Tag: Waiver

Reflections on the 6th Anniversary of the Affordable Care Act

March 23, 2016

Today we mark six years since passage of the landmark federal Affordable Care Act (ACA). This is an important opportunity to take time and acknowledge our collective efforts to embrace and fully implement the ACA and its coverage expansions. ACA implementation has essentially cut…

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Opportunities for California Under Section 1332 of the Affordable Care Act

February 16, 2016

ITUP's report, Opportunities for California Under Section 1332 of the Affordable Care Act, is now available. California has made great progress implementing the Affordable Care Act (ACA), with 6 million people newly enrolled in either Medi-Cal or Covered California since December…

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ITUP Analysis and Summary of the §1115 Waiver Renewal

February 4, 2016

ITUP has prepared a six-part summary of California's Medi-Cal 2020 §1115 waiver, which went into effect at the beginning of 2016. The new waiver aims to build off of the successes of the Bridge to Reform waiver, which expired at the end of 2015. The analysis is freely available…

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§1115 Waiver Renewal Analysis: Global Payment Program (GPP)

February 4, 2016

This is part of an ITUP series on the Medi-Cal 2020 §1115 waiver renewal. Before the Medi-Cal 2020 waiver, the federal/local financing of care for the uninsured was anachronistic. It incentivizes treating uninsured individuals at the hospital emergency room (the most expensive…

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§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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