in California. California is a place with much international exposure and travel,” he said. “The case in Sacramento county really exemplifies how well our system is working.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>\u003cem>This post has been updated with details from a press conference with the California Department of Public Health and an interview with the San Francisco Department of Public Health.\u003c/em>\u003c/strong>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20919\" class=\"wp-caption aligncenter\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/79997774.jpg\">\u003cimg class=\"size-large wp-image-20919\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/79997774-640x426.jpg\" alt=\"Ebola virus magnified 108,000 times. (Getty Images)\" width=\"640\" height=\"426\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Ebola virus magnified 108,000 times. (Getty Images)\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>By Lisa Aliferis and April Dembosky\u003c/strong>\u003c/p>\n\u003cp>Don't panic, folks. Really.\u003c/p>\n\u003cp>A patient who \u003cem>may\u003c/em> have been exposed to the Ebola virus is being tested at Kaiser's South Sacramento Hospital.\u003c/p>\n\u003cp>The other key information here is that California Department of Public Health officials call the unidentified patient \u003ca href=\"http://www.cdph.ca.gov/Pages/NR14-073.aspx\" target=\"_blank\">\"low risk,\"\u003c/a> \u003cspan class=\"Apple-style-span\">\u003cspan style=\"color: #000000\">according to criteria established by the CDC that considers travel history, exposure to infection, and clinical features. \u003c/span>\u003c/span>\u003c/p>\n\u003cp>In a call with reporters Wednesday afternoon, CDPH deputy Dr. Gil Chavez said the state has received no reports of any high risk patients. CDPH said the patient is being tested out of an \"abundance of caution.\"\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://share.kaiserpermanente.org/article/kaiser-permanente-comments-on-patient-being-tested-for-ebola-virus/\" target=\"_blank\">In a statement\u003c/a>, Dr. Stephen Parodi, director of hospital operations for Kaiser Northern California, said the unidentified patient is being kept in a specially equipped negative pressure room, and staff working with the patient are using \"personal protective equipment.\"\u003c!--more-->\u003c/p>\n\u003cp>Samples from the patient are on their way to the Centers for Disease Control and Prevention for testing, and the results will take several days. No other information about the patient was readily available, including whether the person had recently traveled to any of the West African countries where an Ebola outbreak is ongoing.\u003c/p>\n\u003cp>The CDPH said there are no confirmed cases of Ebola in California. \u003ca href=\"http://www.abqjournal.com/447619/abqnewsseeker/health-department-cdc-testing-new-mexico-woman-for-ebola.html\" target=\"_blank\">One woman in New Mexico\u003c/a> who recently returned from Sierra Leone, one of the countries with an Ebola outbreak, is also in quarantine, awaiting results of testing for Ebola. Two patients who were flown in from West Africa are being treated in Atlanta.\u003c/p>\n\u003cp>While Ebola is very deadly, it is difficult to transmit. The virus is passed only through direct contact with bodily fluids, and a person is only infectious once they become very ill.\u003c/p>\n\u003cp>\"Those characteristics of the disease make it very unlikely that it would be something that would spread across the world,” said San Francisco public health officer Tomas Aragon. “We're not going to have a pandemic with Ebola.\"\u003c/p>\n\u003cp>He says any suspected cases that turn up in California will be quickly contained under American infectious disease protocols.\u003c/p>\n\u003cp>“It's not rocket science. It's not high tech,” Aragon said. “But it has to be very disciplined. In the U.S., people are very well trained, and they have the resources to be able to do this kind of work.”\u003c/p>\n\u003cp>Unlike the West African countries hard hit by Ebola, isolation units are widely available in hospitals throughout the state. Any patients would be cared for by specially trained health care workers. And the public has a greater trust of public health officials, so warnings to family members or any other people that may have come in contact with an infected person are much more likely to be heeded.\u003c/p>\n\u003cp>Chavez says the Sacramento case is an example of how quickly the system can identify and isolate potential infections.\u003c/p>\n\u003cp>“We knew it was a matter of time before we had a patient in California. California is a place with much international exposure and travel,” he said. “The case in Sacramento county really exemplifies how well our system is working.”\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cstrong>\u003cem>This post has been updated with details from a press conference with the California Department of Public Health and an interview with the San Francisco Department of Public Health.\u003c/em>\u003c/strong>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "On California Exchange, Only Kaiser's Rates Will Go Down in 2015",
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"content": "\u003cfigure id=\"attachment_20683\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/5371998566_179533eed7_z.jpg\">\u003cimg class=\"size-full wp-image-20683\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/5371998566_179533eed7_z.jpg\" alt=\"Kaiser Permanente's lower rates on the California health exchange for 2015 may be meant to attract customers. (Ted Eytan/Flickr)\" width=\"640\" height=\"528\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/08/5371998566_179533eed7_z.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/5371998566_179533eed7_z-400x330.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/5371998566_179533eed7_z-320x264.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kaiser Permanente's lower rates on the California health exchange for 2015 may be meant to attract customers. (Ted Eytan/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>As all the other health insurers on California's Obamacare exchange raise their rates for next year, Kaiser Permanente plans to lower them.\u003c/p>\n\u003cp>The \u003cem>Los Angeles Times\u003c/em> \u003ca href=\"http://www.latimes.com/business/healthcare/la-fi-obamacare-california-rates-20140810-story.html\">reports\u003c/a> that a new analysis by Citigroup shows Kaiser's premiums dropping by 1.4 percent in 2015.\u003c/p>\n\u003cp>At the same time, the average premium across all plans on the Covered California exchange will rise 4.2 percent.\u003c/p>\n\u003cp>Citigroup health care analyst Carl McDonald told the \u003cem>Times\u003c/em> he thinks Kaiser's move is meant to draw customers:\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>Kaiser was among the most expensive health plans in 2014 and staggered to a fourth-place finish in exchange enrollment. Anthem Blue Cross was the leader statewide, followed by Blue Shield of California and Health Net Inc.\u003c/p>\n\u003cp>\"Kaiser doesn’t seem particularly happy with its exchange market share, as it is the only company reducing exchange premiums in 2015,\" McDonald said.\u003c/p>\u003c/blockquote>\n\u003cp>McDonald's report predicts premiums for the other Covered California plans will rise as follows:\u003c/p>\n\u003cul>\n\u003cul>Anthem Blue Cross: 4.6 percent\u003c/ul>\n\u003cul>Blue Shield: 6 percent\u003c/ul>\n\u003cp>Health Net: 4.9 percent\u003c/p>\u003c/ul>\n\u003cp>(Note that Kaiser's plans on the exchange are different from its employer-based plans and typically have deductibles.)\u003c/p>\n\u003caside class=\"pullquote alignleft\">These rate changes give us a glimpse of the market forces at work.