Month: April 2013

Covered California Announces Third Service Center Cite–Fresno, Rancho Cordova, and Contra Costa County Selected

April 17, 2013

Covered California announced today that the location of its third service center cite will be in Rancho Cordova in Sacramento County. The three service centers will handle telephone inquiries about the coverage offered through Covered California, and they will have the capability…

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Affordable Care Act to Substantially Expand Coverage for People Needing Addiction Services, Access Concerns Remain

April 16, 2013

Today, the Associated Press released a story about the implications of the Affordable Care Act for people in need of addiction treatment. Many Americans who need these services are not able to access treatment, with just around 10% of the 23 million people with alcohol and substance…

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Health Affairs Piece Shows California OSHPD Data a Part of National Trend from Inpatient to Outpatient Care

April 15, 2013

The OSHPD data for 2008-2011 that we reported last week showed California’s hospital inpatient days and visits declining by 11 and 2.5% respectively while California’s community clinic visits increased by 20%, particularly for managed care patients. According to a recent Health…

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

April 12, 2013

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…

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Summary of Proposed HHS Regulations for Exchange Navigators and Non-Navigator Assistance Personnel

April 10, 2013

The Department of Health and Human Services (HHS) recently proposed new rules to implement the Navigator and consumer assistance programs for the new health insurance Exchanges established by the Affordable Care Act (ACA). The proposed rules outline conflict-of-interest, training…

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Summary and Analysis of SB X1 3 (Hernandez)

April 9, 2013

The summary is available for download: [download id="677" format="1"]   This is the Administration’s effort to authorize bridge plans (i.e. Medi-Cal managed care plans that participate in the Exchange for limited purposes). HHS issued guidance that “bridge plans” could…

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Summary of Federal Rules on Federal Medical Assistance Percentage to the States

April 8, 2013

Download the report here: [download id="676" format="1"] Summary of Final Federal Rules on FMAP (Federal Medical Assistance Percentage) to the States for the Newly Insured Medi-Cal Eligibles. 42 CFR 433, CMS 2327 FC, RIN 0938-AR 38 Under the ACA (Affordable Care Act), states receive…

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Redefining the Relationship between California’s State and County Governments: Creating Healthier Communities through Innovative Collaboration and Financing

April 3, 2013

California is the most populous and perhaps the most diverse state in the nation. To accommodate the needs of its different communities, the state relies on its 58 counties to administer many public and social services. The State formally realigned responsibility for administering…

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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

April 1, 2013

The full report is available for download: [download id="658" format="1"] 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…

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ITUP's Chart of Small Employer and Individual Underwriting Reforms

April 1, 2013

The following chart displays the small employer and individual underwriting reforms that are contained the Assembly Bill X1 2 and Senate Bill X1 2. [download id="657" format="1"]

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