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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.

Impressions from the Covered California Bus Tour — the Central Valley and Central Coast

The first stop was the Fresno Call Center, one of the three California call centers, where about 450 people work during the Open Enrollment. They handle about 14,000 calls a day from all over the state; they peak at over 20,000 calls. Five of the staff travelled on the bus […] 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

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

Delivery Systems and Financing Care for the Remaining Uninsured in Fresno, Imperial, Merced, Stanislaus and Tulare Counties

This paper provides an overview of the transitions that have taken place and the opportunities available throughout the health care system and insurance coverage landscape in California’s Central Valley, specifically Fresno, Merced, Stanislaus and Tulare. The paper also includes findings on Imperial County whose community demographics and health care access […] more

Care, Coverage and Financing for Southern California’s Remaining Uninsured

In this paper we look at six Southern California counties, their implementation of the Affordable Care Act and care and financing for the remaining uninsured in the local safety nets. The landscape has changed swiftly and dramatically from large numbers of uninsured seeking care in over-burdened and under-financed county health […] 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

Thoughts On Financing Care And Coverage For Those Who Are Uninsured and Ineligible for Covered California and Full Scope Medi-Cal Due To Their Immigration Status

At least half of California’s undocumented residents are uninsured, while the others are covered through their employers, and to a lesser degree, through state limited benefit programs. The undocumented are ineligible for Covered California, and eligible only for limited scope Medi-Cal that covers genuine emergencies and maternity care. This report […] more

The Evolving Safety Net in Southern California: Building New Models of Care for the Remaining Uninsured

Throughout the summer of 2014, ITUP met with health care leaders in Southern California to discuss caring for the remaining uninsured post-ACA implementation, building consensus and strengthening collaboration. Through one-on-one interviews with stakeholders, county-specific meetings bringing together a myriad of stakeholders, and extensive data analysis, we prepared in-depth reports on […] 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

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