\u003c/aside>\n\u003cp>Rates for Obamacare exchange plans are rising nationwide, too, but not to the level of the double-digit \"sticker shock\" forecast in Congressional debates last year, \u003ca href=\"http://thehill.com/policy/healthcare/214847-average-premium-under-obamacare-to-rise-75-percent\">reports\u003c/a> \u003cem>The Hill\u003c/em>.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>A new PricewaterhouseCoopers analysis shows the price of health plans on Obamacare exchanges will rise by an average of 7.5 percent next year.\u003c/p>\n\u003cp>It's significant to note that the exchanges were meant to create a new, more competitive market for health insurance. And these rate changes give us a glimpse of the market forces at work. \u003cem>The Hill\u003c/em> explains:\u003c/p>\n\u003cblockquote>\u003cp>The healthcare law's first enrollment period was a major test for the insurance industry, which set premium prices with little information about exactly who might sign up for coverage.\u003c/p>\n\u003cp>The 2015 rates shed light on how well their guesses panned out.\u003c/p>\n\u003cp>Companies are generally raising prices if their new customers are older, sicker or will use more medical care than projected.\u003c/p>\n\u003cp>Firms with a healthier pool, on the other hand, have an incentive to lower premiums.\u003c/p>\u003c/blockquote>\n\u003cp>State regulators still have to review and approve the California plan prices before enrollment opens on Nov. 15.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>California Healthline contributed to this report.\u003c/em>\u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20683\" class=\"wp-caption alignnone\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/5371998566_179533eed7_z.jpg\">\u003cimg class=\"size-full wp-image-20683\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/08/5371998566_179533eed7_z.jpg\" alt=\"Kaiser Permanente's lower rates on the California health exchange for 2015 may be meant to attract customers. (Ted Eytan/Flickr)\" width=\"640\" height=\"528\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2014/08/5371998566_179533eed7_z.jpg 640w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/5371998566_179533eed7_z-400x330.jpg 400w, https://ww2.kqed.org/app/uploads/sites/27/2014/08/5371998566_179533eed7_z-320x264.jpg 320w\" sizes=\"(max-width: 640px) 100vw, 640px\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kaiser Permanente's lower rates on the California health exchange for 2015 may be meant to attract customers. (Ted Eytan/Flickr)\u003c/figcaption>\u003c/figure>\n\u003cp>As all the other health insurers on California's Obamacare exchange raise their rates for next year, Kaiser Permanente plans to lower them.\u003c/p>\n\u003cp>The \u003cem>Los Angeles Times\u003c/em> \u003ca href=\"http://www.latimes.com/business/healthcare/la-fi-obamacare-california-rates-20140810-story.html\">reports\u003c/a> that a new analysis by Citigroup shows Kaiser's premiums dropping by 1.4 percent in 2015.\u003c/p>\n\u003cp>At the same time, the average premium across all plans on the Covered California exchange will rise 4.2 percent.\u003c/p>\n\u003cp>Citigroup health care analyst Carl McDonald told the \u003cem>Times\u003c/em> he thinks Kaiser's move is meant to draw customers:\u003c!--more-->\u003c/p>\n\u003cblockquote>\u003cp>Kaiser was among the most expensive health plans in 2014 and staggered to a fourth-place finish in exchange enrollment. Anthem Blue Cross was the leader statewide, followed by Blue Shield of California and Health Net Inc.\u003c/p>\n\u003cp>\"Kaiser doesn’t seem particularly happy with its exchange market share, as it is the only company reducing exchange premiums in 2015,\" McDonald said.\u003c/p>\u003c/blockquote>\n\u003cp>McDonald's report predicts premiums for the other Covered California plans will rise as follows:\u003c/p>\n\u003cul>\n\u003cul>Anthem Blue Cross: 4.6 percent\u003c/ul>\n\u003cul>Blue Shield: 6 percent\u003c/ul>\n\u003cp>Health Net: 4.9 percent\u003c/p>\u003c/ul>\n\u003cp>(Note that Kaiser's plans on the exchange are different from its employer-based plans and typically have deductibles.)\u003c/p>\n\u003caside class=\"pullquote alignleft\">These rate changes give us a glimpse of the market forces at work.\u003c/aside>\n\u003cp>Rates for Obamacare exchange plans are rising nationwide, too, but not to the level of the double-digit \"sticker shock\" forecast in Congressional debates last year, \u003ca href=\"http://thehill.com/policy/healthcare/214847-average-premium-under-obamacare-to-rise-75-percent\">reports\u003c/a> \u003cem>The Hill\u003c/em>.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>A new PricewaterhouseCoopers analysis shows the price of health plans on Obamacare exchanges will rise by an average of 7.5 percent next year.\u003c/p>\n\u003cp>It's significant to note that the exchanges were meant to create a new, more competitive market for health insurance. And these rate changes give us a glimpse of the market forces at work. \u003cem>The Hill\u003c/em> explains:\u003c/p>\n\u003cblockquote>\u003cp>The healthcare law's first enrollment period was a major test for the insurance industry, which set premium prices with little information about exactly who might sign up for coverage.\u003c/p>\n\u003cp>The 2015 rates shed light on how well their guesses panned out.\u003c/p>\n\u003cp>Companies are generally raising prices if their new customers are older, sicker or will use more medical care than projected.\u003c/p>\n\u003cp>Firms with a healthier pool, on the other hand, have an incentive to lower premiums.\u003c/p>\u003c/blockquote>\n\u003cp>State regulators still have to review and approve the California plan prices before enrollment opens on Nov. 15.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>\u003cem>California Healthline contributed to this report.\u003c/em>\u003c/p>\n\n\u003c/div>\u003c/p>",
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"disqusTitle": "Therapists, Patients Criticize Kaiser Over Long Delays for Therapy",
"title": "Therapists, Patients Criticize Kaiser Over Long Delays for Therapy",
"headTitle": "State of Health | KQED News",
"content": "\u003cfigure id=\"attachment_20235\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/photo-3.jpg\">\u003cimg class=\"size-large wp-image-20235\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/photo-3-640x480.jpg\" alt=\"Kaiser Permanente's newly opened medical center in Oakland. (Lisa Aliferis/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kaiser Permanente's newly opened medical center in Oakland. (Lisa Aliferis/KQED) \u003ccite>(Lisa Aliferis/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>This is the second of \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/01/sonoma-co-supervisor-presses-kaiser-on-mental-health-services/\" target=\"_blank\">two parts\u003c/a> about mental health services at Northern California Kaiser.\u003c/em>\u003c/p>\n\u003cp>In January 2013 a woman named “Nina” had a terrible falling out with her father. Soon after, she found out he had incurable cancer and was going to die. In the ensuing weeks, she tried to patch things up, but with the pressures inherent in the last months of a dying man, was unable to attain any form of closure. Some six months after their fight, he was gone.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"People are suffering, and I fear some of my patients will commit suicide for lack of ongoing treatment.\"\u003c/aside>\n\u003cp>\"Nina,\" who did not want us to use her real name for reasons of privacy, had been prone to depression. Zoloft had helped, but the now irreparable family rift left her severely depressed, with occasional thoughts of suicide. \"I was in a state of constant emotional pain and confusion,\" she says. “It was affecting all aspects of my life.\"\u003c/p>\n\u003cp>She went for an intake appointment at the psychiatric department at Kaiser Permanente’s Oakland Medical Center, with the expectation she'd be able to see a therapist for individual appointments during this severe emotional crisis. She requested those sessions, but the intake therapist told her Kaiser only offered group therapy.