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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

Summary of WalletHub article, “2015’s Rates of Uninsured by State Before & After Obamacare”

Using data from the US Census Bureau, WalletHub measured the uninsured rates, after the implementation of the Affordable Care act, in all 50 states and the District of Columbia.  Rates have been broken down to state levels. Commentary and methodology can be found here. In addition to overall insurance rates, […] more

Governor’s Budget Proposal – Health Analysis

It’s Budget Day! Governor Brown released his proposed budget this morning for 2015-16. Before we dive deep into the details of the health budget, here are the most noteworthy proposals: Annual enrollment periods for Medi-Cal – currently, Medi-Cal managed care members can change their plan once a month, in contrast […] more

Upcoming Waiver – Thoughts From Southern California (UPDATED)

This four part series examines the upcoming Medicaid Waiver. Section 1 is background on waivers; Section 2 reviews California’s implementation of the Affordable Care Act; Section 3 provides 2012 data on Southern California’s safety nets on the eve of ACA implementation, and Section 4 discusses the 11 key issues brought […] more

Improving the Health of Individuals Reentering Communities from the Criminal Justice System

The role of the Medi-Cal program in providing health care to Californians reentering the community from the criminal justice system expanded substantially in 2014. All citizens and legal permanent residents with incomes up to 138% FPL are now eligible,[1] and many individuals without minor dependent children in their households will […] more

Improving the Health of People Experiencing Homelessness: Issues and Recommendations

California’s decision to expand its Medicaid program provides federal funding opportunities to improve the health of its most vulnerable residents. Individuals experiencing homelessness have much to gain from Medi-Cal coverage, particularly considering that the homeless are in poorer health than their housed counterparts. Studies show that there is great potential […] more

Transforming Drug Medi-Cal: Key Considerations for a Waiver Amendment

California’s expanded Medi-Cal program and expanded Substance Use Disorder (SUD) benefit provides an opportunity for beneficiaries to access improved services through the Drug Medi-Cal (DMC) program. In California, 1.9 million individuals are newly enrolled in Medi-Cal in 2014, [1] and an anticipated 147,000 to 195,000 of these individuals are in […] more

Updated – Better Coordinating Coverage for Pregnant Women: Putting Families First

Covered California plans and nearly all individual and employer-based health insurance plans offer maternity care.  California covers care for pregnant women through Medi-Cal (up to 200% of FPL), Access for Infants and Mothers (AIM) (up to 300% of FPL) and now Covered California covers maternity care (with premium subsidies up […] more

Assistance With Premium Payments and Cost-Sharing – The Non-Federal Share

While the Affordable Care Act (extends health insurance to millions of Californians, not all will enroll. Between 3.1 and 4 million Californians may still lack health insurance in 2019. Many of the remaining uninsured will cite costs and affordability of coverage options as the primary reason for not enrolling. The […] more

The Tragedy of Prison Health Care in California: An Extended Timeline

While the Affordable Care Act has ensured that millions of Californians have access to affordable, quality health care, the same cannot be said for California’s prison and county jail inmates.  This timeline chronicles the fraught history of the state’s prison health care system, from 2002 to the present. January 30, […] more