ITUP Analysis of OSHPD Data about Safety Net Hospital and Clinic Utilization and Revenue
| April 12, 2013 | Posted by Lucien Wulsin under Delivery Systems, Funding, Health Financing, Medi-Cal, Public Coverage, The Uninsured |
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This ITUP analysis uses data from the California Office of Statewide Health Planning and Development to asses safety net hospitals’ and clinics’ utilization and revenue. The charts and tables provide data by payer and display trends over the last several years. The data are available for hospitals (inpatient and outpatient… more
Redefining the Relationship between California’s State and County Governments: Creating Healthier Communities through Innovative Collaboration and Financing
| April 3, 2013 | Posted by John Connolly under Delivery Systems, Health Financing, Insurance Exchange, Legislation/Policy, Medi-Cal, Public Coverage, State, State Budget |
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California is the most populous and perhaps the most diverse state in the nation. To accommodate the needs of its different communities, the state relies on its 58 counties to administer many public and social services. The State formally realigned responsibility for administering certain public programs from the state to… more
Realignment Redistribution Formulas
| February 21, 2013 | Posted by Lucien Wulsin under Delivery Systems, Health Financing, Legislation/Policy, Public Coverage, State |
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The full report is also available for download: One of the great questions at the ITUP conference that went unanswered is “what formula could/should/might be used by the state and the counties in re-allocating the county health realignment savings from coverage expansion?” Background: Health realignment pays for indigent health and… more
Continued Slower Growth in U.S. Health Costs Reduces Federal Budget Deficit Estimates
| February 13, 2013 | Posted by John Connolly under Blog, Delivery Systems, Health Financing, Health Financing News, Public Coverage |
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Last week, the Congressional Budget Office (CBO) reduced its estimates of federal spending on Medicare and Medicaid as a result of a marked slowdown of the rise in health care costs during the last few years. This pattern of deceleration has brought the rise in health care costs to its… more
San Francisco’s Leg Up on the Affordable Care Act
| February 6, 2013 | Posted by John Connolly under Blog, Delivery Systems, Legislation/Policy, Public Coverage |
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Think the full implementation of the Affordable Care Act in 2014 will take care of the challenges of the uninsured? Think again. Even after full implementation, the Congressional Budget Office<http://cnsnews.com/news/article/cbo-obamacare-will-leave-30-million-uninsured> estimates that some 30 million Americans will remain without health insurance. Some of these will be people who, despite the broader… more
Thinking Ahead – High Priorities for ACA Implementation in California
| January 24, 2013 | Posted by Lucien Wulsin under Delivery Systems, Health Financing, Insurance Exchange, Legislation/Policy, Medi-Cal, Special Features, The Uninsured |
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This report looks at California — where we are and where we need to go in implementing the Affordable Care Act. These materials reflect ITUP’s views on the challenges for California health reform and a status report for the progress we’ve made. We welcome your thoughts and feedback, and hope… more
Thinking Ahead: High Priorities for CA’s ACA Implementation (DRAFT)
| December 21, 2012 | Posted by Lucien Wulsin under Delivery Systems, Health Financing, Insurance Exchange, Legislation/Policy, Medi-Cal, Public Coverage, State |
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This working draft examines California’s ACA implementation efforts – where we are and where we need to go in the near future. Topics discussed include: Education, outreach and enrollment Medi-Cal expansion and simplification Exchange Residually uninsured Behavioral health Safety net Bending the cost curve Evolution The draft is available for… more
Affordable Care Act Provisions for Consumers
| September 10, 2012 | Posted by John Connolly under Delivery Systems, Insurance Exchange, Medi-Cal, Public Coverage, The Uninsured |
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The Affordable Care Act (ACA) was the most consequential piece of health care legislation in decades and remains deeply controversial among the American public more than two years after becoming law. Even though some individuals have strongly held opinions about the law, much of the public still has a relatively… more
An Initial Report on Mandatory Enrollment of Medi-Cal’s Seniors and People with Disabilties into Managed Care
| August 31, 2012 | Posted by John Connolly under Blog, Delivery Systems, Legislation/Policy, Medi-Cal, Public Coverage, State |
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The California Healthcare Foundation (CHCF) recently released a report examining health plans’, providers’, and stakeholders’ experiences during Medi-Cal’s mandatory transition of seniors and people with disabilities to managed care as a part of California’s “Bridge to Reform” 1115 waiver. The managed care expansion primarily affected 240,000 beneficiaries in 16 counties… more
DHCS Rural Managed Care Expansion Stakeholder Webinar
| August 29, 2012 | Posted by John Connolly under Blog, Delivery Systems, Legislation/Policy, Medi-Cal, Public Coverage, State |
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On August 28, 2012, the Department of Health Care Services (DHCS) held a stakeholder webinar about the Medi-Cal rural managed care expansion. The webinar began with a review of the request for application (RFA), and DHCS officials indicated that they are working to release the RFA in September. DHCS representatives… more