\u003c/p>\n\u003cp>“I said I'm not comfortable talking about my situation with a bunch of strangers,” Nina says. “She very kindly tried to make me aware of the value of group therapy. But I knew in my heart it wasn’t where I wanted to be.\"\u003c!--more-->\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Nina left even more dispirited. Over the next year, she white-knuckled her depression on her own, before having the epiphany that maybe her medication needed adjustment. She went to see a Kaiser psychiatrist and mentioned she’d been told there was no individual therapy.\u003c/p>\n\u003cp>The psychiatrist seemed startled. She told Nina individual therapy was offered. “They probably just didn’t have the space,” the psychiatrist said.\u003c/p>\n\u003cp>Nina was shocked. “I could not believe that a professional therapist would lie to an obviously depressed patient who was sincerely seeking help.”\u003c/p>\n\u003cp>She finally did get to see a Kaiser therapist, whom she describes as “fantastic,” but who told her she could only book Nina maybe once every four weeks. At that point, Nina's expectations had been lowered to the point she was grateful to get any therapy at all. She also availed herself of a free Kaiser yoga class, which she considers to have been useful in her recovery.\u003c/p>\n\u003cp>Her therapist, she says, is really helping her with the depression.\u003c/p>\n\u003cp>Still, Nina's contact with Kaiser’s psychiatric department left her unnerved. “I started thinking maybe it’s my problem,” she says about her rejection of group therapy. \"It just added to my anxiety. But to share with other people what I was going through was just too much for me at that time. How depressed did this therapist need me to be in order to make room in the schedule for individual therapy?”\u003c/p>\n\u003cp>\u003cstrong>Kaiser Under Fire\u003c/strong>\u003c/p>\n\u003cp>Last year, Kaiser was\u003ca href=\"http://www.dmhc.ca.gov/Portals/0/AboutDMHC/PressReleases/2013/prkmhs.pdf\" target=\"_blank\"> fined $4 million\u003c/a> by the California Department of Managed Health Care for not accurately tracking patient waiting times for initial mental health appointments. And now the health plan is in the middle of another controversy over its mental health care: Some of its therapists and patients say there is a dangerous lack of access to individual therapy appointments and an over-reliance on group therapy.\u003c/p>\n\u003cp>Kaiser maintains that hiring in its psychiatric departments is up, and that patients do not have problems getting appropriate care. It points to its high rating in behavioral and mental health on the \u003ca href=\"http://reportcard.opa.ca.gov/rc2014/hmotopic.aspx?Category=HMOHEDIS&Topic=MentalHealthCare\" target=\"_blank\">2014 California Office of the Patient Advocate report card\u003c/a>. In addition, it has asserted that much of the controversy has been fueled by the union representing mental health clinicians, the National Union of Healthcare Workers (NUHW), which has been \u003ca href=\"http://www.californiahealthline.org/articles/2012/1/24/three-unions-announce-one-day-strike-at-kaiser-over-labor-negotiations\" target=\"_blank\">embroiled in contract negotiations\u003c/a> with Kaiser since 2010.\u003c/p>\n\u003cp>In reporting this story I talked to some two dozen current and former Kaiser clinicians and mental health patients as well as outside therapists. The vast majority express similar complaints: While health plans are required to provide medically necessary appointments within 10 business days, Kaiser patients have to wait long periods, sometimes months, between individual therapy appointments. These critics say Kaiser is referring patients to group therapy even in cases where ongoing individual sessions are clinically necessary. The reason, the union and clinicians say, is a serious staff shortage.\u003c/p>\n\u003cp>\u003cstrong>Therapists, Patients Speak Out\u003c/strong>\u003c/p>\n\u003cp>As \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/01/sonoma-co-supervisor-presses-kaiser-on-mental-health-services/\" target=\"_blank\">we've reported\u003c/a>, the issue came to a head this year when a \u003ca href=\"http://90daystochange.com/\" target=\"_blank\">behind-the-scenes blog \u003c/a>by Andy Weisskoff, a now-former therapist at the health plan’s Santa Rosa Medical Center, detailed long waiting times for therapy appointments and the deleterious effects on both patients and therapists.\u003c/p>\n\u003cp>“When I see someone today with suicidal thoughts ... I am often uncertain how well they’ll fare in the intervening weeks,” he \u003ca href=\"http://90daystochange.com/2014/03/04/even-if-youre-thinking-of-killing-yourself/\" target=\"_blank\">wrote\u003c/a>. “Did I miss something in our hour long interview?… Maybe I should have sent them to our intensive outpatient group instead of a skills group designed for people who are higher functioning. And then I wait, at least a month, to see if my intuition, one way or another, was correct.”\u003c/p>\n\u003cp>One Kaiser therapist from a Northern California facility described similar concerns. She wants to remain anonymous out of fear for her job. She is unnerved by the common practice of steering patients into groups instead of individual therapy sessions.\u003c/p>\n\u003cp>“I feel unethical when I go home at night, and feel really guilty,” she said. \"People are suffering, and I fear some of my patients will commit suicide for lack of ongoing treatment, but I’m powerless to treat them because I don’t have return visits available.”\u003c/p>\n\u003cp>Another therapist who worked at a South Bay Kaiser says she quit her position earlier this year because she considered the treatment of patients there \"unethical.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">\"We believe these descriptions are not reflective of the millions of mental health visits we provide each year in Northern California.\"\u003c/aside>\n\u003cp>\"Patients that need individual therapy are not getting it,” she said. “We had to tell patients we offer group therapy. ... The patients that are the most severely mentally ill are the ones that can’t speak up for themselves, and the ones who get lost in the system. With the Affordable Care Act, we’re seeing more and more of those patients.\"\u003c/p>\n\u003cp>A number of Kaiser patients also reported similar dissatisfaction with the unavailability of individual sessions. Loran Watkins’ story was typical of the complaints many patients described to me.\u003c/p>\n\u003cp>Watkins, 53, said that in 2010 her husband was battling cancer and \"desperately needed therapy to get through this. They said he could go to a group. There was no way in God's green earth he would have gone to a group. He was already a social introvert, was on six different kinds of pain medications so his ability to focus was very limited.\"\u003c/p>\n\u003cp>After \"pushing and pushing and pushing,\" Watkins says, her husband was finally given the okay to see a therapist, but only once a month.\u003c/p>\n\u003cp>\"Here you have a man actively battling cancer, was relapsing,\" she said. \"After the seventh or eighth appointment, the therapist said he was retiring, and that there were no more appointments available.\"\u003c/p>\n\u003cp>Watkins added that when her own longtime therapist at Kaiser's Walnut Creek medical center retired, she told Watkins there was no replacement available.\u003c/p>\n\u003cp>\"I asked her for a referral. She said there's no one to refer you to. The only thing I can do is they will place me in a group type setting; there's no individual therapy appointments anymore.\"\u003c/p>\n\u003cp>Kaiser responded to an email outlining these accounts and disputed the allegations that individual therapy is not available:\u003c/p>\n\u003cp>\u003cem>We apologize if there are members who may have received incorrect information about the availability of services. All of our medical centers provide individual therapy as part of the wide range of mental health treatments available to Kaiser Permanente patients.