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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.


An Initial Report on Mandatory Enrollment of Medi-Cal’s Seniors and People with Disabilties into Managed Care

The California Healthcare Foundation (CHCF) recently released a report examining health plans’, providers’, and stakeholders’ experiences during Medi-Cal’s mandatory transition of seniors and people with disabilities to managed care as a part of California’s “Bridge to Reform” 1115 waiver. The managed care expansion primarily affected 240,000 beneficiaries in 16 counties […] more

Mental Health and Substance Abuse in CA’s Public Health Programs

California has had a unique mixture of behavioral health silos[1] that are going to need to evolve under the Affordable Care Act. In this paper, we will try to summarize its current state, the needed evolution and the benefits to patients and their improved health outcomes. The full report is […] more

DHCS Rural Managed Care Expansion Stakeholder Webinar

On August 28, 2012, the Department of Health Care Services (DHCS) held a stakeholder webinar about the Medi-Cal rural managed care expansion. The webinar began with a review of the request for application (RFA), and DHCS officials indicated that they are working to release the RFA in September. DHCS representatives […] more

Final Week of 2012 California Legislative Session: Votes Scheduled on ACA Implementation Legislation; New Bills Arise to Halt Healthy Families Transition to Medi-Cal

This week, the California Legislature is scheduled to vote on key pieces of legislation that will implement the Affordable Care Act (ACA) in California. Bills under consideration would enact key health insurance market reforms, including prohibiting denials of coverage for preexisting conditions and establishing an essential health benefits package for […] more

Affordable Care Act Provisions for Health Care Providers

The Affordable Care Act (ACA) was the most consequential piece of health care legislation in decades and remains deeply controversial among the American public more than two years after becoming law. Even though some individuals have strongly held opinions about the law, much of the public still has a relatively […] more

Basic Health Plan: Taking a Slow Deep Breath and Thinking of Alternatives

In the last few weeks, I have received many concerned inquiries about the Basic Health Plan (BHP). For lack of a better definition, a Basic Health Plan is a hybrid, – not Medi-Cal, not Medicare, not commercial insurance – an option for states to cover individuals with incomes between 133% […] more

Health Care Reform in Massachusetts: Act II

Massachusetts Governor Deval Patrick signed into law today an expansive range of health care cost-control measures. The new legislation comes six years after former Governor Mitt Romney, the current presumptive Republican presidential nominee, signed the state’s previous major health reform law, which greatly expanded insurance coverage. Many policymakers and stakeholders […] more

Executive Summaries for the 2011 Regional Workgroups

Executive Summaries (2011 RWG Round 2) Executive Summaries (2011 RWG Round 1) Workgroup Materials (2011 RWG Round 2) Central Coast San Diego Orange County more

Mental Health in California

California has had a unique mixture of behavioral health silos[1] that are going to need to evolve under the Affordable Care Act. In this paper, we will try to summarize its current state, the needed evolution and the benefits to patients and their improved health outcomes. The most recent estimates […] more

The Puzzling Mystery of Shifting 0.9M Healthy Families Children into Medi-Cal

The Governor and the California legislature agreed to shift about 900,000 moderate-income children from Healthy Families to Medi-Cal. The shift is part of the legislature’s efforts to balance the state’s nearly $16 billion budget shortfall.[1] However, this particular effort will cost the state far more than it saves, disrupt children […] more