Month: October 2014

Should I Stay, or Should I Go?

October 30, 2014

"Should I stay, or should I go?" It’s that time of year again. Yes, it’s Halloween on Friday. But it’s also almost time for open enrollment for Covered California. And that’s exciting because it’s an opportunity for millions of people to get affordable health insurance.…

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Drug Medi-Cal Organized Delivery System Waiver Amendment Draft Special Terms and Conditions: A Summary and Comments

October 29, 2014

The Department of Health Care Services (DCHS) recently released revised draft special terms and conditions for the Drug Medi-Cal (DMC) Organized Delivery System (ODS) Waiver in October. This brief summarizes the main parts of the special terms and conditions (STCs) and provides…

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Flat Premiums for Employment-Based Coverage

October 23, 2014

The Kaiser Family Foundation/Health Research and Educational Trust reports on its study on employment based coverage in 2014. Premiums for individual coverage are essentially flat – a 2% increase and premiums for family coverage are up by 3%. The employee shares of premiums are…

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Ask ITUP: Estate Recovery and Assets Tests

October 20, 2014

Two technical topics today: asset testing and estate recovery in Medi-Cal. What is "Medi-Cal look-back?" While the ACA abolished asset testing ($2,000 limit on applicant’s assets, with requirements that consumers must “spend down” to $2,000) for most beneficiaries, they still…

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What’s Ahead for Covered California? Medium-Term Policy Considerations

October 13, 2014

Covered California has achieved great success in its first year. There are certainly needed improvements, and many are planned for the coming year, but California must not lose sight of the bigger picture. Thorough long- and medium-term planning for upcoming years is necessary to…

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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

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…

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CHIP Reauthorization: What Are Our Options?

October 9, 2014

This would be less complicated if we were writing about snacks. Most of us know CHIP (The Children’s Health Insurance Program) as Healthy Families, now a part of Medi-Cal. What you may not know is that the program is set to run out of funding in less than a year, unless Congress…

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

October 9, 2014

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…

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Consumers and the ACA: Lessons Learned

October 3, 2014

Today we’ve got a look at a nationwide survey on health insurance and the ACA conducted by the TransAmerica Center for Health Studies. There are a number of interesting findings across numerous topics including coverage status, health status, and information level. The report compares…

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