\u003c/em>\u003c/p>\n\u003cp>\u003cem>We encourage our members and staff to share their concerns, and we investigate thoroughly and work to resolve any issues. We take the examples in your email very seriously. Out of respect for patient privacy, we cannot respond in the media about individual cases. Each patient’s concern is important to us and we will investigate with the information we have. We believe these descriptions are not reflective of the millions of mental health visits we provide each year in Northern California, but we recognize that we have opportunities to make our program even better and are committed to doing so.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Group Therapy vs. Individual Therapy\u003c/strong>\u003c/p>\n\u003cp>Dr. Mason Turner is Kaiser’s director of patient operations for regional mental health services in Northern California. He takes umbrage at the notion that individual therapy is the “gold standard,” as he puts it, and that group therapy is somehow inferior. “This is a disservice to the hundreds of thousands of Kaiser Permanente members -- and millions throughout the country -- who have benefited from this type of proven, effective treatment and to the mental health professionals, including our Kaiser Permanente therapists, who provide it.\u003c/p>\n\u003cp>“There is no evidence that individual psychotherapy is superior to group therapy.\"\u003c/p>\n\u003cp>I asked Dr. John Norcross, a psychology professor at the University of Scranton, if that was true. Norcross’ research is on treatment adaptations -- \"how to tailor therapy for individual patients,” he says.\u003c/p>\n\u003cp>Norcross is a “big supporter” of group therapy, but only when indicated. And group treatment is contraindicated, he said, if the patient has a strong preference for individual therapy. That can make a difference in both retention of the patient and effectiveness of the treatment.\u003c/p>\n\u003cp>“There are dozens of studies that show we should always begin with patients’ preferences if ethically or clinically possible,” he said.\u003c/p>\n\u003cp>I recounted to him the experience of Nina, the woman who had expressed a preference for individual therapy at Kaiser Oakland and was erroneously told it wasn’t offered. Norcross said in her case a group would not be effective.\u003c/p>\n\u003cp>“If this woman wants 50 minutes to express and resolve longstanding conflicts, you’re not going to get that kind of opportunity in a therapy group of 6-12 people,” he said.\u003c/p>\n\u003cp>Andy Weisskoff, the former Kaiser therapist who blogged about his experience at Kaiser Santa Rosa, wrote that only a quarter of those who were referred to groups attended one.\u003c/p>\n\u003cp>“The assertion that groups are better than individual therapy is a little bit beside the point if they don’t go to the groups in the first place,” he says.\u003c/p>\n\u003cp>Some patients who I spoke with amplified his concern. For example, a 60-year-old woman who uses Kaiser’s Roseville facility and suffers from panic disorder said the last time she had an appointment, the therapist told her she could be seen maybe once every three months.\u003c/p>\n\u003cp>Instead she was sent to a group, where she says the discussions triggered her anxiety attacks. She estimated the number of patients in another group at about two dozen -- “like cattle in there, how can anyone’s needs be met?” she said. So she quit.\u003c/p>\n\u003cp>On disability because of her anxiety, unable to tolerate medication, and with the cost of an outside therapist out of reach, she sees no available options. “There’s nowhere for me to go,” she said.\u003c/p>\n\u003cp>Corlene Van Sluizer described the same lack of options for her sister, 71. Her sister was ordered into an inpatient facility this year after telling her Kaiser Santa Rosa psychiatrist of plans to commit suicide, Van Sluizer says. Even with a diagnosis of major depression, after being released she was told she’d have to pay for any individual therapy on her own. Instead, she was sent to a group.\u003c/p>\n\u003cp>“It lasted 6 sessions. She got no benefit from it,” Van Sluizer says.\u003c/p>\n\u003cp>Many non-Kaiser therapists sent me emails asserting some of their patients have been forced to pay out-of-pocket because they cannot get individual therapy at Kaiser.\u003c/p>\n\u003cp>A typical response came from Karen Taylor, a therapist in Campbell: “(I) see a number of Kaiser clients. (Kaiser) tells them to go to a group or will only see them every six weeks for private therapy. Neither of these options have been appropriate or effective for my clients.”\u003c/p>\n\u003cp>A therapist who wanted to remain anonymous said that a patient was referred to her by Kaiser staff following his suicide attempt and hospitalization. “I considered him high risk for a second suicide. He attempted again soon after our intake. None of these incidents convinced Kaiser to provide individual therapy to him. … Kaiser continued to refer him to groups.”\u003c/p>\n\u003cp>In a statement, Kaiser said therapists have a responsibility to inform more senior staff of need for specific services:\u003c/p>\n\u003cp>\u003cem>The well-being of our patients is our primary concern. We would expect any therapist with concerns about a patient's urgent needs to immediately respond and escalate appropriately, and we support them in doing so.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Kaiser Disputes Shortage of Staff\u003c/strong>\u003c/p>\n\u003cp>Kaiser's Dr. Turner says any notion that a staff shortage is driving the choice of treatment options is untrue.\u003c/p>\n\u003cp>“We have nearly 14 percent more therapists in Northern California than three years ago, and we are continuing to recruit and hire,” he told me.\u003c/p>\n\u003cp>Some Kaiser mental health staff say any new hiring hasn’t kept up with the influx of patients due to Obamacare. But Turner disputes that. “Staffing increases (have) increased significantly ahead of membership growth,” he said. “Seventy percent of our therapy is individual psychotherapy.\" While that figure includes the intake sessions for new patients, Turner said the “bulk” of the 70 percent figure is for return visits.\u003c/p>\n\u003cp>“To say that 4-6 weeks is the time between visits is not accurate,” Turner said. “We encourage therapists to look at all the different contact modalities: telephone appointments, email visits, and individual visits, to understand how best to reach out.”\u003c/p>\n\u003cp>He called Kaiser’s system of care “multi-modal, highly integrated,” and listed medication management, crisis intervention, “evidence-based group programs,” and intensive outpatient and inpatient services among its services for mental health.\u003c/p>\n\u003cp>Turner says patients can get individual therapy at more frequent intervals if they, in consultation with their therapist, consider that is the best course of treatment. He also put the responsibility for arranging appropriate care on therapists.\u003c/p>\n\u003cp>“We would expect our therapists, if they thought (a patient) needed to be seen sooner, would elect to discuss it with their manager and look for alternative times. Or have a discussion with their colleagues how they’ve managed patients like that before. It’s really up to the patient and therapist to make sure that occurs. ...\u003c/p>\n\u003cp>“(But) we have ways of accommodating this when it comes up.“\u003c/p>\n\u003cp>\u003cstrong>Bringing Concerns to Management\u003c/strong>\u003c/p>\n\u003cp>Kaiser Oakland psychologist Melinda Ginne says she tried that, to no avail. She and other Kaiser clinicians eventually went to California's Department of Managed Health Care with their complaints.\u003c/p>\n\u003cp>“For the past two-and-a-half years I have (been) writing my management about … the dangerously long wait times for a return appointment,” she told me. “The response was literally nothing.”