Archives

This is archived content; for historical reference only.  

§1115 Waiver Renewal Analysis: Public Hospital Redesign and Incentives in Medi-Cal

February 4, 2016

This is part of an ITUP series on the Medi-Cal 2020 §1115 waiver renewal. Public Hospital Redesign and Incentives in Medi-Cal (PRIME) is an ambitious follow-up program to the successful Delivery System Reform Incentive Pool (DSRIP) for county, district, and University of California…

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Analysis of §1115 Waiver Renewal: Dental Transformation Initiative

February 4, 2016

This is part of an ITUP series on the Medi-Cal 2020 §1115 waiver renewal. Under the Medi-Cal Dental program, dental services are provided to about 5.5 million Medi-Cal beneficiaries under the age of 20. The program aims to facilitate consistent and easy access to high quality dental…

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Medi-Cal 2020: ITUP's Analysis of California's New §1115 Waiver

February 1, 2016

Over the next couple of weeks, ITUP will be posting a number of papers analyzing the terms and conditions of the new §1115 waiver. These papers will look closely at the new requirements and their implications for the Medi-Cal program. Released Papers: Summary of the Terms and…

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Analysis of §1115 Waiver Renewal: Whole Person Care Pilots

February 1, 2016

This is part of an ITUP series on the Medi-Cal 2020 §1115 waiver renewal. As health care systems are focusing on providing more efficient, high quality care, systems around the country are moving towards more integrated patient care. The addition of the Whole Person Care Pilots…

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Analysis of §1115 Waiver Renewal: Managed Care Expansion and Demonstrations Continuation

February 1, 2016

This is part of an ITUP series on the Medi-Cal 2020 §1115 waiver renewal. The Medi-Cal program has grown from a caseload of 7.9 million beneficiaries in 2012-13 to a projected 13.5 million in 2016-17. About 10 million are currently enrolled in a managed care plan. The plans are…

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Analysis of California’s Section 1115 Waiver Renewal

February 1, 2016

This report is part of a series on California's Medi-Cal 2020 §1115 waiver renewal. California's new §1115 waiver has six elements: Managed care expansion Preventive dental care for children Whole person care pilots Substance abuse treatments (Drug Medi-Cal) Global budgets…

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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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