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A REAL WHO DONE IT – Differing Perspectives on the Macro and Micro Economic Factors Affecting Healthcare Spending In depicting and forecasting trends, health economists correlate recent healthcare spending rate declines as intrinsically tied to the national economic downturn. From 1980 to 2008, U.S. healthcare spending grew by 7 percentage […] more

LA County CEO Report Outlines Opportunities and Risks of Proposed Unified Health Agency

The Los Angeles County CEO’s office just released a report under the Board of Supervisors’ direction to explore the creation of a new unified health agency that would include the three County health departments, including Health Services (DHS), Mental Health (DMH), and Pubic Health (DPH). The report considers benefits, risks, and possible […] more

Long Waits Feared with Obamacare Fail to Materialize

Many consumers, healthcare providers, and other market observers feared that the increase in health coverage through Obamacare would cause access problems in the form of long waits for appointments and a lack of hospital beds. So far, it appears that this fear has generally not materialized. According to several studies, […] more

March Covered California Board Meeting

Now that California’s second open enrollment has closed, it’s time to continue thinking about the future. During Covered California’s latest board meeting, there was a lot of discussion about the 2016 plan year and beyond. Below are the details from the March 5th board meeting. New Appointees It was announced […] more

Risks vs. Outcomes: How Does Your County Measure Up?

How healthy is your county? How many years are lost to premature deaths? How frequently are babies born underweight? Does it do better than the state average? Better than the national average? What about wellness? Do residents have insurance? Can they find physicians when they need care? Are they able […] more

ITUP Summary of DHCS Waiver Renewal Concepts

The concept paper includes the following: Delivery System Transformation and Global Safety Net Payments for the Remaining Uninsured. Within the Delivery System Transformation are the following six sub-elements: managed care transformation, fee for service transformation, public safety net transformation, workforce development, housing and supportive services, and regional whole person care […] more

Medicaid Expansion Fights Back Against Diabetes

A newly released study suggests that states taking part in Medicaid expansion under the Affordable Care Act are doing a significantly better job at identifying patients with undiagnosed diabetes. The study found that diabetes diagnosis rates among Medicaid rates increased over 10 times as much as those living in non-expansion […] more

Five Years Later: Building on the Successes of the Affordable Care Act

Today, the Affordable Care Act turned five. That is something to celebrate. In California, over 4.4 million individuals gained coverage under and the new Medi-Cal expansion, cutting the uninsured rate in half. Premiums have only risen at a slow rate, despite predictions that they would spiral out of control. Subscribers […] more

New Survey Explores Behavioral Health Needs and Preferences of Californians with Low Incomes

The Blue Shield of California Foundation just released the results of a recent survey report by Langer Research Associates that highlights the behavioral health experiences, needs, and attitudes of Californians with low incomes. The main findings are that many Californians with lower incomes are not receiving needed behavioral health services, and […] more

Turnaround or Bust – How Jackson Health System Avoided (at least, so far) Drowning in Red Ink; a Fate Suffered a Decade Earlier by DC General

Having lived through the closure of one public health delivery system – DC General in the District of Columbia (DC) – I can easily say, Jackson Health System (JHS) in Miami’s transition certainly made it easier to sleep at night. Interesting enough, both transitions were stewarded by individuals with little […] more