\u003c/p>\n\u003cp>Ginne works with seniors and patients who have serious physical ailments like cancer. She sent me the email she wrote to Kaiser managers last September.\u003c/p>\n\u003cp>“My patients have been waiting 3 months for a routine follow-up appointment,” she wrote. “This has been a dire situation with often adverse consequences for the patients. But now they must wait 5 months.”\u003c/p>\n\u003cp>“Believe me,” she continued. “I can’t tell a patient with 3-6 months to live that I’ll see them in 5 months.”\u003c/p>\n\u003cp>One former Kaiser therapist said she brought her concerns about patients not getting enough individual therapy to management “multiple times throughout the five years I was there, and they just don’t want to hear it.”\u003c/p>\n\u003cp>She said it was possible for a therapist to get approval to see a client individually, but only by “really insist(ing). And even if they feel the patient needs it, they don’t have room on their schedule because of the way Kaiser books them back to back.”\u003c/p>\n\u003cp>\u003cstrong>Kaiser’s Regulator Weighs In\u003c/strong>\u003c/p>\n\u003cp>Marta Green, the California Department of Managed Health Care’s (DMHC) deputy director of communications and planning, said whether Kaiser is in violation of regulations would depend on whether it displayed a pattern of steering patients to groups instead of medically necessary individual sessions.\u003c/p>\n\u003cp>\"If the medically necessary care to treat an enrollee's condition is an individual therapy session, then the plan must make that session available within a clinically appropriate timeframe and comply with the regulatory timeframes\" of 10 business days,” she wrote in an email.\u003c/p>\n\u003cp>However, if a physician or triage professional, using professionally recognized standards of practice, determines that a longer waiting time will not have a detrimental impact on a patient, that period between appointments may legally be extended.\u003c/p>\n\u003cp>Green said if Kaiser can't provide individual therapy to a patient that needs it, then Kaiser would be obligated to partially pay for outside therapy. Any Kaiser enrollees who think this situation may apply to them should file a claim with Kaiser at the same time they \u003ca href=\"http://www.dmhc.ca.gov/FileaComplaint/ConsumerIndependentMedicalReviewComplaint.aspx#.U8gtb41dWSM\" target=\"_blank\">ask the DHMC for a free independent medical review\u003c/a>.\u003c/p>\n\u003cp>Against this backdrop of reports of patient and therapist dissatisfaction, Kaiser maintains that staffing complaints are driven by its four-year-plus contract negotiation with the National Union of Healthcare Workers, which represents many of the therapists. In its statement to KQED, Kaiser said the union \"has not been cooperative in finding solutions that will enable us to meet our members' needs.\"\u003c/p>\n\u003cp>In particular, Kaiser has \"entered into an agreement with Value Options,\" a network of mental health providers, to \"make sure that our members have timely access to therapists when we need flexibility in staffing.\" But NUHW \"has so far not agreed to this solution -- despite the union making it clear that its members would not be able to take on the extra demand.\"\u003c/p>\n\u003cp>Fred Seavey of the NUHW responds that clinicians have requested to bargain with Kaiser “about the impact of these changes -- for example, how these changes in the acuity levels of their patients will affect clinicians' schedules, caseloads, etc and whether Kaiser should alter the productivity quotas under which clinicians currently operate.”\u003c/p>\n\u003cp>Seavey says Kaiser's clinicians have tried to get Kaiser to address staffing shortages for years. “Kaiser has simply turned a blind eye to them,” he says.\u003c/p>\n\u003cp>A follow-up DMHC report to the one that resulted in last year’s $4 million fine is due in the fall. The DMHC’s Marta Green said it will take into account any complaints about long waits for follow-up appointments to individual therapy.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp> \u003c/p>\n\n",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003cfigure id=\"attachment_20235\" class=\"wp-caption alignleft\" style=\"max-width: 640px\">\u003ca href=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/photo-3.jpg\">\u003cimg class=\"size-large wp-image-20235\" title=\"\" src=\"http://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2014/07/photo-3-640x480.jpg\" alt=\"Kaiser Permanente's newly opened medical center in Oakland. (Lisa Aliferis/KQED)\" width=\"640\" height=\"480\">\u003c/a>\u003cfigcaption class=\"wp-caption-text\">Kaiser Permanente's newly opened medical center in Oakland. (Lisa Aliferis/KQED) \u003ccite>(Lisa Aliferis/KQED)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cem>This is the second of \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/01/sonoma-co-supervisor-presses-kaiser-on-mental-health-services/\" target=\"_blank\">two parts\u003c/a> about mental health services at Northern California Kaiser.\u003c/em>\u003c/p>\n\u003cp>In January 2013 a woman named “Nina” had a terrible falling out with her father. Soon after, she found out he had incurable cancer and was going to die. In the ensuing weeks, she tried to patch things up, but with the pressures inherent in the last months of a dying man, was unable to attain any form of closure. Some six months after their fight, he was gone.\u003c/p>\n\u003caside class=\"pullquote alignleft\">\"People are suffering, and I fear some of my patients will commit suicide for lack of ongoing treatment.\"\u003c/aside>\n\u003cp>\"Nina,\" who did not want us to use her real name for reasons of privacy, had been prone to depression. Zoloft had helped, but the now irreparable family rift left her severely depressed, with occasional thoughts of suicide. \"I was in a state of constant emotional pain and confusion,\" she says. “It was affecting all aspects of my life.\"\u003c/p>\n\u003cp>She went for an intake appointment at the psychiatric department at Kaiser Permanente’s Oakland Medical Center, with the expectation she'd be able to see a therapist for individual appointments during this severe emotional crisis. She requested those sessions, but the intake therapist told her Kaiser only offered group therapy.\u003c/p>\n\u003cp>“I said I'm not comfortable talking about my situation with a bunch of strangers,” Nina says. “She very kindly tried to make me aware of the value of group therapy. But I knew in my heart it wasn’t where I wanted to be.\"\u003c!--more-->\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"content": "\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Nina left even more dispirited. Over the next year, she white-knuckled her depression on her own, before having the epiphany that maybe her medication needed adjustment. She went to see a Kaiser psychiatrist and mentioned she’d been told there was no individual therapy.\u003c/p>\n\u003cp>The psychiatrist seemed startled. She told Nina individual therapy was offered. “They probably just didn’t have the space,” the psychiatrist said.\u003c/p>\n\u003cp>Nina was shocked. “I could not believe that a professional therapist would lie to an obviously depressed patient who was sincerely seeking help.”\u003c/p>\n\u003cp>She finally did get to see a Kaiser therapist, whom she describes as “fantastic,” but who told her she could only book Nina maybe once every four weeks. At that point, Nina's expectations had been lowered to the point she was grateful to get any therapy at all. She also availed herself of a free Kaiser yoga class, which she considers to have been useful in her recovery.\u003c/p>\n\u003cp>Her therapist, she says, is really helping her with the depression.