California’s health system is funded through several income streams, from individual premiums to federal tax income. ITUP focuses on financing for public health programs, the most relevant funder being the California State Budget.
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
Republican Governor Rick Scott Announces Support for ACA Medicaid Expansion in Florida
| February 21, 2013 | Posted by John Connolly under Blog, Funding, Health Financing, Health Financing News, Legislation Policy News, Medi-Cal, Public Coverage, Public Coverage News |
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Yesterday, Florida Republican Governor Rick Scott threw his support behind adopting the Affordable Care Act’s (ACA) Medicaid expansion in the state. The move would extend eligibility for the program to 138% of federal poverty, offering health coverage to an additional 1 million people in Florida. Scott’s decision is particularly noteworthy… 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
Republican Governors Kasich of Ohio and Snyder of Michigan Move Forward to Implement ACA Medicaid Expansion
| February 8, 2013 | Posted by John Connolly under Blog, Health Financing, Legislation Policy News, Legislation/Policy, Medi-Cal, Public Coverage, Public Coverage News, The Uninsured |
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The group of Republican governors signaling support for expanding Medicaid in their states has grown in recent days. The LA Times reports that Governors John Kasich of Ohio and Rick Snyder of Michigan intend to expand eligibility for the program to 138% of federal poverty in 2014, a central element… 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
Arizona Republican Governor Jan Brewer Announces State Will Implement Medicaid Expansion
| January 21, 2013 | Posted by John Connolly under Blog, Health Financing, Health Financing News, Legislation Policy News, Legislation/Policy, Medi-Cal, Public Coverage, Public Coverage News |
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Arizona Republican Governor Jan Brewer has announced that she will move forward to implement the Affordable Care Act’s Medicaid expansion in her state. She made the decision public in her annual State of the State address. This expansion would extend coverage to 240,000 Arizonans and bring $1.6 billion in federal… more
CMS Study Finds Health Spending Growth Rate Remains Low for Third Consecutive Year
| January 16, 2013 | Posted by John Connolly under Blog, Health Financing, Public Coverage, The Uninsured |
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Health Affairs published a recent study from the Office of the Actuary of the Centers for Medicare and Medicaid Services, and the investigators found that total spending on health care in the United States was $2.7 trillion in 2011 and grew 3.9% from 2010 to 2011. This rate of growth… more
Notes from Conference Call with CHHS Secretary Dooley and Medi-Cal Director Douglas about Governor’s 2013-14 Budget Proposal
| January 14, 2013 | Posted by John Connolly under Blog, Health Financing, Legislation/Policy, Medi-Cal, Public Coverage, State, State Budget, Uncategorized |
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Secretary of the California Health and Human Services Agency Diana Dooley hosted a stakeholder conference call on January 10, 2013 to discuss the Governor’s budget proposal for Fiscal Year 2013-14. She was accompanied by Medi-Cal Director Toby Douglas, as well as officials from other departments. Secretary Dooley began by announcing… more
