http://www.lahealthaction.org/index.php/library/index en vcalderon@lahealthaction.org Copyright 2012 2012-05-16T22:04:34-08:00 http://lahealthaction.org/index.php/library/full_entry/2928/ Memorandum from L.A. County DHS to the Board of Supervisors on the passage of the California 1115 Waiver and how to implement provisions in Los Angeles County. Included in the memorandum are key components of the California § 1115 Waiver and the implications for Los Angeles County. Other topics in the memorandum include information regarding funding negotiations and necessary Waiver implementation efforts. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Outreach, Enrollment, Retention and Utilization, Section 1115 Medicaid Waiver, Understanding the Waiver, Coverage Initiative, L.A. County Documents, L.A. County DHS Governance 2010-11-30T20:37:02-08:00 http://lahealthaction.org/index.php/library/full_entry/2722/ Summary on the key points of AB 342 (Perez) and SB 208 (Steinberg), the current California Assembly and State Bills requesting a 5-year renewal and expansion of the soon to expire Medicaid 1115 waiver. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Care Reform and Expansion, Health Care Financing, Costs of Health Care, Section 1115 Medicaid Waiver, Understanding the Waiver 2010-07-13T23:25:05-08:00 http://lahealthaction.org/index.php/library/full_entry/2735/ Memorandum from Gary Passmore of the Congress of California Seniors (CCS) to Director David Maxwell-Jolly of the Department of Health Care Services stating the Congress of California Senior's comments and concerns regarding State's 1115 Waiver implementation plan. State Budget, Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Care Reform and Expansion, Section 1115 Medicaid Waiver, Understanding the Waiver, Advocacy, Other Hospital Financing Waiver Documents, Medi-Cal Redesign 2010-05-26T02:15:52-08:00 http://lahealthaction.org/index.php/library/full_entry/2316/ This memorandum is a supplement to the Department of Health Services's initial January 26, 2010 fiscal outlook report that indicated an anticipated, significant negative impact from the proposed $750 million reduction in State General Funds for the Medi-Cal program. However, at the time the department could not determine an estimate without more detailed information. Subsequently, it has become clear that the Governor's proposed budget assumes continuation in FY 2010-2011 reductions to the Safety Net Care Pool (SNCP) and the South LA Fund, which will decrease our projected revenues for 2010-2011 by $24 million, resulting in a corresponding increase in the projected two-year cumulative deficit to $600.7 million. This reduction is in addition to any reductions which would result from the $750 million reduction, because it is already assumed in the base. State Budget, Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Care Delivery Systems, Hospitals, Health Care Financing, Costs of Health Care, Health Status and Issues, Vulnerable Populations and Health Disparities, Section 1115 Medicaid Waiver, Understanding the Waiver, L.A. County Documents, Children's Health and Coverage 2010-01-27T06:22:04-08:00 http://lahealthaction.org/index.php/library/full_entry/2315/ This memorandum provides a Summary of Changes in the DHS Fiscal Outlook (Attachment I) since the last Budget Committee of the Whole report to the Board of Supervisors on September 15, 2009. As indicated in the Summary of Changes, the current estimated shortfalls are $(213.1)million for Fiscal Year (FY) 2009-2010 and $(576.7) million for FY 2010-2011. The developments contributing to these changes are summarized in the attached Summary of Changes. This memorandum provides specific details regarding the managed care rate supplement, the impact of additional state budget cuts, the hospital provider fee, the FMAP extension and the 1115 Waiver. State Budget, Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Care Delivery Systems, Hospitals, Health Care Financing, Costs of Health Care, Health Status and Issues, Vulnerable Populations and Health Disparities, Section 1115 Medicaid Waiver, Understanding the Waiver, L.A. County Documents, Children's Health and Coverage 2010-01-26T22:39:13-08:00 http://lahealthaction.org/index.php/library/full_entry/2295/ This document presents the State of California’s concept of potential components for a section 1115 waiver, to be effective September 1, 2010. This new waiver reflects the need to achieve the structural reforms as adopted as part of the State’s 2009-10 budget and to prepare for possible national health care reform. Under the terms of the waiver, and consistent with recent legislation passed by the California Legislature and signed by the Governor (ABx4 61), California will create more accountable coordinated systems of care, strengthen the health care safety net, reward health care quality and improve outcomes, slow the long-term expenditure growth rate of Medi-Cal (California’s Medicaid program), and expand coverage to uninsured Californians. Health Care Delivery Systems, Hospitals, Emergency Services and Trauma Care, Ambulatory Care, Health Care Financing, Costs of Health Care, Health Status and Issues, Chronic Conditions, Health Behaviors, Vulnerable Populations and Health Disparities, Section 1115 Medicaid Waiver, 2005 Hospital Financing Waiver, Understanding the Waiver 2009-12-18T19:08:06-08:00 http://lahealthaction.org/index.php/library/full_entry/2173/ This report has been developed as technical assistance to the State of California. As such, it presents a range of options on different paths that could be taken by the state in a waiver request to the federal government. The paper makes no recommendations. Rather, this paper was developed with the understanding that it will be used as the beginning of a process with stakeholders to discuss waiver options. As part of this public process, the concepts presented here were previously presented by the consulting team at a three-hour public event sponsored by the California Senate Office of Research in early June 2009. While the paper is an inital step in waiver development, it is worth noting that the language can still be highly technical and is designed for audiences with background in health care policy and financing. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Outreach, Enrollment, Retention and Utilization, Health Care Reform and Expansion, Health Care Delivery Systems, Hospitals, Emergency Services and Trauma Care, Ambulatory Care, Health Care Financing, Costs of Health Care, Health Status and Issues, Vulnerable Populations and Health Disparities, Section 1115 Medicaid Waiver, Understanding the Waiver, Other Hospital Financing Waiver Documents 2009-08-21T18:34:39-08:00 http://lahealthaction.org/index.php/library/full_entry/2174/ This supplemental chart compares California's waiver to other state models and has been developed as technical assistance to the State of California. As such, it presents a range of options on different paths that could be taken by the state in a waiver request to the federal government. The paper makes no recommendations. Rather, this paper was developed with the understanding that it will be used as the beginning of a process with stakeholders to discuss waiver options. As part of this public process, the concepts presented here were previously presented by the consulting team at a three-hour public event sponsored by the California Senate Office of Research in early June 2009. While the paper is an inital step in waiver development, it is worth noting that the language can still be highly technical and is designed for audiences with background in health care policy and financing. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Outreach, Enrollment, Retention and Utilization, Health Care Reform and Expansion, Health Care Delivery Systems, Hospitals, Emergency Services and Trauma Care, Ambulatory Care, Health Care Financing, Costs of Health Care, Health Status and Issues, Vulnerable Populations and Health Disparities, Section 1115 Medicaid Waiver, Understanding the Waiver, Other Hospital Financing Waiver Documents 2009-08-21T18:33:29-08:00 http://lahealthaction.org/index.php/library/full_entry/2172/ This policy brief summarizes the current disucussion on putting together a waiver renewal concept paper for California's hospital financing waiver. The plan is to submit it to the federal government by September or October of 2009. The state is looking to use the waiver renewal to fill in about $400 million of the budget deficit and to use it as a bridge to federal health care reform. The goal of this paper is to solicit creative input from the "front lines" to be included in the renewal waiver. Some of the topics discussed include: Eligibility, Service Delivery, Payment Reform, Budget Neutrality and Financing, Quality Improvement and Infrastructure Reform. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Care Reform and Expansion, Health Care Delivery Systems, Hospitals, Emergency Services and Trauma Care, Ambulatory Care, Health Care Financing, Costs of Health Care, Health Status and Issues, Vulnerable Populations and Health Disparities, Section 1115 Medicaid Waiver, Understanding the Waiver, Other Hospital Financing Waiver Documents 2009-08-21T18:09:03-08:00 http://lahealthaction.org/index.php/library/full_entry/636/ Document providing an update on California's hospital financing waiver. Health Care Delivery Systems, Hospitals, Health Care Financing, Costs of Health Care, Section 1115 Medicaid Waiver, Understanding the Waiver 2006-03-07T22:51:28-08:00 http://lahealthaction.org/index.php/library/full_entry/377/ Letter from CMS Administrator to CHHS Secretary approving the hospital financing waiver, conditioned on the state's acceptance of the Special Terms and Conditions (attached) and coordination with the requirements of Medicare Part D. Health Insurance and Coverage Programs, Health Care Reform and Expansion, Health Care Delivery Systems, Hospitals, Health Care Financing, Costs of Health Care, Section 1115 Medicaid Waiver, 2005 Hospital Financing Waiver, Understanding the Waiver 2005-08-31T23:50:55-08:00 http://lahealthaction.org/index.php/library/full_entry/194/ Report regarding expansion of Medi-Cal managed care for persons with disabilities, which analyzes the proposal and identifies key issues related to readiness for the state. Health Care Financing, Costs of Health Care, Section 1115 Medicaid Waiver, Understanding the Waiver, Other Hospital Financing Waiver Documents, Medi-Cal Redesign 2005-08-30T19:00:28-08:00 http://lahealthaction.org/index.php/library/full_entry/190/ Draft bill regarding proposed legislation concerning hospital financing distribution. Health Care Financing, Costs of Health Care, Section 1115 Medicaid Waiver, Understanding the Waiver 2005-08-24T19:00:07-08:00 http://lahealthaction.org/index.php/library/full_entry/135/ Executive summary of proposed legislation concerning hospital financing distribution. Health Care Financing, Costs of Health Care, Section 1115 Medicaid Waiver, Understanding the Waiver 2005-08-24T19:00:01-08:00 http://lahealthaction.org/index.php/library/full_entry/307/ Document providing answers to frequently asked questions about the statewide hospital financing waiver. Health Care Financing, Costs of Health Care, Section 1115 Medicaid Waiver, Understanding the Waiver 2005-08-24T04:55:16-08:00 http://lahealthaction.org/index.php/library/full_entry/306/ Document providing timeline of hospital financing waiver, based on August 16, 2005 terms and conditions. Health Care Financing, Costs of Health Care, Section 1115 Medicaid Waiver, Understanding the Waiver 2005-08-24T04:15:09-08:00 http://lahealthaction.org/index.php/library/full_entry/329/ Policy brief aimed at providing a better understanding of California's hospital financing waiver by comparing some of its features with the Iowa and Massachusetts waivers. Health Care Financing, Costs of Health Care, Section 1115 Medicaid Waiver, Understanding the Waiver, Other Hospital Financing Waiver Documents 2005-08-23T22:54:29-08:00 http://lahealthaction.org/index.php/library/full_entry/303/ Document providing glossary of terms regarding the hospital financing waiver. Health Care Financing, Costs of Health Care, Section 1115 Medicaid Waiver, Understanding the Waiver 2005-08-20T00:49:29-08:00 http://lahealthaction.org/index.php/library/full_entry/138/ LA Health Action's chart regarding hospital financing waiver timeline. Health Care Financing, Costs of Health Care, Section 1115 Medicaid Waiver, Understanding the Waiver 2005-07-14T19:00:17-08:00 http://lahealthaction.org/index.php/library/full_entry/123/ CHHS document providing early explanation of hospital financing waiver concept. Health Care Financing, Costs of Health Care, Section 1115 Medicaid Waiver, Understanding the Waiver 2005-05-19T19:00:52-08:00