Tag: 1115 waiver
May 2016 Legislative Summary
May 24, 2016
Dozens of health care bills have been moving through the California Legislature in the second half of the 2015-16 legislative session. As of this writing, many of the bills are on temporary hold in the Suspense files of the Senate and Assembly Appropriations Committee pending further…
Read MoreReflections on the 6th Anniversary of the Affordable Care Act
March 23, 2016
Today we mark six years since passage of the landmark federal Affordable Care Act (ACA). This is an important opportunity to take time and acknowledge our collective efforts to embrace and fully implement the ACA and its coverage expansions. ACA implementation has essentially cut…
Read MoreITUP Analysis and Summary of the §1115 Waiver Renewal
February 4, 2016
ITUP has prepared a six-part summary of California's Medi-Cal 2020 §1115 waiver, which went into effect at the beginning of 2016. The new waiver aims to build off of the successes of the Bridge to Reform waiver, which expired at the end of 2015. The analysis is freely available…
Read More§1115 Waiver Renewal Analysis: Global Payment Program (GPP)
February 4, 2016
This is part of an ITUP series on the Medi-Cal 2020 §1115 waiver renewal. Before the Medi-Cal 2020 waiver, the federal/local financing of care for the uninsured was anachronistic. It incentivizes treating uninsured individuals at the hospital emergency room (the most expensive…
Read More§1115 Waiver Renewal Analysis: Public Hospital Redesign and Incentives in Medi-Cal
February 4, 2016
This is part of an ITUP series on the Medi-Cal 2020 §1115 waiver renewal. Public Hospital Redesign and Incentives in Medi-Cal (PRIME) is an ambitious follow-up program to the successful Delivery System Reform Incentive Pool (DSRIP) for county, district, and University of California…
Read MoreAnalysis of §1115 Waiver Renewal: Dental Transformation Initiative
February 4, 2016
This is part of an ITUP series on the Medi-Cal 2020 §1115 waiver renewal. Under the Medi-Cal Dental program, dental services are provided to about 5.5 million Medi-Cal beneficiaries under the age of 20. The program aims to facilitate consistent and easy access to high quality dental…
Read MoreMedi-Cal 2020: ITUP's Analysis of California's New §1115 Waiver
February 1, 2016
Over the next couple of weeks, ITUP will be posting a number of papers analyzing the terms and conditions of the new §1115 waiver. These papers will look closely at the new requirements and their implications for the Medi-Cal program. Released Papers: Summary of the Terms and…
Read MoreAnalysis of §1115 Waiver Renewal: Whole Person Care Pilots
February 1, 2016
This is part of an ITUP series on the Medi-Cal 2020 §1115 waiver renewal. As health care systems are focusing on providing more efficient, high quality care, systems around the country are moving towards more integrated patient care. The addition of the Whole Person Care Pilots…
Read MoreAnalysis of §1115 Waiver Renewal: Managed Care Expansion and Demonstrations Continuation
February 1, 2016
This is part of an ITUP series on the Medi-Cal 2020 §1115 waiver renewal. The Medi-Cal program has grown from a caseload of 7.9 million beneficiaries in 2012-13 to a projected 13.5 million in 2016-17. About 10 million are currently enrolled in a managed care plan. The plans are…
Read MoreNew York’s New DSRIP Waiver & What It Could Mean in California UPDATED
July 23, 2014
New York state and CMS signed a new DSRIP waiver in April 2014. The goals are transforming the state’s health care system, bending the Medicaid cost curve and assuring quality care for all Medicaid members. The waiver puts an emphasis on transformation of the safety net, cost reduction…
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