\u003c/p>\n\u003cp>Still, Nina's contact with Kaiser’s psychiatric department left her unnerved. “I started thinking maybe it’s my problem,” she says about her rejection of group therapy. \"It just added to my anxiety. But to share with other people what I was going through was just too much for me at that time. How depressed did this therapist need me to be in order to make room in the schedule for individual therapy?”\u003c/p>\n\u003cp>\u003cstrong>Kaiser Under Fire\u003c/strong>\u003c/p>\n\u003cp>Last year, Kaiser was\u003ca href=\"http://www.dmhc.ca.gov/Portals/0/AboutDMHC/PressReleases/2013/prkmhs.pdf\" target=\"_blank\"> fined $4 million\u003c/a> by the California Department of Managed Health Care for not accurately tracking patient waiting times for initial mental health appointments. And now the health plan is in the middle of another controversy over its mental health care: Some of its therapists and patients say there is a dangerous lack of access to individual therapy appointments and an over-reliance on group therapy.\u003c/p>\n\u003cp>Kaiser maintains that hiring in its psychiatric departments is up, and that patients do not have problems getting appropriate care. It points to its high rating in behavioral and mental health on the \u003ca href=\"http://reportcard.opa.ca.gov/rc2014/hmotopic.aspx?Category=HMOHEDIS&Topic=MentalHealthCare\" target=\"_blank\">2014 California Office of the Patient Advocate report card\u003c/a>. In addition, it has asserted that much of the controversy has been fueled by the union representing mental health clinicians, the National Union of Healthcare Workers (NUHW), which has been \u003ca href=\"http://www.californiahealthline.org/articles/2012/1/24/three-unions-announce-one-day-strike-at-kaiser-over-labor-negotiations\" target=\"_blank\">embroiled in contract negotiations\u003c/a> with Kaiser since 2010.\u003c/p>\n\u003cp>In reporting this story I talked to some two dozen current and former Kaiser clinicians and mental health patients as well as outside therapists. The vast majority express similar complaints: While health plans are required to provide medically necessary appointments within 10 business days, Kaiser patients have to wait long periods, sometimes months, between individual therapy appointments. These critics say Kaiser is referring patients to group therapy even in cases where ongoing individual sessions are clinically necessary. The reason, the union and clinicians say, is a serious staff shortage.\u003c/p>\n\u003cp>\u003cstrong>Therapists, Patients Speak Out\u003c/strong>\u003c/p>\n\u003cp>As \u003ca href=\"http://ww2.kqed.org/stateofhealth/2014/07/01/sonoma-co-supervisor-presses-kaiser-on-mental-health-services/\" target=\"_blank\">we've reported\u003c/a>, the issue came to a head this year when a \u003ca href=\"http://90daystochange.com/\" target=\"_blank\">behind-the-scenes blog \u003c/a>by Andy Weisskoff, a now-former therapist at the health plan’s Santa Rosa Medical Center, detailed long waiting times for therapy appointments and the deleterious effects on both patients and therapists.\u003c/p>\n\u003cp>“When I see someone today with suicidal thoughts ... I am often uncertain how well they’ll fare in the intervening weeks,” he \u003ca href=\"http://90daystochange.com/2014/03/04/even-if-youre-thinking-of-killing-yourself/\" target=\"_blank\">wrote\u003c/a>. “Did I miss something in our hour long interview?… Maybe I should have sent them to our intensive outpatient group instead of a skills group designed for people who are higher functioning. And then I wait, at least a month, to see if my intuition, one way or another, was correct.”\u003c/p>\n\u003cp>One Kaiser therapist from a Northern California facility described similar concerns. She wants to remain anonymous out of fear for her job. She is unnerved by the common practice of steering patients into groups instead of individual therapy sessions.\u003c/p>\n\u003cp>“I feel unethical when I go home at night, and feel really guilty,” she said. \"People are suffering, and I fear some of my patients will commit suicide for lack of ongoing treatment, but I’m powerless to treat them because I don’t have return visits available.”\u003c/p>\n\u003cp>Another therapist who worked at a South Bay Kaiser says she quit her position earlier this year because she considered the treatment of patients there \"unethical.\"\u003c/p>\n\u003caside class=\"pullquote alignright\">\"We believe these descriptions are not reflective of the millions of mental health visits we provide each year in Northern California.\"\u003c/aside>\n\u003cp>\"Patients that need individual therapy are not getting it,” she said. “We had to tell patients we offer group therapy. ... The patients that are the most severely mentally ill are the ones that can’t speak up for themselves, and the ones who get lost in the system. With the Affordable Care Act, we’re seeing more and more of those patients.\"\u003c/p>\n\u003cp>A number of Kaiser patients also reported similar dissatisfaction with the unavailability of individual sessions. Loran Watkins’ story was typical of the complaints many patients described to me.\u003c/p>\n\u003cp>Watkins, 53, said that in 2010 her husband was battling cancer and \"desperately needed therapy to get through this. They said he could go to a group. There was no way in God's green earth he would have gone to a group. He was already a social introvert, was on six different kinds of pain medications so his ability to focus was very limited.\"\u003c/p>\n\u003cp>After \"pushing and pushing and pushing,\" Watkins says, her husband was finally given the okay to see a therapist, but only once a month.\u003c/p>\n\u003cp>\"Here you have a man actively battling cancer, was relapsing,\" she said. \"After the seventh or eighth appointment, the therapist said he was retiring, and that there were no more appointments available.\"\u003c/p>\n\u003cp>Watkins added that when her own longtime therapist at Kaiser's Walnut Creek medical center retired, she told Watkins there was no replacement available.\u003c/p>\n\u003cp>\"I asked her for a referral. She said there's no one to refer you to. The only thing I can do is they will place me in a group type setting; there's no individual therapy appointments anymore.\"\u003c/p>\n\u003cp>Kaiser responded to an email outlining these accounts and disputed the allegations that individual therapy is not available:\u003c/p>\n\u003cp>\u003cem>We apologize if there are members who may have received incorrect information about the availability of services. All of our medical centers provide individual therapy as part of the wide range of mental health treatments available to Kaiser Permanente patients.\u003c/em>\u003c/p>\n\u003cp>\u003cem>We encourage our members and staff to share their concerns, and we investigate thoroughly and work to resolve any issues. We take the examples in your email very seriously. Out of respect for patient privacy, we cannot respond in the media about individual cases. Each patient’s concern is important to us and we will investigate with the information we have. We believe these descriptions are not reflective of the millions of mental health visits we provide each year in Northern California, but we recognize that we have opportunities to make our program even better and are committed to doing so.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Group Therapy vs. Individual Therapy\u003c/strong>\u003c/p>\n\u003cp>Dr. Mason Turner is Kaiser’s director of patient operations for regional mental health services in Northern California. He takes umbrage at the notion that individual therapy is the “gold standard,” as he puts it, and that group therapy is somehow inferior. “This is a disservice to the hundreds of thousands of Kaiser Permanente members -- and millions throughout the country -- who have benefited from this type of proven, effective treatment and to the mental health professionals, including our Kaiser Permanente therapists, who provide it.\u003c/p>\n\u003cp>“There is no evidence that individual psychotherapy is superior to group therapy.