This report updates a 1994 case study of California’s Medicaid managed care initiative. California uses three predominant managed care models in its Medi-Cal program: county organized health (COHS), geographic managed care (GMC), and the two-plan model. This case study focuses specifically on Los Angeles County’s two-plan model and Orange County’s COHS model. It is one of a series of reports from the Kaiser/Commonwealth Low-Income Coverage and Access Project.

This project examines how changes in the Medicaid program have affected health insurance health insurance coverage and access to care for the low-income population in eight states: California, Florida, Maryland, Minnesota, New York, Oregon, Tennessee, and Texas.

This report provides in-depth descriptions of the case studies in these states. The case studies are based on interviews conducted in the fall of 1998 with state officials, provider and plan representatives, and advocates. This report provides an overview of each state’s Medicaid program, followed by an analysis of the structure and impact of various program features, such as whether capitated and/or PCCM programs are offered; whether the programs are mandatory or voluntary for people with disabilities; whether disabled people are covered by mainstream managed care or by a separate specialized program; and whether behavioral health is offered under a managed arrangement or an alternative approach. (Publication #2163) A companion paper, A Closer Look (Publication #2179), presents an overview of the findings and summarizes the results of the case studies.

Case Studies

Briefing Resource List

The Gender of Politics:How (and How Much) Will Women Influence Election 2000?Tuesday, April 18, 2000Briefing ParticipantsOther ResourcesAnalysts and ResearchersPollstersWomen’s Political OrganizationsVoter Education/InformationAdditional Voter Education WebsitesNational Political PartiesPolitical Analysts/StrategistsEmerging Issues in Reproductive Health, Program Contacts

Briefing Participants

Mollyann Brodie, PhD, Vice President and Director of Public Opinion and Media ResearchTina Hoff, Director, Public Health Information and CommunicationsHenry J. Kaiser Family Foundation2400 Sand Hill RoadMenlo Park, CA 94025Press contact: Amy WeitzTel. 650.854.9400Fax. 650.854.7465E-mail: aweitz@kff.orgWebsite: www.kff.org

Kellyanne Fitzpatrick, JDCEO and President The Polling Company1220 Connecticut Avenue, NWWashington, DC 20036 Press contact: Maria RauchTel. 202.667.6557Fax. 202.467.6551E-mail: info@pollingcompany.com

Anna Greenberg, PhDAssistant Professor of Public PolicyJohn F. Kennedy School of GovernmentHarvard University79 JFK StreetCambridge, MA 02138Tel. 617.495.8343Fax. 617.495.8696E-mail: anna_greenberg@harvard.edu

Timothy F. MooneyVice President, Political AffairsVoter.com400 N. Capitol Street, NW, Suite G-100Washington, DC 20001Press contact: Keith AppellTel. 703.683.5004, ext.112Fax. 703.683.1703E-mail: keith@crc4pr.comWebsite: www.voter.com

Sheila O’ConnellPolitical DirectorEMILY’s List805 15^th Street, NW, Suite 400Washington, DC 20005Press contact: Elizabeth PineTel. 202.326.1400Fax. 202.326.1415E-mail: epine@emilyslist.org Website: www.emilyslist.org

Other Resources

Analysts and Researchers

Karlyn Bowman, PhDResident FellowAmerican Enterprise Institute1150 17^th Street, NWWashington, DC 20036Press contact: Danielle MaxwellTel. 202.862.5873Fax. 202.862.7177E-mail: dmaxwell@aei.org

Susan Carroll, PhDSenior Research AssociateCenter for American Women and PoliticsEagleton Institute of PoliticsRutgers University191 Ryders LaneNew Brunswick, NJ 08901Press contact: Gilda MoralesTel. 732.932.9384, ext.264Fax. 732.932.6778E-mail: cawp@rci.rutgers.edu

Andrew KohutDirectorThe Pew Research Center for the People and the Press1150 18^th Street, NW, Suite 975Washington, DC 20036Tel. 202.293.3126Fax. 202.293.2569E-mail: mailprc@aol.comWebsite:

www.people-press.org

Alina Salganicoff, PhD Director for Women’s Health Policy & Associate Director, Kaiser Commission on Medicaid & the UninsuredZoe Beckerman, MPH Policy Analyst, Women’s Health PolicyKaiser Family Foundation1450 G Street, NW, Suite 250Washington, DC 20005Tel. 202.347.5270Fax. 202.347.5274E-mail: asalganicoff@kff.org

