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County LIHP Applications Now Available Online

One of the most significant parts of the new section 1115 waiver is the Low Income Health Program (LIHP). In essence, the LIHP is an opportunity for California counties to receive federal matching funds to provide coverage for their medically indigent adult (MIA) populations between June 1st of this year… more

Useful Resources

We recently compiled a county-by-county comparison on the effects of reform in California, estimating the extent of coverage expansion and subsidies at the county level. Below are the overview and spreadsheet describing our findings: Before and After Reform: A County by County Comparison (pdf) County Statistics (xls) The House Committee… more

Health Reform’s Ideal Timeline through the House

Today: The House Budget Committee ‘marks up’ the reconciliation bill, effectively moving it to the Rules Committee after a 48 hour waiting period Tonight/Tomorrow: The legislative language and CBO score of the reconciliation bill are made public Wednesday, March 17 – Thursday, March 18: The House Rules Committee takes up… more

Help for California, and Reform Presses On

New numbers released by the state indicates that January was the worst on record for joblessness in California at a rate of 12.5%, with eight counties experiencing at least 20% unemployment. Yesterday the Senate passed the “American Workers, State, and Business Relief” Act, which will bring some much needed help… more

Q: What’s worse than a 39% increase in your insurance premiums?

A: That same insurance covering only 48% of your medical expenses. This was the case for persons buying insurance in the individual market from 2004-2007, according to a new KFF analysis. By now most have heard about the recent premium hikes to individuals in the nongroup market, but less known… more

The Final Push

We are in the defining final weeks for federal health reform, and the path before us is clear; first pass the Senate bill as-is in the House and then create a package of budgetary fixes requiring only majority support in the Senate. House members are reluctant to pass the Senate… more

Federal Health Reform in California

Below is a set of slides for your reference, analyzing many of the effects of federal health reform in California. The slides exhibit current trends in health costs and coverage, estimate the degree of coverage expansion and subsidies in California as a result of reform, and highlight next steps in… more

End of the Line

The President’s speech today issued a clear path toward reform’s passage, calling for an effective end to this legislation’s journey and an up-or-down vote within weeks. Obama rejected the idea of piecemeal reform, recognized fundamental partisan divides over an incredibly complex and personal issue, and relayed a rightful sense of… more

Major Developments

President Obama issued a letter to Congressional leadership today, outlining the Republican priorities that he agrees with and wishes to pursue in his Compromise 2.0 to be released tomorrow. These include 1) undercover health professionals to deter fraud and waste in Medicare and Medicaid, 2) additional appropriations for state malpractice… more

More Caution from California

A new study released in Health Affairs highlights a potential cause of out-of-control growth in health care expenditure. The interesting trend, taking California as a bellwether case-study, suggests that cost growth is a result of an increased integration/consolidation of provider market share in response to low public payment rates. These… more