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Public Coverage

California’s health system includes statewide public coverage programs and special county-based programs: Medi-Cal, Healthy Kids/Healthy Families, and others created under Section 1115 of the Social Security Act.


Where Are We Going: Where Should We Be Going?

The Affordable Care Act in many ways represented the triumph of Republican ideas (dating back to President Richard Nixon, Senator Bob Dole and ultimately enacted by Governor Mitt Romney), passed by a narrow margin with Democratic votes only and implemented amidst enormous partisan criticism and unparalleled scrutiny. It was not […] more

ITUP Summary of DHCS Waiver Renewal Concepts

The concept paper includes the following: Delivery System Transformation and Global Safety Net Payments for the Remaining Uninsured. Within the Delivery System Transformation are the following six sub-elements: managed care transformation, fee for service transformation, public safety net transformation, workforce development, housing and supportive services, and regional whole person care […] more

Solo and Small Group Physician Practices in California (UPDATED)

Solo and small group (fewer than 10) physician practices are an important piece in California’s healthcare landscape. They serve as access points for consumers to receive healthcare services, emphasize relationship-based continuity of care and serve the geographically and socio-economically underserved. More specifically, solo and small group physicians commonly serve ethnically […] more

Medi-Cal Managed Care: Raising the Bar for Quality and Outcomes

To realize better health outcomes, Medi-Cal Managed Care (MMC) plans have many challenges to confront. Plans must tackle the tasks of ensuring that provider networks are of sufficient size, coordinated, high performing in service quality, and engaging patients to be critical partners in improving their health. These achievements require a […] more

2013 OSHPD Clinic and Hospital Data Summaries

The attachments below are data overviews of OSHPD’s 2013 utilization and financial data for clinics and hospitals. Providers were analyzed by region, as well as by type. For the purposes of our analyses, non-comparable facilities (Kaiser, Shriners) were excluded.                     more

Open Letter on the Next Section 1115 Waiver

California’s next §1115 waiver provides an important opportunity to improve health outcomes for over 10 million Californians. We wanted to share our thinking on possible directions. We have completed our nine regional workgroups throughout the state and our stakeholder convenings in Southern California counties. So these comments are informed by […] 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

California’s Implementation of the 2010 DSRIP Waiver

Summary of California’s Implementation of the 2010 DSRIP Waiver – 3rd Year California Health Care Safety Net Institute, Aggregate Public Hospital System Annual Report in California’s §1115 Medicaid Waiver’s Delivery System Incentive Program Demonstration Year 8 (December 31, 2013) Public hospitals, including the five UC hospitals, were eligible for $3.3 […] more