Latino Health Care

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Latino, African American Enrollment Up on Covered California

Screenshot from the Spanish language website for Covered California.

Screenshot from the Spanish language website for Covered California.

By Anna Gorman, Kaiser Health News

The percentage of Latinos and African Americans who signed up for subsidized health coverage through California’s insurance exchange increased during the second annual open enrollment period, officials announced Thursday.

About 37 percent of subsidized enrollees are Latino, up from 31 percent during the first enrollment period ending in March 2014, according to data released by Covered California. That’s a 20 percent increase. About 4 percent are African American, up from 3 percent last year.

The numbers, released by Covered California during its monthly board meeting, include only those enrollees eligible for subsidies who responded to questions about their race or ethnicity. Continue reading

As ‘Bodega Clinicas’ Fill Void, Officials Torn on Embracing Them

By Sarah Varney, Kaiser Health News

(Sarah Varney/Kaiser Health News)

The so-called bodega clinicas that line the streets of Los Angeles’ immigrant neighborhoods blend into a dense forest of commerce. Wedged between money order kiosks and pawn shops, these storefront doctors’ offices treat ailments for cash: a doctor’s visit is $20 to $40, a podiatry exam is $120 and at one bustling clinica, a colonoscopy is advertised on an erasable white board for $700.

County health officials describe the clinicas as a parallel health care system, servicing a vast number of uninsured Latino residents, yet the officials say they have little understanding of who owns and operates them, how they are regulated and the quality of the medical care they provide. Staffed with Spanish speaking medical providers, few of these low-rent clinics accept private insurance or participate in Medicaid managed care plans.

“Someone has to figure out if there’s a basic level of competence,” said Dr. Patrick Dowling, professor and chair of the department of family medicine at the David Geffen School of Medicine at the University of California, Los Angeles.

Not that researchers haven’t tried. Dr. Dowling, for one, has canvassed the local clinicas for years as part of his research for the state to document physician shortages. What he and others have found, however, is that clinca owners were reluctant to answer their questions. Continue reading