Home » Latest ITUP News

Latest ITUP News

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

Covered California Active Members Receive Substantial Federal Assistance to Pay for Healthcare Coverage and Any Reduction to this Assistance Would Jeopardize Gains on the Affordability of Coverage

Amid talks of GOP reconciliation bills that would gut federal assistance from the Affordable Care Act (ACA) and leave millions of working people uninsured, many of California’s citizens benefit from buying healthcare coverage through the Exchange, Covered California, with federal assistance. Federal assistance comes in two forms for consumers: advanced […] more

California’s §1115 Waiver Renewal

California’s §1115 waiver recently expired on October 31, 2015, and HHS granted a temporary extension of the waiver until December 31, 2015.  On October 31, 2015, DHCS and CMS announced a conceptual agreement that outlines the major components of the waiver renewal. There are several improvements in the renewed waiver, while also room to continue […] more

Today’s Challenges in Trying To Get to Health Information Transparency For Patients

ITUP’s report, Today’s Challenges in Trying To Get to Health Information Transparency For Patients, takes a close look at the challenges patients face in trying to get information on the costs and outcomes of their medical procedures. Legislatures, public programs, and the private insurance market have all taken steps to […] more