FRISCO, Texas – Abilene Christian’s Jaren Lewis is the season’s first Southland Player of the Week, the league announced Monday. Southland Conference Players of the Week are presented by MidSouth Bank.Lewis led the Wildcats (2-0) to a season opening 107-54 victory over Arlington Baptist and a 94-73 triumph over Arkansas State. ACU travels to Denver on Thursday for an 8 p.m. contest against the Pioneers.Men’s Basketball Player of the Week – Jaren Lewis, Abilene Christian – Sr. – Forward – Orlando, Fla.Senior Jaren Lewis missed just one attempt from the field, finishing 8-for-9 with 18 points in a season-opening win over Arlington Baptist. The Orlando, Fla., native followed it up with another 18-point outing in a 21-point victory over Arkansas State and grabbed 15 rebounds, the most by a Southland player through the opening week. It marked Lewis’ 15th career double-double.Honorable Mention: Ishmael Lane, Northwestern State; Cameron Delaney, Sam Houston State; Gavin Peppers, Nicholls
No.13 lucky for Orlando Bloom Nadine Lustre’s phone stolen in Brazil Ginebra beats Meralco again to capture PBA Governors’ Cup title Gretchen Barretto’s daughter Dominique graduates magna cum laude from California college After winning title, time for LA Tenorio to give back to Batangas folk Portland Trail Blazers’ Damian Lillard (0) shoots over Los Angeles Clippers’ Avery Bradley during the first half of an NBA basketball game Monday, Dec. 17, 2018, in Los Angeles. (AP Photo/Marcio Jose Sanchez)LOS ANGELES— Damian Lillard scored 22 of his 39 points in a dominant third quarter and the Portland Trail Blazers defeated the Los Angeles Clippers 131-127 on Monday night.Lillard hit five of his six 3-pointers in the third when the Blazers outscored the Clippers 42-28. Portland was 10 of 20 from 3-point range in the game.ADVERTISEMENT C.J. McCollum added 27 points and Jusuf Nurkic had 20.Tobias Harris matched Lillard with a career-high 39 points and rookie Shai Gilgeous-Alexander added 24 for the Clippers, who have lost four in a row for the first time this season.FEATURED STORIESSPORTSGinebra beats Meralco again to capture PBA Governors’ Cup titleSPORTSJapeth Aguilar wins 1st PBA Finals MVP award for GinebraSPORTSGolden State Warriors sign Lee to multiyear contract, bring back ChrissLos Angeles trailed by 15 in the first quarter but erased the deficit in the second when the Clippers took their first lead, only to fall behind by 15 again in the third.Lillard’s fifth 3 left the Clippers down 95-80. Portland made seven 3s in the period and stretched its lead to 18 points early in the fourth. Japeth Aguilar embraces role, gets rewarded with Finals MVP plum James Harden’s 47-point eruption lift Rockets past Jazz The Clippers chipped away and got to 125-123 after Harris hit three of four free throws. McCollum’s jumper kept Portland ahead 127-123.Danilo Gallinari, who finished with 22 points, missed a 3-pointer, but after a scramble got the ball back and made the same shot to leave the Clippers trailing 127-126. McCollum got fouled and made both to keep the Trail Blazers ahead by three.The Clippers were forced to foul Lillard, who hit both free throws to seal the win.Gilgeous-Alexander’s 3-pointer in the final seconds missed.The Trail Blazers set the tone in the opening quarter when they began the game on a 33-18 run while shooting 80 percent from the floor.ADVERTISEMENT ‘Mia’: Rom-com with a cause a career-boosting showcase for Coleen Garcia TIP-INSTrail Blazers: Terry Stotts recorded his 289th victory and is two from tying Rick Adelman for second on the team’s all-time coaching wins list. … The Blazers have won five of their last six against the Clippers.Clippers: Montrezl Harrell committed a flagrant-2 foul in the fourth and was ejected. … Los Angeles fell to 7-2 against West opponents at home. … Tyronn Lue, fired as Cavaliers coach in October, was a visitor. He was a Clippers assistant in 2013-14. … G Lou Williams (sore left hamstring) and F Luc Mbah a Moute (sore left knee) could return within the next week. Williams has missed four straight games, while Mbah a Moute has been out for 26 in a row.UP NEXTTrail Blazers: Host Memphis on Wednesday.Clippers: Host Dallas on Thursday.Sports Related Videospowered by AdSparcRead Next MOST READ Lights inside SMX hall flicker as Duterte rants vs Ayala, Pangilinan anew Lights inside SMX hall flicker as Duterte rants vs Ayala, Pangilinan anew LATEST STORIES Carpio hits red carpet treatment for China Coast Guard PLAY LIST 02:14Carpio hits red carpet treatment for China Coast Guard02:56NCRPO pledges to donate P3.5 million to victims of Taal eruption00:56Heavy rain brings some relief in Australia02:37Calm moments allow Taal folks some respite03:23Negosyo sa Tagaytay City, bagsak sa pag-aalboroto ng Bulkang Taal01:13Christian Standhardinger wins PBA Best Player award Don’t miss out on the latest news and information. View comments
