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.
|September 14, 2015||Posted by Lucien Wulsin under Legislation/Policy, Public Coverage, Special Features, The Uninsured||
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
|September 11, 2015||Posted by Jeffrey Kho under Central Valley, The Uninsured||
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
|June 15, 2015||Posted by Lucien Wulsin under Los Angeles, Orange, San Diego, Special Features, The 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
|January 7, 2015||Posted by Kiwon Yoo under Bay Area, Central Coast, Central Valley, Health Financing, Inland Empire, Medi-Cal, North Central, North Rural, Public Coverage, The Uninsured||
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
|October 10, 2014||Posted by Lucien Wulsin under The Uninsured||
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
|October 9, 2014||Posted by ITUP under Central Valley, Inland Empire, Los Angeles, Orange, San Diego, The Uninsured, Workgroups||
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
|May 13, 2014||Posted by Carolina Coleman under Health Financing, Legislation/Policy, Public Coverage, State, The Uninsured||
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
|February 7, 2014||Posted by Carolina Coleman under Federal, Health Financing, Legislation/Policy, Medi-Cal, Public Coverage, State, The Uninsured||
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
|February 4, 2014||Posted by ITUP under Delivery Systems, Health Financing, The 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
|December 13, 2013||Posted by Lucien Wulsin under Bay Area, Insurance Exchange, Public Coverage, The Uninsured||
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
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: San Francisco Ordinance Recommendations.pdf
ITUP’s recommendations are summarized as follows:
For those employers with over 50 FTE employees:
1. For full time (over 30 hours) employees where the employer offers coverage, there should be a “safe harbor” if the offer complies with the ACA.
2. For full time employees where the employer does not offer coverage, the San Francisco ordinance should apply and the employer can offset any “ACA” penalties that it paid.
3. For part time employees where the employer offers them coverage, there should be a safe harbor if the offer complies with the ACA.
4. For part time employees where their employer does not offer them coverage, the San Francisco ordinance should apply.
For those employers with under 50 employees:
5. Where the small employer offers coverage for full time employees, that is ACA compliant, there should be a safe harbor.
6. Where the small employer does not offer coverage for full time employees, the San Francisco ordinance should apply.
7. Where the small employer offers coverage for part time employees, that is ACA compliant, there should be a safe harbor.
8. Where the small employer does not offer coverage for part time employees, the San Francisco ordinance should apply.
Recommended priorities for the funding available under the Ordinance.
· The Medical Resource Account (MRA) program would be rechristened as the San Francisco Premium Assistance program.
· The MRA would help pay for Healthy San Francisco for employed individuals not eligible for Covered California or full scope Medi-Cal.
· The MRA program funding would help pay Covered California premiums for employed individuals eligible for that program at employee option.
· The MRA would be available to upgrade coverage from bronze or catastrophic to silver through Covered California at the employee’s option.