96% vote in favor of a strike, claim Sutter Health management refuses to bargain in good faith in order to fix working conditions and short staffing

“Sutter Health has been bargaining in good faith with SEIU–UHW since July and we remain committed to reaching a fair and sustainable agreement.” – Sutter Health

By Renée Saldaña, Press Secretary, SEUI – United Healthcare Workers West

OAKLAND, Calif. – Frontline healthcare workers from eight different Sutter Hospitals and Medical Centers across Northern California have voted to authorize a strike over unfair labor practices. The workers overwhelmingly approved the strike with a 96% vote in support, citing bad faith bargaining by Sutter executives. Workers have not yet chosen dates and will continue trying to bargain with Sutter executives at upcoming sessions on October 9 and 10.

In August and September, these same caregivers held a series of rolling pickets at the sites of the possible future strike, including a march and rally at Sutter Health’s Sacramento Medical Center that drew over 1,000 frontline healthcare workers calling for safer staffing, fair pay, and investment in underserved communities across the giant healthcare system. 

“We don’t want to go on strike, but we feel like we have to,” said Nikki Moorer of Sutter Solano. “We need management to stop bargaining in bad faith and listen to us to fix working conditions and short staffing. Procedures get canceled, and patients are sent home because there aren’t enough staff to properly stock the equipment we need. That’s not care. That’s a crisis.”

Healthcare workers at Sutter Health facilities in Oakland, Santa Rosa, Roseville, Berkeley, Lakeport, Vallejo, Antioch, Castro Valley, and San Francisco say that despite their dedication to provide the best patient care, management refuses to invest in the staff who make that mission possible. Turnover has forced employees to take on multiple roles and work longer hours as experienced caregivers leave for higher-paying jobs. Staffing shortages are stretching the remaining workforce thin and putting patient care at risk. Despite this, Sutter executives refuse to listen to frontline healthcare workers to negotiate for a contract to help solve these problems.

At the same time, Sutter is paying its top executives millions each year, including Sutter Health CEO Warner Thomas, who earned over $11 million in 2023, while refusing to invest in staffing and patient care. The health system also plans to replace the aging Alta Bates Ashby campus with a smaller facility in Emeryville, leading to a loss of services in the communities that need them most.

The strike votes apply to a variety of job classes, including nursing assistants, respiratory therapists, licensed vocational nurses, environmental services, cooks, technicians, and more.

Sutter Health Responds

Sutter Health responded by issuing the following statement: “Sutter Health has been bargaining in good faith with SEIU–UHW since July and we remain committed to reaching a fair and sustainable agreement.

“It’s common for unions to take a strike authorization vote as part of the bargaining process, but SEIU–UHW has not called a strike.

“We look forward to being at the table next week to continue working toward a resolution that’s best for our employees, our patients and the communities we serve.”

Sutter Health’s spokesperson also provided the following link to additional information on the 2025 SEIU-UHW and Sutter Health Labor Negotiations: Get the Facts | Vitals.

About SEIU-UHW

SEIU-United Healthcare Workers West (SEIU-UHW) is a healthcare justice union of more than 120,000 healthcare workers, patients, and healthcare activists united to ensure affordable, accessible, high-quality care for all Californians provided by valued and respected healthcare workers. Learn more at www.seiu-uhw.org.

Allen D. Payton contributed to this report.

 By Elissa Harrington, Sr. Media Relations & PR Rep, Kaiser Permanente Northern California

A mobile medical vehicle provides routine and urgent care for a community recovering from a flood.

A modern community food hub opens in a struggling neighborhood, so residents don’t go hungry.

And a high school wellness room offers teenagers a welcome respite from the stresses of daily life.

These are just three examples of programs that Kaiser Permanente recently supported as part of its mission to improve health in the communities it serves. The Kaiser Permanente Northern California Community Health Snapshot includes brief stories about these programs and much more.

In 2024, Kaiser Permanente invested $1.7 billion in Northern California communities and $89 million in the Diablo Service area, which includes Antioch and Walnut Creek, to support community health. A major part of that investment helped people access high-quality health care through Kaiser Permanente’s participation in Medi-Cal and its own Medical Financial Assistance program.

