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Funding

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

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

On the Eve of Reform: Hospitals, Clinics and the Safety Net (2008-2011)

These reports are analyses of the Office of Statewide Health Planning & Development’s hospital and community clinic data that examines utilization and financing during the height of the Great Recession.  It looks into inpatient and outpatient care (hospitals), Medi-Cal utilization trends, county indigent care, as well as hospital utilization/financing trends […] more

ITUP Analysis of OSHPD Data about Safety Net Hospital and Clinic Utilization and Revenue

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

Republican Governor Rick Scott Announces Support for ACA Medicaid Expansion in Florida

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

Governor Brown Announces 2013-14 California Budget Proposal

Governor Brown released his budget proposal for the 2013-14 Fiscal Year and announced that the State’s budget would be balanced for the first time since the Great Recession began in 2008. Brown also announced that California will implement the Medicaid eligibility expansion in the ACA, which the Supreme Court made […] more

New Mexico Republican Governor Susana Martinez Announces State Will Move Forward with ACA Medicaid Expansion

New Mexico Governor Susana Martinez announced Tuesday that the Medicaid expansion under the Affordable Care Act (ACA) will move forward in the Land of Enchantment. She becomes only the second Republican governor to support the program’s expansion to 138% of federal poverty (roughly $14,856 in 2012) since the Supreme Court […] more

UC Study Finds Medi-Cal Expansion Would Have Minimal Cost to State while Greatly Expanding Coverage

The results of a new study from the UC Berkeley Labor Center and the UCLA Health Policy Center estimate that the Medi-Cal expansion to 138% of federal poverty through the Affordable Care Act (ACA) would be at minimal cost to the State of California. In addition, the expansion would extend […] more

Survey of State Medicaid Programs Finds Program Spending at Near-Record Low, Slowing Enrollment and Provider Payment Cuts Cited As Causes

A Kaiser Family Foundation survey of Medicaid programs in all 50 states and the District of Columbia found that overall Medicaid program spending is nearly at a record low in 2012. State Medicaid programs also expect similar spending figures in 2013. The survey cites two chief reasons for the reduced overall […] more

The Affordable Care Act: How Is It Financed?

The Affordable Care Act (ACA) contains many important protections and valuable benefits for both consumers and health care providers. Many of these items, such as generous tax credits to help individuals and small businesses purchase health insurance, a sizeable expansion of the Medicaid program, and a more generous Medicare prescription […] more