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The Uninsured

There are currently 7.2 million Californians who go without health insurance or coverage all or part of the year. Being uninsured carries risks beyond the financial burden an unexpected illness would impose. For example, the uninsured have lower screening rates for preventable health conditions and experience poorer health outcomes for chronic conditions. Due to California’s vast geographical, economical, and political diversity (to name a few), the uninsured are not always an easily defined population.


Children’s Health Coverage Under the ACA

This series examines the future of children’s coverage in California, both where we are now and where we need to go in the near future.  Topics discussed include: Current coverage of children Remaining uninsured children post ACA implementation Future of state programs like CHDP, AIM, CCS, and Family PACT Delivery […] more

California’s Remaining Uninsured

By 2019, the ACA will reduce the number of uninsured by between 1.8 and 2.7 million people. Despite the significant reduction, between 3.1 and 4 millions of Californians may still lack insurance. There are numerous explanations for why California will have a significant population that will remain uninsured, but this […] more

ITUP Draft Recommendations for the San Francisco Universal Health Council

Below are ITUP’s suggestions to the San Francisco Universal Health Council on revising the San Francisco Health Care Security ordinance’s employer health spending obligations in light of the passage of the Affordable Care Act. Download the complete document here:   ITUP’s recommendations are summarized as follows: For those employers with […] more

ITUP Analysis of OSHPD Data about Safety Net Hospital and Clinic Utilization and Revenue

This ITUP analysis uses data from the California Office of Statewide Health Planning and Development to asses safety net hospitals’ and clinics’ utilization and revenue. The charts and tables provide data by payer and display trends over the last several years. The data are available for hospitals (inpatient and outpatient […] more

Summary and Analysis of Milliman Report on the Impact of the Affordable Care Act’s Underwriting Reforms and the Exchange on Individual Health Insurance Premiums in California

The full report is available for download: The Affordable Care Act makes a number of changes to assure access for everyone to the individual market; these include guaranteed issue, guaranteed renewal, no pre-existing condition exclusions, essential health benefits, refundable tax credits and the Exchange (a purchasing pool for individuals). Features […] more

Republican Governors Kasich of Ohio and Snyder of Michigan Move Forward to Implement ACA Medicaid Expansion

The group of Republican governors signaling support for expanding Medicaid in their states has grown in recent days. The LA Times reports that Governors John Kasich of Ohio and Rick Snyder of Michigan intend to expand eligibility for the program to 138% of federal poverty in 2014, a central element […] more

Thinking Ahead – High Priorities for ACA Implementation in California

This report looks at California — where we are and where we need to go in implementing the Affordable Care Act. These materials reflect ITUP’s views on the challenges for California health reform and a status report for the progress we’ve made. We welcome your thoughts and feedback, and hope […] more

CMS Study Finds Health Spending Growth Rate Remains Low for Third Consecutive Year

Health Affairs published a recent study from the Office of the Actuary of the Centers for Medicare and Medicaid Services, and the investigators found that total spending on health care in the United States was $2.7 trillion in 2011 and grew 3.9% from 2010 to 2011. This rate of growth […] more

California Continues to Have the Greatest Number of Uninsured Residents in U.S.

A new report from the California HealthCare Foundation (CHCF) indicates that California continues to be the state with largest number of uninsured residents, 7.1 million. The state ranks seventh in the overall share (22%) of its residents who are uninsured. These findings are a part of a long-term decline in […] more

Integrating Medical Care with Mental Health and Substance Use Disorder Services in L.A. County: A Status Report

An opportunity exists to integrate mental health and substance use disorder (SUD) services with medical care in a patient-centered manner under the Patient Protection and Affordable Care Act (ACA) and federal parity requirements. Survey results on health care preferences of low-income Californians suggest that the safety net should provide more […] more