Home » Health Financing

Health Financing

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.


Delivery Systems and Financing Care for the Remaining Uninsured in Fresno, Imperial, Merced, Stanislaus and Tulare Counties

This paper provides an overview of the transitions that have taken place and the opportunities available throughout the health care system and insurance coverage landscape in California’s Central Valley, specifically Fresno, Merced, Stanislaus and Tulare. The paper also includes findings on Imperial County whose community demographics and health care access […] more

Governor’s Proposed Budget 2015-16 – ITUP Summary

Download the Full Summary Here: ITUP Summary of Governor’s Proposed Budget 2015-16   The Governor’s Budget proposes to spend $113.3 billion General Fund, a small increase from the prior year’s $111.7 billion General Fund. General Fund spending will grow by 1.7% or $1.6 billion. General Fund Revenues will grow by 4.5%. […] more

2013 OSHPD Clinic and Hospital Data Summaries

The attachments below are data overviews of OSHPD’s 2013 utilization and financial data for clinics and hospitals. Providers were analyzed by region, as well as by type. For the purposes of our analyses, non-comparable facilities (Kaiser, Shriners) were excluded.                     more

New York’s New DSRIP Waiver & What It Could Mean in California UPDATED

New York state and CMS signed a new DSRIP waiver in April 2014. The goals are transforming the state’s health care system, bending the Medicaid cost curve and assuring quality care for all Medicaid members. The waiver puts an emphasis on transformation of the safety net, cost reduction and improved […] more

Updated – Better Coordinating Coverage for Pregnant Women: Putting Families First

Covered California plans and nearly all individual and employer-based health insurance plans offer maternity care.  California covers care for pregnant women through Medi-Cal (up to 200% of FPL), Access for Infants and Mothers (AIM) (up to 300% of FPL) and now Covered California covers maternity care (with premium subsidies up […] more

Assistance With Premium Payments and Cost-Sharing – The Non-Federal Share

While the Affordable Care Act (extends health insurance to millions of Californians, not all will enroll. Between 3.1 and 4 million Californians may still lack health insurance in 2019. Many of the remaining uninsured will cite costs and affordability of coverage options as the primary reason for not enrolling. The […] more

Children’s Health Coverage Under the ACA

This series examines the future of children’s coverage in California, both where we are now and where we need to go in the near future.  Topics discussed include: Current coverage of children Remaining uninsured children post ACA implementation Future of state programs like CHDP, AIM, CCS, and Family PACT Delivery […] more

California’s Remaining Uninsured

By 2019, the ACA will reduce the number of uninsured by between 1.8 and 2.7 million people. Despite the significant reduction, between 3.1 and 4 millions of Californians may still lack insurance. There are numerous explanations for why California will have a significant population that will remain uninsured, but this […] more

Overview of Governor Brown’s Proposed Health Budget for 2014-2015

Download the full report here: The state budget expects to spend $155 billion in State Funds next year. Roughly $106 billion is from the state General Fund, $44 billion from Special Fund Programs and $4 billion from bond expenditures. The state’s revenue comes from personal income taxes, sales taxes, corporation […] more

Providing Health Care to the Residually Uninsured in a Post-Reform World (Updated)

This updated version of ITUP’s 2012 report incorporates the latest research and data in regard to the Residually Uninsured. On March 23, 2010, the Patient Protection and Affordable Care Act (ACA) was signed into law, laying the groundwork for many health reforms, including the expansion of Medicaid, increasing coverage of […] more