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Safety Net Integration

Along with the tumult and flux that will invariably come with the implementation of health reform, the next few years offers California an opportunity to reexamine existing health care systems and structures. Reform implementation, therefore, brings with it the possibility of better designing the way health coverage and health care are administered and delivered in our state.

At ITUP, we’ll be exploring those possibilities, particularly focusing on four areas, among others:
(1) The California Health Benefits Exchange;
(2) Medi-Cal Eligibility and Enrollment Simplification;
(3) Stability in Payment and Reimbursement Reform; and
(4) Creating an Integrated Safety Net and System of Care.

For instance, on number (2), we have already begun thinking and writing about opportunities for Medi-Cal Modernization.

To further the conversation on number (4), the Robert Wood Johnson Foundation (RWJ) has provided a two-year grant to examine well-functioning safety nets that provide low-income patients affordable access to comprehensive care.

The recipient of that grant, Mark Hall, Professor of Law and Public Health at Wake Forest University Medical School, has recently released five in-depth case studies examining the costs and adequacy of better functioning safety net systems in Asheville NC, Boston MA, Denver CO, Flint MI, and San Antonio TX.

For those interested in how we in California may one day provide more effective, coordinated care, be sure to read Professor Hall’s case studies.

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