\"\u003c/p>\n\u003cp>I asked Dr. John Norcross, a psychology professor at the University of Scranton, if that was true. Norcross’ research is on treatment adaptations -- \"how to tailor therapy for individual patients,” he says.\u003c/p>\n\u003cp>Norcross is a “big supporter” of group therapy, but only when indicated. And group treatment is contraindicated, he said, if the patient has a strong preference for individual therapy. That can make a difference in both retention of the patient and effectiveness of the treatment.\u003c/p>\n\u003cp>“There are dozens of studies that show we should always begin with patients’ preferences if ethically or clinically possible,” he said.\u003c/p>\n\u003cp>I recounted to him the experience of Nina, the woman who had expressed a preference for individual therapy at Kaiser Oakland and was erroneously told it wasn’t offered. Norcross said in her case a group would not be effective.\u003c/p>\n\u003cp>“If this woman wants 50 minutes to express and resolve longstanding conflicts, you’re not going to get that kind of opportunity in a therapy group of 6-12 people,” he said.\u003c/p>\n\u003cp>Andy Weisskoff, the former Kaiser therapist who blogged about his experience at Kaiser Santa Rosa, wrote that only a quarter of those who were referred to groups attended one.\u003c/p>\n\u003cp>“The assertion that groups are better than individual therapy is a little bit beside the point if they don’t go to the groups in the first place,” he says.\u003c/p>\n\u003cp>Some patients who I spoke with amplified his concern. For example, a 60-year-old woman who uses Kaiser’s Roseville facility and suffers from panic disorder said the last time she had an appointment, the therapist told her she could be seen maybe once every three months.\u003c/p>\n\u003cp>Instead she was sent to a group, where she says the discussions triggered her anxiety attacks. She estimated the number of patients in another group at about two dozen -- “like cattle in there, how can anyone’s needs be met?” she said. So she quit.\u003c/p>\n\u003cp>On disability because of her anxiety, unable to tolerate medication, and with the cost of an outside therapist out of reach, she sees no available options. “There’s nowhere for me to go,” she said.\u003c/p>\n\u003cp>Corlene Van Sluizer described the same lack of options for her sister, 71. Her sister was ordered into an inpatient facility this year after telling her Kaiser Santa Rosa psychiatrist of plans to commit suicide, Van Sluizer says. Even with a diagnosis of major depression, after being released she was told she’d have to pay for any individual therapy on her own. Instead, she was sent to a group.\u003c/p>\n\u003cp>“It lasted 6 sessions. She got no benefit from it,” Van Sluizer says.\u003c/p>\n\u003cp>Many non-Kaiser therapists sent me emails asserting some of their patients have been forced to pay out-of-pocket because they cannot get individual therapy at Kaiser.\u003c/p>\n\u003cp>A typical response came from Karen Taylor, a therapist in Campbell: “(I) see a number of Kaiser clients. (Kaiser) tells them to go to a group or will only see them every six weeks for private therapy. Neither of these options have been appropriate or effective for my clients.”\u003c/p>\n\u003cp>A therapist who wanted to remain anonymous said that a patient was referred to her by Kaiser staff following his suicide attempt and hospitalization. “I considered him high risk for a second suicide. He attempted again soon after our intake. None of these incidents convinced Kaiser to provide individual therapy to him. … Kaiser continued to refer him to groups.”\u003c/p>\n\u003cp>In a statement, Kaiser said therapists have a responsibility to inform more senior staff of need for specific services:\u003c/p>\n\u003cp>\u003cem>The well-being of our patients is our primary concern. We would expect any therapist with concerns about a patient's urgent needs to immediately respond and escalate appropriately, and we support them in doing so.\u003c/em>\u003c/p>\n\u003cp>\u003cstrong>Kaiser Disputes Shortage of Staff\u003c/strong>\u003c/p>\n\u003cp>Kaiser's Dr. Turner says any notion that a staff shortage is driving the choice of treatment options is untrue.\u003c/p>\n\u003cp>“We have nearly 14 percent more therapists in Northern California than three years ago, and we are continuing to recruit and hire,” he told me.\u003c/p>\n\u003cp>Some Kaiser mental health staff say any new hiring hasn’t kept up with the influx of patients due to Obamacare. But Turner disputes that. “Staffing increases (have) increased significantly ahead of membership growth,” he said. “Seventy percent of our therapy is individual psychotherapy.\" While that figure includes the intake sessions for new patients, Turner said the “bulk” of the 70 percent figure is for return visits.\u003c/p>\n\u003cp>“To say that 4-6 weeks is the time between visits is not accurate,” Turner said. “We encourage therapists to look at all the different contact modalities: telephone appointments, email visits, and individual visits, to understand how best to reach out.”\u003c/p>\n\u003cp>He called Kaiser’s system of care “multi-modal, highly integrated,” and listed medication management, crisis intervention, “evidence-based group programs,” and intensive outpatient and inpatient services among its services for mental health.\u003c/p>\n\u003cp>Turner says patients can get individual therapy at more frequent intervals if they, in consultation with their therapist, consider that is the best course of treatment. He also put the responsibility for arranging appropriate care on therapists.\u003c/p>\n\u003cp>“We would expect our therapists, if they thought (a patient) needed to be seen sooner, would elect to discuss it with their manager and look for alternative times. Or have a discussion with their colleagues how they’ve managed patients like that before. It’s really up to the patient and therapist to make sure that occurs. ...\u003c/p>\n\u003cp>“(But) we have ways of accommodating this when it comes up.“\u003c/p>\n\u003cp>\u003cstrong>Bringing Concerns to Management\u003c/strong>\u003c/p>\n\u003cp>Kaiser Oakland psychologist Melinda Ginne says she tried that, to no avail. She and other Kaiser clinicians eventually went to California's Department of Managed Health Care with their complaints.\u003c/p>\n\u003cp>“For the past two-and-a-half years I have (been) writing my management about … the dangerously long wait times for a return appointment,” she told me. “The response was literally nothing.”\u003c/p>\n\u003cp>Ginne works with seniors and patients who have serious physical ailments like cancer. She sent me the email she wrote to Kaiser managers last September.\u003c/p>\n\u003cp>“My patients have been waiting 3 months for a routine follow-up appointment,” she wrote. “This has been a dire situation with often adverse consequences for the patients. But now they must wait 5 months.”\u003c/p>\n\u003cp>“Believe me,” she continued. “I can’t tell a patient with 3-6 months to live that I’ll see them in 5 months.”\u003c/p>\n\u003cp>One former Kaiser therapist said she brought her concerns about patients not getting enough individual therapy to management “multiple times throughout the five years I was there, and they just don’t want to hear it.”\u003c/p>\n\u003cp>She said it was possible for a therapist to get approval to see a client individually, but only by “really insist(ing). And even if they feel the patient needs it, they don’t have room on their schedule because of the way Kaiser books them back to back.”\u003c/p>\n\u003cp>\u003cstrong>Kaiser’s Regulator Weighs In\u003c/strong>\u003c/p>\n\u003cp>Marta Green, the California Department of Managed Health Care’s (DMHC) deputy director of communications and planning, said whether Kaiser is in violation of regulations would depend on whether it displayed a pattern of steering patients to groups instead of medically necessary individual sessions.