Kaiser Permanente also worked with many local organizations throughout Northern California to address the biggest factors that shape people’s health. The report is titled “Connection is Everything,” in recognition of the connections we make in the communities we serve to improve health.

“We partnered with community organizations to address deep-rooted barriers that keep people from being healthy, such as not having a safe place to live, enough food to eat, or money to cover life’s essentials,” said Yvette Radford, vice president, External and Community Affairs for Kaiser Permanente Northern California. “When we help keep people and communities healthy, the health care system works better for everyone.”

You can learn more about our work to improve health in your community by exploring Kaiser Permanente Northern California’s 11 local Community Health Snapshots. Go to our Northern California page and scroll down to the “Communities we serve” section.

Includes Medicare and commercial health plans according to NCQA

By Elissa Harrington, Sr. Media Relations & PR Rep, Kaiser Permanente Northern California

OAKLAND, Calif. – Based on national assessments of overall patient experience and clinical quality, Kaiser Permanente Northern California is once again recognized as having the highest-rated health plans in California and among the highest in the nation.

Kaiser Permanente’s Medicare and commercial health plans in Northern California each received 5 out of 5 stars – the highest rating possible, according to the National Committee for Quality Assurance (NCQA) 2025 Health Plan Ratings. This is the 10th ratings period that Kaiser Permanente Northern California has received this designation.

Nationally, only 11 health plans are rated 5 stars. NCQA also ranks Kaiser Permanente Northern California health plans as best in the state for treatment outcomes and prevention efforts.

“These national ratings speak to the high-quality care Kaiser Permanente Northern California provides to its members and patients every day and our efforts to improve health care outcomes,” said Mike Bowers, FACHE, interim president of Kaiser Permanente’s Northern California region. “Our focus on treatment, prevention, and an overall exceptional patient care experience is why our health plans are recognized as best in the state and among the top health plans nationally.”

For 2025, NCQA rated nearly 1,000 plans – commercial, Medicare, and Medicaid – for quality and service nationwide. All of Kaiser Permanente’s commercial and Medicare plans received the highest rating, or were tied for the highest rating, in all the geographic regions we serve. Kaiser Permanente had more 5-star or 4.5-star plans than any other health care organization for the tenth ratings cycle in a row. 

“Our highly-skilled clinicians are consistently delivering world-class, high-value care to our patients,” said Maria Ansari, MD, FACC, CEO and executive director of The Permanente Medical Group. “We continue to be recognized as a national leader because of our commitment to driving better health results through innovation, evidence-based treatments, and patient-centered care.”

NCQA is a national, private not-for-profit organization that surveys health plans for performance in a wide range of clinical service measures including consumer experience,  prevention, population health, and treatment.

NCQA primarily used the 2024 Healthcare Effectiveness Data and Information Set, or HEDIS®, to establish its ratings. HEDIS is the most widely used performance measurement tool in health care.

The 2025 ratings and methodology are posted on the NCQA’s website at https://reportcards.ncqa.org/health-plans.

About Kaiser Permanente

Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and not-for-profit health plans. Founded in 1945, Kaiser Permanente has a mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve nearly 12.6 million members in 8 states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists, and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technology advances and tools for health promotion, disease prevention, state-of-the-art care delivery, and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education, and the support of community health. For more information, go to about.kp.org.

NCQA annual report card gives the HMO 4.5 out of 5 stars

The National Committee for Quality Assurance (NCQA), the national evaluator of health insurance plans, has once again recognized Contra Costa Health Plan (CCHP) as one of the highest rated health plans in the nation and among the best in California for patient experience and quality of care. 

Among health maintenance organizations (HMOs) offering Medi-Cal, CCHP was one of the top three plans in California to be awarded 4.5 out of 5 stars, the highest level awarded this year, on NCQA’s annual report card. 

CCHP was also one of just 14 Medicaid plans in the United States to receive 4.5 out of 5 stars, achieving exceptionally high marks among patients for treatment and preventative care including children and women’s care and cancer screening. 

“Being recognized among the nation’s top health plans is a huge accomplishment for our staff, providers and partners,” said Supervisor Candace Andersen, Chair of the Board of Supervisors. “This rating shows that our community trusts and values the care that we provide and encourages us to keep pushing towards our goal to deliver high-quality care and improve the health of our community.”

