California Health Care Chartbook: Key Data and Trends

Section 7: The Changing Health Care Marketplace

Download PDF of Section 7

The following exhibits can be found in the above PDF.HMOs and HospitalsExhibit 7.1aPercent of the Population in HMOs in California and the United States, July 2002Exhibit 7.1bHMO Penetration Rates for California Counties, March 2003Exhibit 7.1cStates with Highest and Lowest Shares of the Population in HMOs, July 2002Exhibit 7.1dEnrollment in the Five Largest HMOs in California, July 2002Exhibit 7.2aCommunity Hospital Beds Per 100,000 Population, California and the United States, 1985-2001Exhibit 7.2bDistribution of Community Hospitals by Ownership Type, California and the United States, 1989 and 2001Exhibit 7.2cCommunity Hospital Admissions and Emergency Room Visits Per 1,000 Population, California and the United States, 2001Exhibit 7.2dCommunity Hospital Adjusted Expenses Per Inpatient Day, California and the United States, 1999-2001Nursing Homes, Providers, and Prescription Drugs Exhibit 7.3aNumber of Residents, Facilities, Beds, and Occupancy Rates in Certified Nursing Facilities, California, 1995-2002Exhibit 7.3bNursing Facilities by Ownership Type and Payer Source, California and the United States, 2002Exhibit 7.4aNon-Federal Physicians Per 100,000 Civilian Population, California and the United States, 1975-2002Exhibit 7.4bMean Physician Net Income, California and the United States, 1994 and 2000Exhibit 7.4cMean Physician Net Income for Primary Care and Specialist Physicians, California and the United States, 1997 and 2000Exhibit 7.4dSources of Physician Practice Revenue, California and United States, 1999Exhibit 7.5Registered Nurses Per 10,000 Population, California and the United States, 1999-2001Exhibit 7.6Health Care Personnel, California and the United StatesExhibit 7.7Prescription Drug Use, Sales, and Prices, California and the United States, 2002

These survey findings of Americans’ views on global HIV/AIDS are part of Kaiser’s national “Survey of Americans on HIV/AIDS,” conducted in spring 2004. Other portions of the national survey will be released this summer. This portion of the survey explores such issues as foreign aid, general knowledge about the global epidemic and the role of the United States, as well as which individuals are associated with the fight against global HIV/AIDS and where Americans get information about the issue (June 2004).

Summary/Chartpack

Toplines

Survey of Americans on HIV/AIDS – Part Two: HIV Testing

Survey of Americans on HIV/AIDS – Part Three: Experiences and Opinions by Race/Ethnicity and Age

As the first phase of the new Medicare prescription drug law takes effect, the Kaiser Family Foundation commissioned focus groups conducted by Bill McInturff of Public Opinion Strategies and Geoff Garin of Peter D. Hart Research Associates in consultation with Foundation staff. The focus groups were designed to explore what people on Medicare know and think about the discount drug card that went in effect June 1st, and the new benefit that takes effect in 2006. The ten focus groups, conducted in Pittsburgh, Kansas City and Washington, DC, underscore the major public education challenge that lies ahead.

With public education about the new Medicare law underway, the Foundation also has results from a new Kaiser survey showing that 31% of seniors have ever used the Internet, with a vast digital divide. Only 15% of seniors with incomes below $20,000 say they have ever gone online. These findings underscore the importance of using a variety of strategies to reach and educate seniors.

Report: Reactions to the New Medicare Law, Findings Based on Focus Groups with People on Medicare

Chartpack: Selected Findings on the New Medicare Prescription Drug Law

Interview: Pollsters Geoff Garin of Peter D. Hart Research and Bill McInturff of Public Opinion Strategies talk with Foundation Senior Visiting Fellow Jackie Judd, former correspondent with ABC News, about the focus group research they conducted on the new Medicare prescription drug law.

The Impact of Recent Changes in Health Care Coverage for Low-Income People: A First Look at the Research Following Changes in Oregon’s Medicaid Program

Oregon recently restructured its Medicaid program through a Section 1115 waiver and other program changes, largely in response to particularly difficult state budget problems. This report summarizes key findings on the impact of Oregon’s changes, based on work conducted by a research collaborative within the state. The experience in Oregon may be instructive, as other states have implemented or are considering implementing similar changes.

Issue Paper (.pdf)

California Health Care Chartbook: Key Data and Trends

Section 5: Trends in Public Health Insurance Programs

Download PDF of Section 5

The following exhibits can be found in the above PDF.