May 24 2018Covered California, the state’s health insurance marketplace under the Affordable Care Act, has devised what could be a powerful new way to hold hospitals accountable for the quality of their care. Starting in less than two years, if the hospitals haven’t met targets for safety and quality, they’ll risk being excluded from the “in-network” designation of health plans sold on the state’s insurance exchange.“We’re saying ‘time’s up,’” said Dr. Lance Lang, the chief medical officer for Covered California. “We’ve told health plans that by the end of 2019 we want networks to only include hospitals that have achieved that target.”Here’s how hospitals will be measured: They must perform fewer unnecessary cesarean sections, prescribe fewer opioids and cut back on the use of imaging (X-rays, MRIs and CT scans) to diagnose and treat back pain. Research has shown these are problem areas in many hospitals — the procedures and pills have an important place, but have been overused to the point of causing patient harm, health care analysts said.C-sections, in particular, have come under scrutiny for years.Hospitals get paid more to perform a C-section than a vaginal delivery and C-sections usually take less time: 40 minutes for a scheduled procedure versus 24-hour on-call staffing for vaginal deliveries. Many women who don’t need a C-section often get one anyway, according to the data — and rates vary by hospital. Even in low-risk cases, several California hospitals are delivering 40 percent of babies by C-section, Lang said. At one hospital, it’s 78 percent.“That means that when a woman goes to a hospital, it’s the culture of the hospital that really determines whether or not she gets a cesarean section, not so much her own health,” said Lang.C-sections are major surgery. Doing them when they’re not needed exposes women to unnecessary risks: infection, hemorrhage, even death. Babies delivered by C-section are more likely to have complications and spend more time in the neonatal intensive care unit.That’s not quality health care, Lang said, and that’s why Covered California is telling hospitals they need to reduce their C-section rates to 23.9 percent or lower, for low-risk births.In this case, “low-risk” is defined as a healthy, first-time mom who has carried a single baby with its head down, all the way to full term — 39 weeks gestation.Medi-Cal, the state health program for low-income residents, CalPERS, the retirement program for state employees, and the Pacific Business Group on Health, which represents self-insured employers, are also calling on hospitals to improve their quality measures. Together, these groups pay for the health care of 16 million Californians, or 40 percent of the state, which gives them substantial leverage with hospitals.But only Covered California is telling hospitals that if they don’t play by the rules, they’ll be benched.“It’s probably the boldest move we’ve seen in maternity care ever,” said Leah Binder, CEO of the Leapfrog Group, a Washington, D.C.-based nonprofit that rates hospitals on quality.Expecting hospitals to meet external metrics for quality control is a recent phenomenon, and compliance is still largely voluntary, she said.