For over 50 years, Contra Costa Health has provided high-quality, affordable coverage through CCHP. CCHP was the nation’s first federally qualified, state-licensed, county-sponsored HMO. 

“I’m so proud of the work this team has done to enable us to get this excellent rating and to serve the people of Contra Costa County,” Contra Costa Health CEO Dr Grant Colfax said. “We will continue to address community health priorities,and we look forward to what we can accomplish together in this next year.” 

CCHP’s high marks and recognition by NCQA are a direct result of the exemplary care and patient support provided by Contra Costa Regional Medical Center and Health Centers, community clinics in CCHP’s community provider network, and CCH’s Public Health and Behavioral Health divisions. Altogether, CCHP touches about 271,000 members, including 265,000 Medi-Cal enrollees. 

Visit Contra Costa Health Plan to learn more about CCHP, including how to enroll if you need healthcare, or call 1-800-211-8040 weekdays. 

About NCQA: NCQA is a private, nonprofit organization dedicated to improving health care quality. NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA’s Healthcare Effectiveness Data and Information Set (HEDIS®) is the most widely used performance measurement tool in health care. NCQA’s website (ncqa.org) contains information to help consumers, employers and others make informed health care choices. NCQA can also be found at Twitter/X @ncqa and on LinkedIn at linkedin.com/company/ncqa. 

Will be paid $708,000 per year in salary and benefits

Dr. Grant Colfax previously served in San Francisco & Marin counties, Obama administration

By Kristi Jourdan, PIO, Contra Costa County

 (Martinez, CA) – The Board of Supervisors on Tuesday appointed Dr. Grant Colfax as the Director of Contra Costa Health (CCH), effective August 19, 2025. He replaces Dr. Ori Tzvieli who served as interim Director of Health Services following the February retirement of longtime CCH CEO and Health Director Anna M. Roth. Tzviele will continue to serve as the County’s Health Officer.

Dr. Colfax brings decades of experience in health leadership and a deep commitment to health equity, innovation, and community-centered care. He most recently served as the Director of Health for the City and County of San Francisco, where he guided one of the nation’s most robust local responses to the COVID-19 pandemic. He previously served as Director of the White House Office of National AIDS Policy during the Obama administration and as Director of HIV Prevention and Research at the San Francisco Department of Public Health.

While in San Francisco, Dr. Colfax led a 9,000-person health department with a $3.2 billion budget, overseeing an acute care hospital and Level 1 trauma center, behavioral health, primary care, detention health, and population health.

He holds a Bachelor of Science in Biology from Harvard College and a Doctor of Medicine from Harvard Medical School.

“We are thrilled to welcome Dr. Colfax to Contra Costa County,” said Board Chair Candace Andersen, District 2 Supervisor. “His visionary leadership and deep understanding of public health systems will be invaluable as we work to expand access to care, address longstanding health disparities, and support the overall well-being of our communities.”

Dr. Colfax replaces Dr. Ori Tzvieli, who served as interim director during the executive search and will remain Contra Costa County’s Health Officer.

“We thank Dr. Tzvieli for his steadfast leadership during this time of transition, and I want to express my gratitude that he will continue as the County’s Health Officer,” Supervisor Andersen added.

Dr. Colfax will oversee a comprehensive integrated health system that includes a nationally recognized public hospital, regional health centers, behavioral health services, emergency medical services, environmental health, and public health operations serving over 1.2 million county residents.

“I am honored to join Contra Costa Health and to serve a community that values collaboration, compassion, and equity,” said Dr. Colfax. “I look forward to working with the incredible staff and partners across the County to improve outcomes and ensure that every resident—regardless of background or circumstance—has access to quality, dignified care.”

The cost to fund the Director of Health Services for the remainder of the fiscal year is about $619,000. Annual ongoing costs are estimated at about $708,000. These expenses are budgeted for the 2025–26 fiscal year.

Asked about those figures Contra Costa County PIO Jourdan responded, “That $708,000 figure includes salary plus benefits. The $619,000 is what’s available given the time left in the fiscal year.”

