Month: January 2015

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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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 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…

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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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2013 OSHPD Clinic and Hospital Data Summaries

January 7, 2015

The attachments below are data overviews of OSHPD's 2013 utilization and financial data for clinics and hospitals. Providers were analyzed by region, as well as by type. For the purposes of our analyses, non-comparable facilities (Kaiser, Shriners) were excluded.  

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ITUP Summary of the Legislative Analyst's November 2014 Fiscal Outlook for the 2015-16 Budget

January 6, 2015

You can find the full version of the LAO's Fiscal Outlook here: The 2015-16 Budget: California's Fiscal Outlook   The Legislative Analyst’s Office mid year projection is that California will finish the 2014-15 fiscal year with a $2 billion surplus and that the entire surplus…

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Welcome to 2015

January 5, 2015

Dear Friends and Colleagues, Happy New Year; welcome to 2015. We have much to celebrate -- nearly 3.5 million Californians newly enrolled in Covered California and Medi-Cal, and almost 600,000 new applications and 350,000 determined eligible in the first month of open enrollment…

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Open Letter on the Next Section 1115 Waiver

January 2, 2015

California’s next §1115 waiver provides an important opportunity to improve health outcomes for over 10 million Californians. We wanted to share our thinking on possible directions. We have completed our nine regional workgroups throughout the state and our stakeholder convenings…

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