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/3932/ Memorandum to the Board of Supervisors providing an update on the progress to date for developing five potential Integrated School Health Center (ISHC) projects. The plan was intended to leverage several revenue opportunities, including Mental Health Services Act (MHSA) Prevention and Early Integration (PEI) funds in developing these pilot sites for the integration of behavioral health services with County-funded primary care services at school-based health center sites. Updates include results from the Education and Health Policy Summit, progress of MHSA PEI fund allocations, and next steps to be taken. Health Insurance and Coverage Programs, Health Care Reform and Expansion, Health Care Delivery Systems, Ambulatory Care, Children's Health and Coverage 2012-04-18T17:14:29-08:00 http://lahealthaction.org/index.php/library/full_entry/3928/ Policy brief addressing a number of challenges facing school health centers that must be addressed in order to expand and enhance the system as discussed at a recent policy summit co-convened by Supervisor Mark Ridley-Thomas, LACOE, and LAUSD. Potential strategies to address the challenges and next steps based on ideas generated during the summit are provided. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Outreach, Enrollment, Retention and Utilization, Health Care Reform and Expansion, Health Care Delivery Systems, Ambulatory Care, Children's Health and Coverage 2012-04-16T21:23:37-08:00 http://lahealthaction.org/index.php/library/full_entry/3919/ Memorandum to the Board of Supervisors on initiating contracts with 17 existing legal entity contractors for the delivery of enhanced integrated mental health services in school health centers and/or school campuses. The memorandum includes the funding and implementation strategy for DMH. School-based health centers are a proven cost effective means for providing a range of quality health services to children, adolescents and at-risk youth and at preventing worsened chronic conditions, inappropriate emergency room use and avoidable hospitalizations. Expanding the contracts builds upon the ongoing relationships between schools and mental health providers. DMH will honor existing collaborative relationships that have been formalized through a previous operational agreement. Health Care Delivery Systems, Ambulatory Care, Health Status and Issues, Maternal and Child Health, Health Behaviors, Children's Health and Coverage 2012-03-15T17:02:14-08:00 http://lahealthaction.org/index.php/library/full_entry/3884/ Policy brief commissioned by the 100% Campaign providing four possible scenarios concerning implementation and budget issues of the Healthy Families Program (HFP) upon full ACA implementation in 2014. Possible scenarios include remaining at status quo, full Medi-Cal shift, HFP administration shifts to the California Health Benefit Exchange or coverage plans in the Exchange provide HFP coverage to HFP children. The report identifies advantages and disadvantages of each scenario for low-income children. State Budget, Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Care Reform and Expansion, Children's Health and Coverage 2012-02-29T21:16:50-08:00 http://lahealthaction.org/index.php/library/full_entry/3573/ Study commissioned by The California Endowment that identifies several issues California policymakers must address so the state has the capabilities to handle an expected influx of newly insured children under the federal health reform law. In California, eligibility methods used for Medi-Cal can burden applicants and prevent eligible families from enrolling. Also, limited Medi-Cal provider reimbursement and networks could diminish the access to care received by both children and newly eligible parents. These two factors will be particularly important to address under the Governor's proposal to move children from Healthy Families into Medi-Cal. In 2009, more than 31.5 percent of uninsured children lived in Los Angeles County. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Outreach, Enrollment, Retention and Utilization, Health Care Reform and Expansion, Children's Health and Coverage 2011-08-03T16:41:49-08:00 http://lahealthaction.org/index.php/library/full_entry/3482/ Report on health insurance coverage from the CDC's 2010 National Health Interview survey. Nationally in 2010, 48.6 million persons of all ages (16.0%) were uninsured at the time of interview, 60.3 million (19.8%) had been uninsured for at least part of the year prior to interview, and 35.7 million (11.7%) had been uninsured for more than a year at the time of interview. The percentage of children under age 18 years who were uninsured at the time of interview was 7.8%. In California at the time of the interview, 20.6% of persons were uninsured and 22.2% of persons had public coverage. Health Insurance and Coverage Programs, Employment-based Health Insurance, Public Health Insurance Coverage Programs, Health Care Reform and Expansion, Health Care Financing, Costs of Health Care, Children's Health