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Love and the Health Plans: MCO Tax Proposal Imminent with Details to Follow

Love is in the air and the largest health plan association is not immune. Several media outlets are reporting that a new Managed Care Organization (MCO) tax is getting support from the California Association of Health Plans. Details of the new plan are not yet released, but it seems as […] more

Covered California: Consumers Still Have Through Feb. 6 to Finish Their Applications

From Covered California’s website: SACRAMENTO, Calif. — With three days left for consumers to finish their applications for affordable, quality health care coverage through the Patient Protection and Affordable Care Act, Covered California announced that more than 425,000 consumers had made plan selections during its third open-enrollment period. “In the […] more

Medi-Cal 2020: ITUP’s Analysis of California’s New §1115 Waiver

Over the next couple of weeks, ITUP will be posting a number of papers analyzing the terms and conditions of the new §1115 waiver. These papers will look closely at the new requirements and their implications for the Medi-Cal program. Released Papers: Summary of the Terms and Conditions Managed Care […] more

Medi-Cal 2020: Continuing Transformation and New Initiatives to Improve Health Outcomes

On December 30, 2015, the Centers for Medicare and Medicaid Services formally approved California’s §1115 waiver renewal, replacing the existing Bridge to Reform waiver. Medi-Cal 2020: Continuing Transformation and New Initiatives to Improve Health Outcomes, a brief by Harbage Consulting with support from The California Endowment, lays out the key […] more

Where Should We Be Going?

The Affordable Care Act (ACA) created a hybrid with many moving parts: incorporating employer mandates, individual responsibility and refundable tax credits (shared responsibility), and a Medicaid expansion. It is unclear which parts over time will give way to others. Some predict the demise of employment-based coverage; there is no evidence […] more

Better Understanding the Governor’s Medi-Cal Projected Budget for FY 2015-16 and 2016-17

The Medi-Cal budget for FY 2015-16 was estimated at $92 billion and the budget projected for 2016-17 is $85 billion or $7 billion less. The General Fund portion is estimated at $17.6 billion for 2015-16 and at $19 billion for FY 2016-17 or $1.4 billion more. The total reported budget […] more

ITUP FY2014-15 Annual Report

ITUP’s FY2014-15 Annual Report is now available for download. Below, please find a message from our Executive Director, Lucien Wulsin. Dear Friends and Colleagues, ITUP’s goals for 2014-15 were to build on and accelerate the first year’s successes in Affordable Care Act (ACA) enrollment and to begin building consensus on […] more

ITUP Summary of the Governor’s Proposed State Budget for FY 2016-17

The Governor’s FY 2016-17 proposed state budget has been released. Notably, Governor Brown is proposing significant contributions into the State’s Rainy Day Fund and major payments against California’s existing debt. California is projected to run a $5 billion surplus this year, with a smaller $3 billion surplus next year. This […] more

Summary of the Terms and Conditions for California’s Section 1115 Waiver Renewal

California’s Section 1115 Waiver Renewal Terms and Conditions has six elements: managed care expansion; preventive dental care for children ($750 million); whole person care pilots ($1.5 billion); substance abuse treatments (Drug Medi-Cal); global budgets for public hospitals; and PRIME upgrades ($7.5 billion) in managed care readiness for county, UC, and […] more

ITUP Summary of Health Components of the Governor’s Proposed State Budget for FY 2016-17

The Health and Human Services Agency proposed budget is $136 billion of which $34 billion is state General Fund. Medi-Cal costs $85 billion; Developmental Services $6.4 billion; 1991-2 realignment $5.3 billion; 2011 realignment $4.9 billion, and IHSS (In Home Support Services) $10.4 billion. Medi-Cal’s General Fund costs are projected to […] more