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/2892/ Summary of the recently approved California Section 1115 Medicaid Waiver and the following four impacts on the state: 1) Funds providing coverage for medically indigent adults (MIAs) and other low income adults in county programs (Low Income Health Program); 2) Moving some seniors and persons with disabilities into managed care and better coordinating the care of children in the California Children’s Services (CCS) program; 3) Funding a variety of state programs for the uninsured and public providers’ uncompensated care; and 4) Funding the evolution of public hospitals into models of coverage. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Health Care Delivery Systems, Hospitals, Ambulatory Care, Section 1115 Medicaid Waiver, Other Hospital Financing Waiver Documents 2010-11-08T19:34:57-08:00 http://lahealthaction.org/index.php/library/full_entry/2728/ Chart displaying the implementation timeline between May 2010 and January 2012 regarding the California Medicaid Section 1115 Waiver, including projects on Seniors and Persons with Disabilities, Children with Special Health Care Needs, Persons with Behavioral Disorders and/or Substance Abuse, and Health Care Coverage Initiative. State Budget, 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, Other Hospital Financing Waiver Documents 2010-05-31T16:44:18-08:00 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/2277/ This briefing paper examines the significant proposed changes in the state's Medi-Cal program put forward by the Department of Health Care Services. The concept paper proposes improved management and coordination of care and strengthening the state's safety net. It focuses on the following four groups within Medi-Cal who are the most seriously ill and who do not have a specific method to organize or coordinate their care within Medi-Cal: • Seniors and persons with disabilities • Dual eligibles (Those eligible and enrolled in both Medi-Cal and Medicare) • California Children's Services (CCS) • Those requiring specialty mental health care Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Outreach, Enrollment, Retention and Utilization, Health Care Financing, Costs of Health Care, Health Status and Issues, Maternal and Child Health, Vulnerable Populations and Health Disparities, Section 1115 Medicaid Waiver, Other Hospital Financing Waiver Documents, Medi-Cal Redesign 2009-11-18T22:23:43-08:00 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/2171/ This policy brief summarizes the goals of ABX4 6, signed into law by Governor Arnold Schwarzenegger on July 28, 2009. As law, it is the first framework for constructing California's hospital finacing waiver renewal for the federal government. This law has put in place many of the goals and innovations others have already suggested for the renewed waiver. Further, it explicitly requires the continued input of stakeholders through the waiver renewal process and, upon approval, the waiver's implementation via a stakeholder advisory board. 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, Other Hospital Financing Waiver Documents 2009-08-21T17:48:14-08:00 http://lahealthaction.org/index.php/library/full_entry/2134/ This press release announces the agreement with the Senate Finance Committee and the Obama Administration to accept approximately $155 billion in reduced payments to hospitals over the next 10 years, in order to help finance health reform. Part of the agreement proposes to reduce Medicare and Medicaid "Disproportionate Share Hospital" (DSH) payments by $50 billion over 10 years. Such reductions could severely damage safety net providers if not carefully crafted. Health Insurance and Coverage Programs, Health Care Reform and Expansion, 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, Other Hospital Financing Waiver Documents 2009-07-08T21:53:44-08:00 http://lahealthaction.org/index.php/library/full_entry/1952/ This paper analyzes some of the potential ways to achieve major health reform, ranging from Single Payor to Shared Responsibility to Individual Mandate. This paper discusses the three options for California are to seek a federal 1115 waiver: 1) Great big waiver, 2) Middle-sized waiver and 3) Hospital Selective Contracting waiver and whether we should seek a federal waiver to help us get started and build our own momentum if and when federal reform passes. 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, Health Care Financing, Costs of Health Care, Health Status and Issues, Vulnerable Populations and Health Disparities, Section 1115 Medicaid Waiver, Coverage Initiative, Other Hospital Financing Waiver Documents 2009-01-14T22:21:13-08:00 http://lahealthaction.org/index.php/library/full_entry/1134/ Graphical snapshot commissioned by the Calfornia HealthCare Foundation on the financial health of California's 355 general acute care hospitals, including data on how they are owned, how they are used, who pays for hospital care and their relative financial strength. Health Care Delivery Systems, Hospitals, Emergency Services and Trauma Care, Health Care Financing, Costs of Health Care, Section 1115 Medicaid Waiver, Other Hospital Financing Waiver Documents 2007-06-21T18:52:24-08:00 http://lahealthaction.org/index.php/library/full_entry/1133/ Full report commissioned by the Calfornia HealthCare Foundation on the financial health of California's 355 general acute care hospitals, including data on how they are owned, how they are used, who pays for hospital care and their relative financial strength. Health Care Delivery Systems, Hospitals, Health Care Financing, Costs of Health Care, Section 1115 Medicaid Waiver, Other Hospital Financing Waiver Documents 2007-06-21T18:41:30-08:00 http://lahealthaction.org/index.php/library/full_entry/1089/ Summary of the Governor's May revision to the state FY 2008-09 budget, with an emphasis on health and human services. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Outreach, Enrollment, Retention and Utilization, Section 1115 Medicaid Waiver, Other Hospital Financing Waiver Documents, Children's Health and Coverage 2007-05-14T21:48:30-08:00 http://lahealthaction.org/index.php/library/full_entry/566/ Report providing highlights of the proposed State budget with respect to California DHS. Health Insurance and Coverage Programs, Public Health Insurance Coverage Programs, Outreach, Enrollment, Retention and Utilization, Health Care Financing, Costs of Health Care, Section 1115 Medicaid Waiver, Coverage Initiative, Other Hospital Financing Waiver Documents 2006-01-10T22:47:08-08:00 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/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/324/ Report analyzing five components of hospital financing waiver, including proposals to impose premiums, restructure the safety net hospital financing system and shift more Medi-Cal beneficiaries into managed care. Health Care Financing, Costs of Health Care, Section 1115 Medicaid Waiver, Understanding the Waiver, Other Hospital Financing Waiver Documents 2005-05-05T20:55:03-08:00