\u003c/p>\n\u003cp>\"If the medically necessary care to treat an enrollee's condition is an individual therapy session, then the plan must make that session available within a clinically appropriate timeframe and comply with the regulatory timeframes\" of 10 business days,” she wrote in an email.\u003c/p>\n\u003cp>However, if a physician or triage professional, using professionally recognized standards of practice, determines that a longer waiting time will not have a detrimental impact on a patient, that period between appointments may legally be extended.\u003c/p>\n\u003cp>Green said if Kaiser can't provide individual therapy to a patient that needs it, then Kaiser would be obligated to partially pay for outside therapy. Any Kaiser enrollees who think this situation may apply to them should file a claim with Kaiser at the same time they \u003ca href=\"http://www.dmhc.ca.gov/FileaComplaint/ConsumerIndependentMedicalReviewComplaint.aspx#.U8gtb41dWSM\" target=\"_blank\">ask the DHMC for a free independent medical review\u003c/a>.\u003c/p>\n\u003cp>Against this backdrop of reports of patient and therapist dissatisfaction, Kaiser maintains that staffing complaints are driven by its four-year-plus contract negotiation with the National Union of Healthcare Workers, which represents many of the therapists. In its statement to KQED, Kaiser said the union \"has not been cooperative in finding solutions that will enable us to meet our members' needs.\"\u003c/p>\n\u003cp>In particular, Kaiser has \"entered into an agreement with Value Options,\" a network of mental health providers, to \"make sure that our members have timely access to therapists when we need flexibility in staffing.\" But NUHW \"has so far not agreed to this solution -- despite the union making it clear that its members would not be able to take on the extra demand.\"\u003c/p>\n\u003cp>Fred Seavey of the NUHW responds that clinicians have requested to bargain with Kaiser “about the impact of these changes -- for example, how these changes in the acuity levels of their patients will affect clinicians' schedules, caseloads, etc and whether Kaiser should alter the productivity quotas under which clinicians currently operate.”\u003c/p>\n\u003cp>Seavey says Kaiser's clinicians have tried to get Kaiser to address staffing shortages for years. “Kaiser has simply turned a blind eye to them,” he says.\u003c/p>\n\u003cp>A follow-up DMHC report to the one that resulted in last year’s $4 million fine is due in the fall. The DMHC’s Marta Green said it will take into account any complaints about long waits for follow-up appointments to individual therapy.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>",
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"info": "What kind of no sabo word is Hyphenación? For us, it’s about living within a hyphenation. Like being a third-gen Mexican-American from the Texas border now living that Bay Area Chicano life. Like Xorje! Each week we bring together a couple of hyphenated Latinos to talk all about personal life choices: family, careers, relationships, belonging … everything is on the table. ",
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"info": "Our flagship program, helmed by Kai Ryssdal, examines what the day in money delivered, through stories, conversations, newsworthy numbers and more. Updated Monday through Friday at about 3:30 p.m. PT.",
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"info": "The MindShift podcast explores the innovations in education that are shaping how kids learn. Hosts Ki Sung and Katrina Schwartz introduce listeners to educators, researchers, parents and students who are developing effective ways to improve how kids learn. We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. You can also visit the MindShift website for episodes and supplemental blog posts or tweet us \u003ca href=\"https://twitter.com/MindShiftKQED\">@MindShiftKQED\u003c/a> or visit us at \u003ca href=\"/mindshift\">MindShift.KQED.org\u003c/a>",
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"info": "For decades, the process for how police police themselves has been inconsistent – if not opaque. In some states, like California, these proceedings were completely hidden. After a new police transparency law unsealed scores of internal affairs files, our reporters set out to examine these cases and the shadow world of police discipline. On Our Watch brings listeners into the rooms where officers are questioned and witnesses are interrogated to find out who this system is really protecting. Is it the officers, or the public they've sworn to serve?",
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"tagline": "Politics from a personal perspective",
"info": "Political Breakdown is a new series that explores the political intersection of California and the nation. Each week hosts Scott Shafer and Marisa Lagos are joined with a new special guest to unpack politics -- with personality — and offer an insider’s glimpse at how politics happens.",
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"possible": {
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"info": "Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.",
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"radiolab": {
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"info": "A two-time Peabody Award-winner, Radiolab is an investigation told through sounds and stories, and centered around one big idea. In the Radiolab world, information sounds like music and science and culture collide. Hosted by Jad Abumrad and Robert Krulwich, the show is designed for listeners who demand skepticism, but appreciate wonder. WNYC Studios is the producer of other leading podcasts including Freakonomics Radio, Death, Sex & Money, On the Media and many more.",
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"reveal": {
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"info": "Created by The Center for Investigative Reporting and PRX, Reveal is public radios first one-hour weekly radio show and podcast dedicated to investigative reporting. Credible, fact based and without a partisan agenda, Reveal combines the power and artistry of driveway moment storytelling with data-rich reporting on critically important issues. The result is stories that inform and inspire, arming our listeners with information to right injustices, hold the powerful accountable and improve lives.Reveal is hosted by Al Letson and showcases the award-winning work of CIR and newsrooms large and small across the nation. In a radio and podcast market crowded with choices, Reveal focuses on important and often surprising stories that illuminate the world for our listeners.",
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"officialWebsiteLink": "https://www.revealnews.org/episodes/",
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},
"rightnowish": {
"id": "rightnowish",
"title": "Rightnowish",
"tagline": "Art is where you find it",
"info": "Rightnowish digs into life in the Bay Area right now… ish. Journalist Pendarvis Harshaw takes us to galleries painted on the sides of liquor stores in West Oakland. We'll dance in warehouses in the Bayview, make smoothies with kids in South Berkeley, and listen to classical music in a 1984 Cutlass Supreme in Richmond. Every week, Pen talks to movers and shakers about how the Bay Area shapes what they create, and how they shape the place we call home.",
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"order": 16
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},
"science-friday": {
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"info": "Science Friday is a weekly science talk show, broadcast live over public radio stations nationwide. Each week, the show focuses on science topics that are in the news and tries to bring an educated, balanced discussion to bear on the scientific issues at hand. Panels of expert guests join host Ira Flatow, a veteran science journalist, to discuss science and to take questions from listeners during the call-in portion of the program.",
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