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Latest ITUP News

ITUP Analysis and Summary of the §1115 Waiver Renewal

ITUP has prepared a six-part summary of California’s Medi-Cal 2020 §1115 waiver, which went into effect at the beginning of 2016. The new waiver aims to build off of the successes of the Bridge to Reform waiver, which expired at the end of 2015. The analysis is freely available in […] more

§1115 Waiver Renewal Analysis: Global Payment Program (GPP)

This is part of an ITUP series on the Medi-Cal 2020 §1115 waiver renewal. Before the Medi-Cal 2020 waiver, the federal/local financing of care for the uninsured was anachronistic. It incentivizes treating uninsured individuals at the hospital emergency room (the most expensive setting) at the latest possible stage of illness […] more

§1115 Waiver Renewal Analysis: Public Hospital Redesign and Incentives in Medi-Cal

This is part of an ITUP series on the Medi-Cal 2020 §1115 waiver renewal. Public Hospital Redesign and Incentives in Medi-Cal (PRIME) is an ambitious follow-up program to the successful Delivery System Reform Incentive Pool (DSRIP) for county, district, and University of California hospitals. Up to $7.5 billion will be […] more

Analysis of §1115 Waiver Renewal: Dental Transformation Initiative

This is part of an ITUP series on the Medi-Cal 2020 §1115 waiver renewal. Under the Medi-Cal Dental program, dental services are provided to about 5.5 million Medi-Cal beneficiaries under the age of 20. The program aims to facilitate consistent and easy access to high quality dental services so beneficiaries […] more

Analysis of §1115 Waiver Renewal: Whole Person Care Pilots

This is part of an ITUP series on the Medi-Cal 2020 §1115 waiver renewal. As health care systems are focusing on providing more efficient, high quality care, systems around the country are moving towards more integrated patient care. The addition of the Whole Person Care Pilots (WPC) in California’s new […] more

Analysis of §1115 Waiver Renewal: Managed Care Expansion and Demonstrations Continuation

This is part of an ITUP series on the Medi-Cal 2020 §1115 waiver renewal. The Medi-Cal program has grown from a caseload of 7.9 million beneficiaries in 2012-13 to a projected 13.5 million in 2016-17. About 10 million are currently enrolled in a managed care plan. The plans are reimbursed […] more

ITUP FY2014-15 Annual Report

ITUP’s FY2014-15 Annual Report is now available for download. Below, please find a message from our Executive Director, Lucien Wulsin. Dear Friends and Colleagues, ITUP’s goals for 2014-15 were to build on and accelerate the first year’s successes in Affordable Care Act (ACA) enrollment and to begin building consensus on […] more

Payment and Delivery Systems Across California

As California’s health care landscape continues to evolve, one of the most significant areas where change can and is starting to occur is within the local health care delivery systems. There is a shift towards providing more integrated, better-coordinated care that emphasizes value, managed care, and better integrated health care […] more

Advancing the Triple Aim for Employer-Based Health Insurance

Through expanding Medi-Cal and subsidizing private insurance through Covered California for 1.3 million Californians, the Affordable Care Act (ACA) launched the triple of aim of better access, improved care, and reduced costs. As the ACA enters its third year of implementation, California will need to look beyond coverage expansion and […] more

Open Enrollment: Lessons from the Field (UPDATED)

California has been one of the nation’s leaders in implementing the ACA. This paper looks at the enrollment successes and delivery systems performance reported in our regional workgroups in the San Diego, Orange, North Central, Bay Area, Central Coast and Central Valley counties. We look closely at what factors lead […] more