Month: January 2016

Medi-Cal 2020: Continuing Transformation and New Initiatives to Improve Health Outcomes

January 26, 2016

On December 30, 2015, the Centers for Medicare and Medicaid Services formally approved California's §1115 waiver renewal, replacing the existing Bridge to Reform waiver. Medi-Cal 2020: Continuing Transformation and New Initiatives to Improve Health Outcomes, a brief by Harbage Consulting…

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Where Should We Be Going?

January 21, 2016

The Affordable Care Act (ACA) created a hybrid with many moving parts: incorporating employer mandates, individual responsibility and refundable tax credits (shared responsibility), and a Medicaid expansion. It is unclear which parts over time will give way to others. Some predict…

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Better Understanding the Governor’s Medi-Cal Projected Budget for FY 2015-16 and 2016-17

January 15, 2016

The Medi-Cal budget for FY 2015-16 was estimated at $92 billion and the budget projected for 2016-17 is $85 billion or $7 billion less. The General Fund portion is estimated at $17.6 billion for 2015-16 and at $19 billion for FY 2016-17 or $1.4 billion more. The total reported budget…

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ITUP FY2014-15 Annual Report

January 13, 2016

ITUP's FY2014-15 Annual Report is now available for download. Below, please find a message from our Executive Director, Lucien Wulsin. Dear Friends and Colleagues, ITUP’s goals for 2014-15 were to build on and accelerate the first year’s successes in Affordable Care Act (ACA)…

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ITUP Summary of the Governor’s Proposed State Budget for FY 2016-17

January 11, 2016

The Governor's FY 2016-17 proposed state budget has been released. Notably, Governor Brown is proposing significant contributions into the State's Rainy Day Fund and major payments against California's existing debt. California is projected to run a $5 billion surplus this year, with…

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Summary of the Terms and Conditions for California’s Section 1115 Waiver Renewal

January 8, 2016

California’s Section 1115 Waiver Renewal Terms and Conditions has six elements: managed care expansion; preventive dental care for children ($750 million); whole person care pilots ($1.5 billion); substance abuse treatments (Drug Medi-Cal); global budgets for public hospitals; and…

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ITUP Summary of Health Components of the Governor’s Proposed State Budget for FY 2016-17

January 7, 2016

The Health and Human Services Agency proposed budget is $136 billion of which $34 billion is state General Fund. Medi-Cal costs $85 billion; Developmental Services $6.4 billion; 1991-2 realignment $5.3 billion; 2011 realignment $4.9 billion, and IHSS (In Home Support Services) $10.4…

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Payment and Delivery Systems Across California

January 6, 2016

As California’s health care landscape continues to evolve, one of the most significant areas where change can and is starting to occur is within the local health care delivery systems. There is a shift towards providing more integrated, better-coordinated care that emphasizes value,…

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Advancing the Triple Aim for Employer-Based Health Insurance

January 5, 2016

Through expanding Medi-Cal and subsidizing private insurance through Covered California for 1.3 million Californians, the Affordable Care Act (ACA) launched the triple of aim of better access, improved care, and reduced costs. As the ACA enters its third year of implementation,…

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Open Enrollment: Lessons from the Field (UPDATED)

January 4, 2016

California has been one of the nation’s leaders in implementing the ACA. This paper looks at the enrollment successes and delivery systems performance reported in our regional workgroups in the San Diego, Orange, North Central, Bay Area, Central Coast and Central Valley counties.…

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