Monthly Archives: April 2011
Is Rate Regulation Good for California?
| April 28, 2011 | Posted by ITUP under Blog |
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Today’s guest blogger is Micah Weinberg, PhD, Senior Research Fellow at the New America Foundation. The California legislature is considering AB 52 (Feuer), a bill that would allow state regulators to reject excessive health insurance rate increases. Ultimately, this legislation is about social justice since access to healthcare is a… more
Basic Health Plan in California?
| April 27, 2011 | Posted by ITUP under Blog |
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Senate Bill 703 (Hernandez) would establish a Basic Health Plan (BHP) in California. Background In addition to an expanding Medi-Cal eligibility and establishing health benefit exchanges, the Affordable Care Act (ACA) provides an option for states to establish a BHP, a separate program for persons with incomes between 134% –… more
ACO Regulations
| April 25, 2011 | Posted by ITUP under Delivery Systems |
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Introduction The Patient Protection and Accountable Care Act (ACA) of 2010 included dozens of novel policies designed to cover 33 million uninsured Americans and slow the exponential rise of costs in our health care system. The legislation introduced various new payment and delivery models that will encourage payers and providers… more
Accountable Care Organizations: Analysis of Proposed Regulations
| April 24, 2011 | Posted by ITUP under Delivery Systems |
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Introduction The Patient Protection and Accountable Care Act (ACA) of 2010 included dozens of novel policies designed to cover 33 million uninsured Americans and slow the exponential rise of costs in our health care system. The legislation introduced various new payment and delivery models that will encourage payers and providers… more
Draft ACO Rules – Summary and Analysis
| April 22, 2011 | Posted by ITUP under Blog |
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On March 31, 2011, the U.S. Department of Health and Human Services released these proposed rules that will, when final, facilitate the operation of Accountable Care Organizations (ACOs) under the ACA. I, along with my ITUP colleagues Sara Watson and Erica Brode, just produced this brief report that (a) provides… more
CaliforniACA: A Monthly Implementation Update
| April 21, 2011 | Posted by ITUP under Blog |
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Earlier today, we sent out the first edition of CaliforniACA — ITUP’s monthly update of ACA implementation efforts in California. Because there are so many parts to the ACA, tracking the implementation of these changes in a state with communities and markets as diverse as those in California is too… more
Exchange Board Meets for the First Time
| April 20, 2011 | Posted by ITUP under Blog |
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Earlier today, the Board of the California Health Benefit Exchange — now being abbreviated “CHBX” — met for the first time in Sacramento. Even though only 4 of 5 board members were present (the 5th board member, to be appointed by the Senate President Darrell Steinberg, has yet to be… more
CaliforniACA – April Newsletter
| April 19, 2011 | Posted by Ashley Cohen under Blog, Legislation/Policy, State |
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California’s Uninsured About 4.7M of California’s 7M uninsured will have access to subsidized coverage in 2014. 3M will qualify for Medi-Cal, and 1.7M will be eligible for refundable tax credits in the Exchange. About 0.9M persons with individual coverage and incomes under 400% of FPL ($89,000 for a family of… more
The Waiver, CPE’s & County Funding
| April 18, 2011 | Posted by ITUP under Blog |
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On Tuesday, May 10 from 1:00 to 3:00 p.m., the Western Center on Law & Poverty (WCLP) and the National Health Law Program (NHeLP) are co-sponsoring a training on the waiver. Led by Jonathan Freedman of the L.A. County Department of Public Health, the meeting will focus on county decisions… more
Time for an All-Payer Claims Database in CA?
| April 15, 2011 | Posted by ITUP under Blog |
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[The following post was written by Erica Brode, ITUP intern.] Recently, one of my health policy professors complained to her primary care physician about serious discomfort in her knee. Her doctor referred her to an in-network orthopedic surgeon who performed a MRI and then referred her to the in-network hospital… more
