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Latest ITUP News

May 2016 Legislative Summary

Dozens of health care bills have been moving through the California Legislature in the second half of the 2015-16 legislative session. As of this writing, many of the bills are on temporary hold in the Suspense files of the Senate and Assembly Appropriations Committee pending further action. The two fiscal […] more

2015 Workgroup Summaries

ITUP conducts a series of regional and statewide issue workgroups every year and provides executive summaries of all proceedings. These summaries provide an overview of the main topics of discussion, ranging from local enrollment success and challenges, local reform initiatives, and developing issues that stakeholders are grappling with. Regional Workgroups […] more

Opportunities for California Under Section 1332 of the Affordable Care Act

ITUP’s report, Opportunities for California Under Section 1332 of the Affordable Care Act, is now available. California has made great progress implementing the Affordable Care Act (ACA), with 6 million people newly enrolled in either Medi-Cal or Covered California since December 2013. The state strives to improve the quality, outcomes […] more

Provider Market Power and Cost Containment

ITUP’s report on the impacts of provider market power and healthcare cost containment, authored by Vishaal Pegany, is now available. While more individuals are covered by insurance, the rate of health care cost growth continues to outpace economic growth, resulting in higher premiums and deductibles. It is imperative to make […] more

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