and Coverage 2011-07-11T17:31:35-08:00 http://lahealthaction.org/index.php/library/full_entry/3476/ Policy brief on the possible exclusion of 220,000 children from affordable health care coverage in California due to restrictions on eligibility for health care reform programs. Approximately 30,000 undocumented immigrant children will be barred from participating in the Health Benefit Exchange with an additional 150,000 uninsured children will be excluded from the ACA-funded Medi-Cal expansion due to their status as either undocumented immigrants or legal immigrants who have lived in the U.S. for fewer than five years. An estimated 40,000 children who are legal citizens of the U.S. also may be excluded from ACA coverage expansions as a result of confusion over their parents' citizenship status. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Care Reform and Expansion, Children's Health and Coverage 2011-06-30T17:38:45-08:00 http://lahealthaction.org/index.php/library/full_entry/3460/ Report summarizing the $15 billion in state budget cuts to health care and social services (such as CalWORKS, health care, SSI/SSP, Child Care, IHSS, Developmental Disabilities, Senior Services, Nutritional Services and Mental Health) made from FY 2008-09 up to the present. The report also includes personal stories from Californians who suffered from cuts and who benefited from the state’s health care and human services safety net programs. State Budget, Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Status and Issues, Children's Health and Coverage 2011-06-22T19:28:06-08:00 http://lahealthaction.org/index.php/library/full_entry/3478/ Report required by the Children's Health Insurance Program Reauthorization Act of 2009 to study physicians' willingness to serve children covered by Medicaid and CHIP (Medi-Cal and Healthy Families in California). The report estimates that more than three-quarters of primary and specialty care physicians are enrolled as Medicaid and CHIP providers and serving children in those programs; however, physicians experience much greater difficulty referring children in Medicaid and CHIP to specialty care as compared to privately insured children. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Care Reform and Expansion, Children's Health and Coverage 2011-06-15T17:24:31-08:00 http://lahealthaction.org/index.php/library/full_entry/3427/ Policy brief exploring several scenarios in which children may face particular challenges in accessing health insurance coverage and estimates the number of children for whom each scenario applies and considers whether these populations require additional attention in order to make the changes under the Affordable Care Act (ACA) function most effectively for them. An awareness of the special circumstances of these children as regulations are developed and the law is implemented will help ensure they are able to access health insurance coverage under reform. Health Insurance and Coverage Programs, Employment-based Health Insurance, Public Health Insurance Coverage Programs, Health Care Reform and Expansion, Health Status and Issues, Maternal and Child Health, Vulnerable Populations and Health Disparities, Children's Health and Coverage 2011-05-31T19:11:49-08:00 http://lahealthaction.org/index.php/library/full_entry/3274/ Memorandum from the L.A. County Department of Health Services (DHS) to the Board of Supervisors providing the department's new strategic plan. The plan is a roadmap for the L.A. County DHS system restructuring, incorporating the goals of the new 1115 Waiver and preparing for health care reform. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Outreach, Enrollment, Retention and Utilization, Health Care Reform and Expansion, Health Care Delivery Systems, Martin Luther King, Jr.-Harbor Hospital, Section 1115 Medicaid Waiver, Children's Health and Coverage 2011-04-04T16:14:10-08:00 http://lahealthaction.org/index.php/library/full_entry/3177/ Report providing a short overview of health disparities faced by boys and young men of color. It defines the concept of a “health home” and provides an in-depth discussion of several of the primary models employed in health home projects around the country. Health Care Delivery Systems, Ambulatory Care, Health Status and Issues, Vulnerable Populations and Health Disparities, Children's Health and Coverage 2011-02-01T19:02:08-08:00 http://lahealthaction.org/index.php/library/full_entry/3059/ Policy brief examining the process of developing a stakeholder collaborative in Los Angeles County committed to improving school communities’ health, key environmental factors, the L.A. Integrated School Health Center Model Standards, identification of challenges and lessons learned, and recommendations to the field. In 2008, two initiatives funded by The California Endowment determined that local opportunities existed to advance School Health Center (SHC) systems development and create a model for integrated services. Over a two-year period, the initiatives organized key stakeholder meetings to discuss collaboration opportunities and SHC integration concepts. Improving school performance and preparing for health care reform were two external drivers for this initiative. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Care Delivery Systems, Health Status and Issues, Maternal and Child Health, Chronic Conditions, Children's Health and Coverage 2011-01-31T23:16:59-08:00 http://lahealthaction.org/index.php/library/full_entry/3060/ Document summarizing site visits and conference calls conducted by Los Angeles County stakeholders with the Alameda County Health Care Systems Agency to learn about details of its School Health Services Program system, its evolution and future plans. This case study is intended for school districts, counties and school health center operators that wish to benefit from the experiences of the most evolved county school health center (SHC) system in California. More than a year has passed since the site visits and meetings were conducted. Consequently this document should be considered a snap shot of the Alameda system at that point in time. Health Insurance and Coverage Programs, Health Care Delivery Systems, Health Status and Issues, Maternal and Child Health, Children's Health and Coverage 2011-01-31T22:27:14-08:00 http://lahealthaction.org/index.php/library/full_entry/3014/ Policy brief on the use of technology to enable increased Medicaid and CHIP enrollment highlighting the Chicago public school system's use of data matching with school lunch programs to enroll children in public health insurance programs. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Outreach, Enrollment, Retention and Utilization, Health Care Reform and Expansion, Children's Health and Coverage 2010-12-02T21:24:03-08:00 http://lahealthaction.org/index.php/library/full_entry/2922/ Memorandum from the Interim Director of DHS to the Board of Supervisors stating its authority to make amendments with MRMIB, continuing funding of the Healthy Families Program administered by Community Health Plan (CHP). Both amendments specify the confidential rates of payment. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Care Financing, Costs of Health Care, Children's Health and Coverage 2010-11-16T00:23:36-08:00 http://lahealthaction.org/index.php/library/full_entry/2775/ Fact sheet contains county-by-county estimates of the number of California residents who have lost health insurance during the economic downturn using data from the California Health Interview Survey (CHIS). Los Angeles County had the largest total number of uninsured residents, with 2.7 million nonelderly adults and children (28.9% of the total population) experiencing some period of uninsurance in 2009. Health Insurance and Coverage Programs, Employment-based Health Insurance, Public Health Insurance Coverage Programs, Children's Health and Coverage 2010-08-16T17:40:55-08:00 http://lahealthaction.org/index.php/library/full_entry/2763/ Updated 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, Outreach, Enrollment, Retention and Utilization, Health Care Reform and Expansion, Health Care Financing, Costs of Health Care, Section 1115 Medicaid Waiver, Children's Health and Coverage 2010-08-10T03:58:27-08:00 http://lahealthaction.org/index.php/library/full_entry/2772/ Memorandum from the CEO to the Board of Supervisors containing actions related to AB 2599 (Bass and Hall) which will provide the funding for the new Martin Luther King, Jr. Hospital. Contained in the memorandum is information regarding the suspensions, due to potential costs to the state, of AB 963 (Ammiano) proposing streamlining Medi-Cal, Food Stamp and CalWORKS eligibility processes; SB 771 (Alquist) which, if approved, will extend Medi-Cal and other programs for former foster youth; SB 1091 (Hancock) which, if approved, will extend Medi-Cal benefits for youth entering juvenile detention facilities; and SB 1392 (Steinberg) which, as amended, would expedite and streamline mental health managed care services and Mental Health Services Act fund distribution to the county. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Care Delivery Systems, Martin Luther King, Jr.-Harbor Hospital, Section 1115 Medicaid Waiver, Children's Health and Coverage 2010-08-09T18:59:27-08:00 http://lahealthaction.org/index.php/library/full_entry/2750/ Report commissioned by LA Health Action intended to be a curtain raiser on federal health reform implementation for the Los Angeles County health care safety net and to bring to light the opinions of key thought leaders on a series of critical issues: 1) The key challenges posed by the Patient Protection and Affordable Care Act (ACA); 2) The opportunities; and 3) The needed first steps for ACA implementation. The findings paint a picture of the work that needs to be done and of the critical role county-level leaders will play in reform. State Budget, Health Insurance and Coverage Programs, Health Care Reform and Expansion, Health Care Delivery Systems, Health Care Financing, Costs of Health Care, Section 1115 Medicaid Waiver, Children's Health and Coverage 2010-07-28T21:09:59-08:00