About Contra Costa Health

Contra Costa Health (CCH) is a comprehensive county health system committed to providing high-quality services with a focus on equity and access. From its nationally ranked Contra Costa Regional Medical Center and Health Centers to its innovative Behavioral Health, Public Health, and Emergency Medical Services divisions, CCH serves as a cornerstone of wellness for more than a million residents across the county.

Allen D. Payton contributed to this report.

To serve homeless veterans; volunteers needed

Community Day Sept. 13 is for anyone and everyone

By Delta Veterans Group

The Delta Veterans Group brings Contra Costa County (CCC) “Stand Down on the Delta” a Homeless Veterans’ “Hand Up” event every other year (2015, 2017, 2019….) DVG is proud to bring Stand Down on the Delta 2025, September 12-15, to the Contra Costa County Fairgrounds in Antioch.

This is a four-day event wherein U.S. military veterans receive services in Medical, Dental, Veterans Treatment Court, Housing, Job Placement, Mental Health and Drug and Alcohol Counseling.

We are also looking for volunteers. Please contact us through our website at Contact Us | Delta Veterans Group.

To date the Stand Down on the Delta biennial event has helped thousands of veterans and their families, served thousands of meals, given away over 1,100 pairs of boots, over 1,500 sleeping bags, over 1,300 pairs of new jeans, $500,000 in dental care, taken over 200 veterans fishing on our Delta shores and helped many more find permanent housing.

We work with over 70 different organizations during our four day Stand Down on the Delta event. In September of 2019 over 850 Volunteers from around the State of California and even as far as South Carolina came to Antioch to help us provide these great services to our veterans.

About DVG

Delta Veterans Group is a 501(c)3 Veterans service non-profit that assists our Nation’s finest men and women with housing, employment, health, and education services. Founded in Contra Costa County in 2012 by Army veteran J.R. Wilson, DVG has now grown to provide services to surrounding Northern California areas including Alameda, Monterey, Napa, San Joaquin, San Francisco and Solano counties.

340B Drug Pricing Program costing employee health plans $5B per year

“Hospitals realized they could buy heavily discounted drugs and resell them to insured, middle-class patients at huge markups.”

By Dan Crippen

An obscure, supposedly free federal program is blowing a hole in state budgets — by depriving state governments of billions in corporate tax revenue and inflating costs for their public employee health plans. 

The culprit is the 340B Drug Pricing Program, which Congress established in 1992 to help safety-net hospitals. Once enrolled, qualifying hospitals and clinics and their partner pharmacies — collectively called “covered entities” — can purchase medicines directly from drug manufacturers or wholesalers at roughly 50% discounts. 

Congress expected only about 90 hospitals to participate. Today, more than 2,600 hospitals are enrolled. 

This explosive, unintended growth is the result of the program’s lax requirements. Covered entities are not required to expand charity care or even report how they use their 340B earnings.

Hospitals realized they could buy heavily discounted drugs and resell them to insured, middle-class patients at huge markups. In some cases, hospitals have charged cancer patients nearly ten times what they paid to acquire the drug. 

The opportunity to upcharge patients has proven irresistible and fueled the program’s bloat. In 2023, covered entities purchased $124 billion worth of medicines — but only paid $66 billion, meaning they received roughly $58 billion in discounts. 

Numerous audits have revealed that many hospitals use the funds to subsidize expansion in affluent neighborhoods, rather than support low-income or uninsured patients.

This perverse behavior harms state taxpayers. Because most 340B hospitals are technically non-profits, their earnings aren’t taxed. As a result, states collect about $3.5 billion less in corporate income tax and other tax revenue than they otherwise would. That’s money not available for public health, education, infrastructure, or employee benefits.

The 340B program hurts states in other ways, too.  

The program incentivizes hospital systems to acquire independent clinics — which don’t qualify for 340B — and designate them as “child sites” that subsequently become eligible for 340B. 

This leads to higher healthcare spending, since care at hospital-owned sites is more expensive than at clinics and independent practices. 

Care at 340B hospitals tends to be more expensive than care at competing hospitals, too. The average per-patient prescription spending at 340B hospitals is 150% higher than non-340B hospitals.

All told, large employers and their workers spend over $5 billion more per year on health care as a result of 340B. Every extra dollar that businesses spend on health care is a dollar that’s deducted from their taxable income. 

