Valley Health Plan has managed to capture about 3 percent of the Santa Clara County market under Covered California, which is slightly below state levels. Though this figure pales in comparison to enrollment figures reported by the top four major healthcare providers, and it’s not as strong a figure as county officials expected two months away from the end-of-March enrollment deadline, it does represent a comparable market share to other small, local health plans, according to county officials.

The county Board of Supervisors on Tuesday will decide how to allocate a third of this year’s Measure A revenue, or $15.3 million. They’re expected to spend the bulk of it on affordable housing and healthcare for the uninsured. Other items on the include guidelines for a 55-acre civic center in downtown San Jose, rapid re-housing for the homeless and downsizing a tobacco prevention and control program.

CFOs are dropping like flies—well, not this Fly—over at the County of Santa Clara offices. Last Friday marked the final hurrah in the tenure of Dave McGrew, the chief financial officer of Valley Medical Center (VMC) since August 2011. Word is McGrew was placed on administrative leave a couple weeks prior to his sayonara. While McGrew trotted out the boilerplate goodbye in an email to staff, citing a need for more time with his family, his admin leave was not voluntary, according to sources in the county. David Claude, the director of general accounting, will take over as interim CFO, which means the county now has temps staffing its two most important finance positions.

After four months of negotiating, threatened strikes and sickouts, Santa Clara County reached an agreement Friday with its biggest union, whose employees agreed to chip in more from their own paychecks for healthcare in exchange for small raises.

Ticked off that Santa Clara County refused to continue labor negotiations over the weekend and still demands forced overtime to patch up staffing shortages, the county’s largest union sounds like it’s ready to strike. SEIU 521 will hold a noon press conference to announce the decision, where it is expected to demand benefits that would make it easier to recruit and retain qualified workers.

After 11 years of shortfalls and $2 billion of gap-closing, Santa Clara County plans to adopt a budget that maintains services and even restores some debilitating cuts. The Board of Supervisors will spend four days this week hammering out last-minute details of the $4.6 billion 2013-14 budget, which must balance a $67 million shortfall.

Archaeologists and osteologists unearthed skeletal remains in unmarked redwood caskets from a pauper’s graveyard Thursday morning. In final excavations to ready the site for Valley Medical Center’s expansion, they found a clay smoking pipe, a wool jacket, an assortment of pocket knives and spectacles, among other personal items buried with the 1,400 or so bodies in the unmarked potter’s field, according to a county spokesperson.

The number of sexual abuse cases involving kids behind bars nearly doubled last year when compared to 2011. The disturbing increase occurred in spite of declining populations at Santa Clara County Juvenile Hall and William F. James Ranch. A report on sexual assaults involving incarcerated youth will go before the Santa Clara County Board of Supervisors on Tuesday. Also on the agenda are a number of health and public safety contracts up for renewal.

As an active resident in Santa Clara County’s District 2, I, like so many others, am ashamed of George Shirakawa. The former supervisor blatantly violated the trust of the most vulnerable residents of our district. His deplorable actions have led this district, which suffers from high rates of poverty, gangs, drug issues, under-education and lack of healthcare, to have absolutely no representation until August.

In the first five months of the fiscal year, Santa Clara Valley Medical Center’s on-call and overtime pay for doctors took a staggering leap, going from an average of less than $20,000 a month in 2011-12 to $967,000 this fiscal year. The Board of Supervisors will discuss the $1 billion health agency’s drastic uptick in costs—4,835-percent increase in per-month, on-call wages— as well as other issues at Tuesday’s meeting.

While the healthcare imbroglio meanders on in Congress, Gov. Arnold Schwarzenegger is being forced to decide how to resolve California’s own healthcare crisis. The state ranks last nationwide in terms of medical coverage for low income residents. This means that poor people are forced to turn to emergency rooms for everything from undiagnosed cancers to the common cold and, as a result, more than half of state hospitals are operating in the red.