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Medi-Cal Simplification: Opportunities to Streamline Enrollment Processes

The Patient Protection and Affordable Care Act (PPACA) expands Medicaid coverage to 133% of the Federal Poverty Level (FPL) starting in 2014. As a result, nearly 1.7 million Californians will be newly eligible on January 1, 2014. In its current state, Medi-Cal operates inefficiently, bogged down by excessively complex eligibility […] more

2011 Regional Workgroup Executive Summaries

The executive summaries from the first round of regional workgroups are now available. This post will be updated as the rest become available.               more

The Exchange and Public Programs Report

This working draft outlines public programs for adults, possible integration with the Exchange, and their future in a post-reform world.Programs covered include: the Medi-Cal program (including the Medically Needy and Pregnancy/Perinatal Care programs), county health programs, the §1115 Waiver, the Basic Health Plan, MRMIP and PCIP, Access for Infants and […] more

Children’s Coverage and the Exchange

This working draft outlines public programs for children, possible integration with the Exchange, and their future in a post-reform world.

Programs covered include: Healthy Families; Access for Infants and Mothers (AIM); Family Planning, Access, Care and Treatment (Family PACT); Child Health Disability and Prevention (CHDP); California Children’s Services (CCS); Healthy Kids and Children’s Health Initiatives (CHI); the Medi-Cal Pregnancy and Perinatal Care; and the Medi-Cal Medically Needy Program. more

Navigator Backgrounder

Envisioning the Role of Navigators in the California Health Benefit Exchange Micah Weinberg, New America Foundation Cliff Sarkin, Insure the Uninsured Project The health benefit exchanges – among federal health reform’s most novel and exciting components – will eventually make it easier and cheaper for individuals and small businesses to compare […] more

Reforming California’s Delivery System

Analysis and recommendations from ITUP’s Delivery System and Reimbursement Reform issue workgroup. more

Medi-Cal Simplification

OVERVIEW In its current state, the Medi-Cal program is large, complex, and slow moving.  For beneficiaries, county eligibility workers, and state administrators alike, the system is burdened by excessive bureaucracy and unnecessary complexity that oftentimes lead to significant barriers to coverage. For instance, there are currently some 35 eligibility categories […] more

Recommendations for Exchange Implemention

Opening its doors on January 1, 2014, the California Health Benefit Exchange will offer affordable coverage to millions of uninsured and currently under-insured individuals, as well as to small- and eventually to mid-sized employers. Premium subsidies in the form of refundable tax credits will be available to those with incomes […] more

Health Insurance Exchange White Paper

OVERVIEW Less than five months after President Obama signed into law the Patient Protection and Affordable Care Act (ACA), California passed AB 1602 (Perez) and SB 900 (Alquist & Steinberg), announcing to the country that the state is ready to take on the challenge of implementing and operating a Health […] more

2010 Statewide Regional Workgroup Executive Summary

This document provides the executive summary of the 2010 Regional Workgroups. more