Month: January 2015

Indiana Expands Medicaid with a Hoosier Twist

January 29, 2015

CMS and the state of Indiana reached agreement on a waiver to expand the state’s Medicaid program from only mothers and children with incomes less than 25% of FPL to all eligible individuals with incomes under 138% of FPL. This is projected to add 350,000 uninsured Hoosiers to Medicaid. The…

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HHS Secretary Burwell Unveils Assertive Push toward Medicare Payment Reform

January 28, 2015

U.S. Health and Human Services (HHS) Secretary Sylvia Mathews Burwell announced yesterday that the Medicare has set new ambitious goals for reforming the way it pays health care providers. First, Burwell said that Medicare would aim to have 30 percent of its provider payments delivered…

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Republican Governors of Arkansas, Ohio Affirm Commitment to Medicaid Expansion

January 23, 2015

Recently elected Arkansas Governor Asa Hutchinson, a Republican, indicated a commitment to extend for another two years the state’s Medicaid expansion initiated by his Democratic predecessor. Arkansas has a model of Medicaid expansion often called “the private option,” through…

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Medi-Cal Managed Care: Raising the Bar for Quality and Outcomes

January 22, 2015

To realize better health outcomes, Medi-Cal Managed Care (MMC) plans have many challenges to confront. Plans must tackle the tasks of ensuring that provider networks are of sufficient size, coordinated, high performing in service quality, and engaging patients to be critical partners…

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Covered California January Board Meeting

January 16, 2015

New year, new Covered California board meeting. Here are the details from the first meeting of 2015. Plan Certification and New Entrants A new policy was adopted for recertifying plans for the 2016 plan year and welcoming bids from insurance companies that have not previously participated…

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Medicaid Expansion a Big Leap Forward for People Experiencing Homeless

January 15, 2015

A recent report from researchers at the Kaiser Family Foundation and the National Health Care for the Homeless Council examined the experiences of four clinics for people experiencing homelessness in the wake of the Medicaid expansion in 2014. Each of the clinics was in a different…

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Open Letter Re: Exchange News and Tax Credits

January 14, 2015

Dear friends, family and neighbors, There are three things happening that you need to know about: 1) open enrollment, 2) redeterminations and 3) reconciliation. Open enrollment for the Exchanges (Covered California) will close by February 15, so if you want coverage for the coming…

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Governor's Proposed Budget 2015-16 – ITUP Summary

January 12, 2015

Download the Full Summary Here: ITUP Summary of Governor's Proposed Budget 2015-16   The Governor’s Budget proposes to spend $113.3 billion General Fund, a small increase from the prior year’s $111.7 billion General Fund. General Fund spending will grow by 1.7% or $1.6…

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Governor’s Budget Proposal – Health Analysis

January 9, 2015

It’s Budget Day! Governor Brown released his proposed budget this morning for 2015-16. Before we dive deep into the details of the health budget, here are the most noteworthy proposals: Annual enrollment periods for Medi-Cal – currently, Medi-Cal managed care members can change…

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ITUP Summary of Schoen et al, State Trends in the Cost of Employer Health Insurance Coverage (Commonwealth Fund, 2003-2013)

January 8, 2015

Click here for the full issue brief: State Trends in the Cost of Employer Health Insurance Coverage, 2003-2013   For the last decade, health insurance premium increases rose three times as fast as worker’s wages. Between 2010 and 2013, the rate of premium increase slowed…

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