“Back in the ’80s and ’90s, nobody ever thought that hospitals should have to report to anyone on how they were doing,” she said. “There’s never been a culture of accountability.”Covered California’s move is nationally significant, Binder said, given the consequences for hospitals, and the agency’s reach — 1.4 million people buy coverage through the marketplace — and they shop among plans offered by 11 state-approved insurance companies.Insurers and business groups across the country are already keeping an eye on California’s effort, she said, to see how they might band together to demand similar change from the hospitals in their regions.Overall, California’s hospitals are on board with the C-section goal. Of the 243 maternity hospitals in the state, 40 percent have met the target, Lang said, and another 40 percent have taken advantage of coaching and consulting to help educate doctors on how they can adjust their practices. They’re also finding they have to educate patients who request C-sections about the procedure’s risks.Related StoriesIt is okay for women with lupus to get pregnant with proper care, says new studyHave cancer, must travel: Patients left in lurch after hospital closesChildren’s Colorado granted IAC’s Cardiovascular Catheterization accreditation“While many may prefer [the surgery], when having the full information about the risk that they may be putting themselves and their babies in, they elect not to move in that direction,” said Julie Morath, CEO of the Hospital Quality Institute, a subsidiary of the California Hospital Association. Both groups support the C-section reduction goals as “the right thing to do,” she said.The strategy has raised some concerns among mothers who hear about the 23.9 percent target and worry about rationing.“We don’t just chase rates,” Morath said in response to that concern, “but rather look at what the clinical needs are and how to best respond to those. So if there is an indication for a cesarean section, the mother will receive a cesarean section.”Still, not all hospitals will find it easy to comply. State data show there are about 40 hospitals that are still far off the target, including a cluster of hospitals in East Los Angeles that treat low-income, often uninsured, patients.“If you have somebody who is on methamphetamines and is homeless and has not gotten any prenatal care, her chance of a C-section is way higher than someone who is not all those things,” said Dr. Malini Nijagal, an OB-GYN at Zuckerberg San Francisco General Hospital. “And so the problem is, how do you adjust for the patient population of a hospital?”At Memorial Hospital of Gardena, the C-section rate is 45.2 percent. At East Los Angeles Doctors Hospital, the rate is 48.1 percent, according to publicly available state data listed on CalHospital Compare and Yelp. Both hospitals are working diligently to lower the rates, according to Amie Boersma, director for communications for Avanti Hospitals, which owns both hospitals.She said the hospitals will meet the 23.9 percent benchmark and are committed to doing so for the sake of their patients. Being excluded from Covered California health plan networks, she added, would make it even more difficult for those patients to get care. They would either have to pay out-of-network fees to be seen there, or they would have to travel farther to another facility that was still in the network.“We are in underserved, economically challenged urban neighborhoods and it is vitally important that we continue to provide appropriate, high-quality care for our communities,” Boersma said.Health plans can request an exemption from Covered California’s contract rules (in order to keep noncomplying hospitals in their networks) — as long as they document their reasoning.“That is flexibility that we asked for to ensure that we maintain adequate access to providers,” said Charles Bacchi, CEO of the California Association of Health Plans, a trade group for insurers. “Any major changes to health plan networks must be filed with regulators. And health plans have to ensure that patients continue to receive services in a timely manner.”So far, the prospect of exclusion, plus the coaching for hospitals on how to reduce the rates, have functioned as an effective motivator. By 2020, Covered California’s Lang predicted, all hospitals will either have met the target or be on their way.“It’s a quality improvement project,” Lang said, “but with a deadline.”This story is part of a partnership that includes KQED, NPR and Kaiser Health News.KHN’s coverage of these topics is supported by The David and Lucile Packard Foundation and Heising-Simons Foundation This article was reprinted from khn.org with permission from the Henry J. Kaiser Family Foundation. Kaiser Health News, an editorially independent news service, is a program of the Kaiser Family Foundation, a nonpartisan health care policy research organization unaffiliated with Kaiser Permanente.