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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…
Read MoreAnalysis 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…
Read MoreAnalysis 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…
Read MoreNew York’s New DSRIP Waiver & What It Could Mean in California UPDATED
July 23, 2014
New York state and CMS signed a new DSRIP waiver in April 2014. The goals are transforming the state’s health care system, bending the Medicaid cost curve and assuring quality care for all Medicaid members. The waiver puts an emphasis on transformation of the safety net, cost reduction…
Read MoreCA Turns Down Medi-Cal Enrollment Funds
June 17, 2014
On Sunday the State Legislature passed a budget for the 2014-15 fiscal year. We’ll have the details of the final enacted budget once Governor Brown signs it (some line items could be vetoed), but in the meantime we want to focus on a somewhat shocking budget item that was added…
Read MoreTransforming Drug Medi-Cal: Key Considerations for a Waiver Amendment
June 2, 2014
California’s expanded Medi-Cal program and expanded Substance Use Disorder (SUD) benefit provides an opportunity for beneficiaries to access improved services through the Drug Medi-Cal (DMC) program. In California, 1.9 million individuals are newly enrolled in Medi-Cal in 2014,…
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