Medicaid

Exhibit 5.1aMedicaid Enrollees by Enrollment Group, California and the United States, FY2000Exhibit 5.1bMonthly Medicaid Enrollment: Percent Change from Previous Year and Number of Enrollees, California and the United States, June 1997 – June 2002Exhibit 5.1cCalifornia’s Medi-Cal Enrollment by County, January 2003Exhibit 5.2Percent of Medicaid Enrollees in Managed Care Plans, California and the United States, 1988-2002Exhibit 5.3Annual Growth and Amount of Total Medicaid Expenditures (Federal and State), California and the United States, FY1991-FY2002Exhibit 5.4aFederal Medicaid Funds as a Percent of Total Federal Funds to States, California and the United States, FY2001Exhibit 5.4bState Medicaid General Fund Spending as a Percent of Total General Fund Expenditures, California and the United States, FY2001Exhibit 5.4cMedicaid Spending by Type of Service, California and the United States, FY 2002Coverage for Low-Income Children Exhibit 5.5aEligibility Levels for Children in Medi-Cal and Healthy Families, 2003Exhibit 5.5bChildren Enrolled in Medi-Cal and Healthy Families, California and the United States, December 2002Exhibit 5.5cHealthy Families and Medi-Cal Enrollment for Children Ages 0-17, by County, 2003Exhibit 5.5dUninsured Children, by Eligibility for Medi-Cal and Healthy Families, California 2001Exhibit 5.5eHealthy Families Expenditures, FY2002Medicare Exhibit 5.6aMedicare Enrollment by Eligibility Category, California and the United States, July 2002Exhibit 5.6bCalifornia’s Medicare Enrollment by County, July 2002Exhibit 5.7Profile of Medicare Beneficiaries, California and the United StatesExhibit 5.8Percentage of Medicare Beneficiaries Enrolled in Medicare+Choice Managed Care Plans, California and the United States, 1989-2004Exhibit 5.9Total Medicare Spending, California and the United States, 2001Exhibit 5.10Dual Enrollee Enrollment and Spending, California and the United States, 2002Exhibit 5.11Sources of Prescription Drug Coverage, California Seniors and U.S. Medicare Beneficiaries

This report from the The Center for Strategic and International Studies (CSIS) Task Force on HIV/AIDS, in collaboration with the Kaiser Family Foundation, reviews the emergency response capacities of a number of US government agencies and makes suggestions for enhancing the rapid-response capacity of the Office of the Global AIDS Coordinator.

The report was authored by Phillip Nieburg, senior associate, CSIS, Jennifer Kates, vice president and director of HIV Policy, Kaiser Family Foundation, and J. Stephen Morrison, executive director, CSIS HIV/AIDS Task Force Director, CSIS Africa Program.

CSIS Report (.pdf)

Medicaid and Long-term Care

This report examines Medicaid’s role in providing long-term care services, including the services provided, the population needing services, and how the services are delivered. Current policy issues and challenges for Medicaid’s role in providing these services are also discussed.

Report (.pdf)

Financing HIV/AIDS Care: A Quilt with Many Holes

There are multiple sources of insurance coverage and care for people with HIV/AIDS in the United States, including public programs such as Medicaid, Medicare, and the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, other safety net programs, and private coverage. As a result, the current system of financing for HIV care is a complex patchwork that leaves some outside the system and presents others with barriers to needed access. This updated report, “Financing HIV/AIDS Care: A Quilt with Many Holes,” provides a comprehensive overview of the current financing system for HIV/AIDS care in the U.S.

Issue Brief (.pdf)

In 2002, the state of Washington eliminated state-funded Medicaid look-alike coverage for certain immigrant families. These families then became eligible for more limited coverage in the state’s Basic Health program. This report details the process of this transition and the outcomes for coverage and access for these individuals.

Research Brief (.pdf)

National ADAP Monitoring Project 2004 Annual Report

The National ADAP Monitoring Report, 2004 provides the latest data on state AIDS Drug Assistance Programs (ADAPs). ADAPs, authorized under Title II of the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act, provide HIV/AIDS-related prescription drugs to uninsured and underinsured individuals living with HIV/AIDS. ADAPs operate in 57 U.S. states, territories, and associated jurisdictions.

The report, the eighth in an annual series, was prepared by the Kaiser Family Foundation, the National Alliance of State and Territorial AIDS Directors (NASTAD) and the AIDS Treatment Data Network (ATDN). It was released during a conference call briefing May 19, 2004.

Executive Summary (.pdf)

Report (.pdf)