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County LIHP Proposals: Summary and Analysis

Introduction A significant component of the new §1115 Waiver, the Low Income Health Program (LIHP) presents California counties an opportunity to receive tens of millions of dollars in federal matching funds to provide coverage for their medically indigent adult (MIA) populations.  In essence, the LIHP is an early start to… more

ITUP Summary of Counties’ LIHP Applications

On March 18th, we noted that DHCS had recently published copies of 26 counties’ applications for the Waiver’s Low Income Health Program (LIHP). Based on the projections in their applications, counties predict the total number of people covered under the LIHP to be approximately 455,000, — with the vast majority… more

On Budget, Many Cuts & Little Compromise

Over the past week, the California legislature has passed and Governor Brown has signed 13 budget bills that include more than $11 billion in cuts aimed at helping to fill the state’s $26.6 billion shortfall. The Governor’s original plan was to pass these reductions along with $12 billion in tax… more

The Search for CPEs

California’s new section 1115 waiver allows counties to secure a federal match for care to their medically indigent adult (MIA) population, those adults with incomes less than 133% of the federal poverty level (FPL).  While this federal match is uncapped, the limiting factor is the availability of certified public expenditures… more

Lots of Rumblings, But No Budget Deal in Sight

Quick Budget Update: Both houses of the state legislature are holding floor votes today on the budget, but most observers suspect that neither house will achieve passage of the budget since it requires a two-thirds majority, and no Republicans have yet to publicly support the plan. Visit the Sac Bee… more

San Diego Out the Gate on ACOs

Reforming California’s health care delivery system will require providers and payers to integrate and coordinate their activities to improve quality outcomes and lower costs in Medicare, Medicaid and private coverage. Accountable care organizations (ACOs) could be one successful mechanism to do just that. An ACO generally is a group of… more

New Report on the Uninsured Post-Reform

According to the UCLA Center for Health Policy Research, approximately two-thirds of California’s 7 million uninsured will be eligible for affordable health insurance after all of the ACA’s coverage expansions and other provisions are implemented. But simply because the vast majority of the uninsured will be eligible for coverage doesn’t… more

The Navigator Program Revealed

The California Health Benefit Exchange, arguably the most novel and exciting component of federal health reform, aims to enable as many as four million California individuals and small businesses to easily and meaningfully compare health plans and find affordable insurance products. Because outreach to, education for, and enrollment of those… more

Waivers, Waivers, Waivers, and More Waivers

It seems that the term “waiver” is showing up a lot these days. That’s no surprise considering that thousands of waivers related to the health law have either been granted or are under consideration. These waivers grant flexibility to states, health plans, employers, and even individuals regarding mandates under the… more

Prognosis for Budget Deal Still Uncertain

The Legislative Conference Committee voted on a budget last Thursday that closely parallels Governor Brown’s original plan: $12.5 billion in cuts, a $1.1 billion reserve, and tax extension / realignment proposal to generate $12 billion in revenue. You can find a summary of the Committee’s agreed-upon healthcare cuts in this… more