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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.


CMS Study Finds Health Spending Growth Rate Remains Low for Third Consecutive Year

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

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

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

Thinking Ahead: High Priorities for CA’s ACA Implementation (DRAFT)

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

California’s Economy Continues to Improve, According to October Jobs Report

According to the Center for Continuing Study of the California Economy, the October jobs report from California’s Employment Development Department indicates that the California labor market regained momentum in October, with an increase of 45,800 jobs, and an upward revision to 32,000 jobs gained for September. The unemployment rate fell to 10.1%, […] more

2012 Health Care Financing Report

The Health Care Financing Report examines the state’s budget, health expenditure trends, fiscal future, Proposition 30, and the state of public programs (Medi-Cal, Healthy Families, the Major Risk Medical Insurance Plan, Access for Infants and Mothers, Family PACT, Genetically Handicapped Persons Program).  The full report can be downloaded below. The State […] 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