The program also inflates costs for state employee health plans. Utah recently found that its Public Employees Health Program is losing out on $3.9 million in rebate savings due to 340B.

Some state lawmakers are unwittingly compounding the damage by making it easier for pharmacies to contract with 340B hospitals and clinics. 

Instead of boosting care for poor patients, 340B drains public resources while enriching large hospital systems. Reform is desperately needed.

Dan Crippen is the former Director of the Congressional Budget Office. This piece originally ran in RealClearHealth.

U.S. News & World Report’s annual study rates hospitals among the top 30 percent in the nation for the treatment of complex medical conditions and procedures

Antioch rated high performing in 6 adult procedures & conditions; Oakland/Richmond ranked #4, Walnut Creek ranked #9

By Elissa Harrington, Sr. Media Relations & PR Rep, Kaiser Permanente Northern California

OAKLAND, CA – Kaiser Permanente Northern California’s hospitals are once again being nationally recognized for providing patients with comprehensive care and evidence-based treatments for complex medical conditions and procedures.

U.S. News & World Report’s 2025-2026 Best Hospitals annual report ranks all 21 Kaiser Permanente Northern California hospitals as “high-performing” – or among the top 30% of hospitals in the nation – for at least one of the 37 measures evaluated. The measures include congestive heart failure, pneumonia, colorectal cancer surgery, stroke, and diabetes.

Approximately, 4,500 hospitals participated in the study, which analyzes hospital performance for 15 specialty care areas and 22 procedures and conditions. The “high performing” designation honors those hospitals that deliver high-quality care when treating complex medical conditions.

Kaiser Permanente hospitals are consistently recognized nationally for providing high-quality and safe patient care leading to better health outcomes.

“This recognition reflects our ongoing commitment to provide superior, quality health care to improve the lives of our patients, members, and the communities we serve,” said Mike Bowers, FACHE, interim president of Kaiser Permanente’s Northern California region. “Our hospitals are leaders in the nation because our highly skilled care teams put our patients at the center of everything they do.”

Hospitals ranked among best in state

Kaiser Permanente Northern California has eight hospitals designated as “Best Regional Hospitals” because they are ranked among the best in the state: Oakland/Richmond ranked #4, Walnut Creek ranked #9, Roseville, San Francisco, San Jose, Santa Clara and South Sacramento.

Kaiser Permanente Vallejo is also ranked as one of the top 50 hospitals in the nation for rehabilitation. And Kaiser Permanente South Sacramento is recognized as a “Best Regional Hospital for Community Access” for the care it provides to underserved populations.

Kaiser Antioch Medical Center, a general medical and surgical facility, is rated high performing in six adult procedures and conditions, including: Heart Failure; Stroke; Hip Fracture; Hip Replacement; Chronic Obstructive Pulmonary Disease (COPD) and Pneumonia.

“Our physicians, nurses, and care teams work collaboratively to deliver high-quality, high-value, patient-centered care,” said Maria Ansari, MD, FACC, chief executive officer and executive director of The Permanente Medical Group. “We remain committed to advancing evidence-based treatments and leveraging the latest innovations in technology to improve the lives of our patients to live longer and healthier.”

In its hospital analysis, U.S. News & World Report uses publicly available data such as volume, mortality rates, infection rates, staffing levels, and patient satisfaction rates, among other factors. 

The annual ratings and rankings are designed to help patients, and their health care providers make informed decisions about where to receive care for challenging health conditions or elective procedures.

About Kaiser Permanente 

Kaiser Permanente is committed to helping shape the future of health care. We are recognized as one of America’s leading health care providers and not-for-profit health plans. Founded in 1945, Kaiser Permanente has a mission to provide high-quality, affordable health care services and to improve the health of our members and the communities we serve. We currently serve nearly 12.6 million members in 8 states and the District of Columbia. Care for members and patients is focused on their total health and guided by their personal Permanente Medical Group physicians, specialists, and team of caregivers. Our expert and caring medical teams are empowered and supported by industry-leading technological advances and tools for health promotion, disease prevention, state-of-the-art care delivery, and world-class chronic disease management. Kaiser Permanente is dedicated to care innovations, clinical research, health education, and the support of community health. For more information, go to about.kp.org.