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Covered California April 2016 Board Meeting

The Covered California Board of Directors met on April 7, 2016 in Sacramento. The agenda included Covered California’s analysis and recommendations for a Section 1332 Affordable Care Act (ACA) waiver in California, proposed revisions to Covered California’s qualified health plan (QHP) contracts, changes to the standard benefit designs for 2017, […] more

Hospital Data – OSHPD 2014

Below are detailed excel sheets of the 2014 Office of Statewide Health Planning and Development (OSHPD) hospital utilization and financial data. As 2014 marks the start of ACA implementation, the data is a good measure of the changes that took place as a result of the law. Hospitals were analyzed by region, […] more

Reflections on the 6th Anniversary of the Affordable Care Act

Today we mark six years since passage of the landmark federal Affordable Care Act (ACA). This is an important opportunity to take time and acknowledge our collective efforts to embrace and fully implement the ACA and its coverage expansions. ACA implementation has essentially cut in half the number of uninsured […] more

Online Symposium: The New Health Care Industry

The health care industry has undergone significant transformation, one of the most notable aspects being a wave of mergers and acquisitions that have led to an increase in market consolidation (a topic that was featured at this year’s ITUP conference). While the fact that these changes are happening is indisputable, […] more

Covered California January and February 2016 Board Meetings

Summary of 3rd Open Enrollment Open enrollment 3 (OE3) closed Sunday, January 31, 2016. Executive Director, Peter Lee, reported that 439,392 new signups occurred through February 6, 2016. Data from this third enrollment shows that consumers are shopping around and that the health plans with the lowest prices end up […] more

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