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Focus is Squarely on Budget Crisis… in DC

For the past three months, attention in Sacramento has been affixed on the state’s $26.6 billion budget shortfall, the recently passed cuts that will shrink the deficit in half, Republican’s unwillingness to allow voters to decide on tax extensions, and the Governor’s deliberations on what to do next. Recently, however, […] more

Promoting Reform Through Payment Restructuring

As part of our Delivery System Reform Issue Workgroup, ITUP recently produced this white paper that discusses, among others, opportunities 
California to 
achieve cost
 savings and improvement in care by imposing various, novel reforms and payment techniques in Medi-Cal, Medicare, Health Families and private insurance. Alternative […] more

Unemployment Rate Hits 2-Year Low

The US Labor Department announced that March 2011 unemployment numbers dipped to 8.8% with the addition of 216,000 jobs, exceeding the expected 190,000. The unemployment rate in February was 8.9%, and the rate decreased by a full percentage point over the last four months, the sharpest drop since 1983. While […] more

HHS Releases Long-Awaited ACO Rule

Yesterday, the Department of Health & Human Services issued this proposed regulation for Accountable Care Organizations (ACOs), part of the ACA’s Medicare Shared Savings Program. An ACO generally is a group of health care professionals (ideally, in concert with a health plan) that receive and distribute payments, provide care coordination, […] more

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