Pollsters

Linda DiVall (Republican)American Viewpoint300 N. Lee Street, Suite 400Alexandria, VA 22314Press contact: Marsha DouglasTel. 703.684.3325Fax. 703.684.9295

Ed Goeas (Republican)President and CEOThe Tarrance Group201 North Union Street, Suite 410Alexandria, VA 22314Tel. 703.684.6688Fax. 703.836.8256

Celinda Lake (Democrat)Lake Snell Perry Research1726 M Street, NW, Suite 500Washington, DC 20036Press contact: Joann BladuellTel. 202.776.9066Fax. 202.776.9074E-mail: jbladuell@lspa.com

Women’s Political Organizations

Roselyn O’ConnellPresidentNational Women’s Political Caucus1630 Connecticut Avenue, NW, Suite 201Washington, DC 20009Press contact: Beth KanterTel. 202.785.1100Fax. 202.785.3605E-mail: polnwpc@aol.com

Terese Coling and Ruth Powers, Co-ChairsThe Women’s Campaign Fund734 15^th Street, NW, Suite 500Washington, DC 20005Press contact: Erica HenriTel. 202.393.8164Fax. 202.393.0649E-mail: erica@wcfonline.org

Karen RayeExecutive DirectorThe WISH List3205 N Street, NWWashington, DC 20007Press contact: Debbie SlineTel. 202.342.9111Fax. 202.342.9190E-mail: wishpac@aol.com

Voter Education/Information

Dr. Carolyn Jefferson-Jenkins, PhDPresidentLeague of Women Voters1730 M Street, NW, Suite 1000Washington, DC 20036-4508Press contact: Paul BoertleinTel. 202.429.1965Fax. 202.429.0854E-mail: pboertlein@lwv.orgWebsite: www.leagueofwomenvoters.org

Richard KimballExecutive DirectorProject Vote SmartOne Common GroundPhilipsburg, MT 59858Press contact: Adelaide ElmTel. 406.859.8683Fax. 406.859.8680E-mail: aelm@vote-smart.orgWebsite: www.vote-smart.orgReporters’ Resource CenterTel. 406.859.8690

Deborah Wadsworth, MAExecutive DirectorPublic Agenda6 E. 39^th StreetNew York, NY 10016Press contact: Matthew SchuermanTel. 212.686.6610, ext.40Fax. 212.889.3461E-mail: mschuerman@publicagenda.orgWebsite: www.publicagenda.orgMarie Wilson, MAPresidentThe White House Project110 Wall Street, 2^nd FloorPress contact: James DevittTel. 212.785.6001, ext.13Fax. 212.785.6007E-mail: jdevitt@thewhitehouseproject.orgWebsite: www.thewhitehouseproject.org

Additional Voter Education Websites

The Democracy Networkwww.dnet.orgA non-profit, non-partisan project of the League of Women Voters Education Fund and the Center for Governmental Studies, this site enables users to compare candidates by issue and e-mail questions to candidates.

iVillagewww.iVillage.comThis site organized by and for women offers on-line voter registration as well as polling results and information on a range of issues.

National Political Parties

Jenny BackusPress SecretaryDemocratic National Committee430 S. Capitol Street, SEWashington, DC 20003Tel. 202.863.8033Fax. 202.863.7194Website: www.democrats.org

Mike CollinsPress SecretaryRepublican National Committee310 First Street, SEWashington, DC 20003Tel. 202.863.8550Fax. 202.863.8773Website: www.rnc.org

Political Analysts/Strategists

Ann Lewis (Democrat)Counselor to the PresidentThe White House1600 Pennsylvania AvenueWashington, DC 20500-0004Tel. 202.456.2644

Tanya Melich (Republican)Political Issues Management136 East 57^th Street, Suite 1305New York, NY 10022Tel. 212.759.9155

Emerging Issues in Reproductive Health, Program Contacts:

Tina Hoff, Director, Public Health Information and CommunicationsKristin Leo, Program CoordinatorAmy Weitz, Communications OfficerKaiser Family Foundation2400 Sand Hill RoadMenlo Park, CA 94025Tel. 650.854.9400Fax. 650.854.7465

Susan Lamontagne, Managing PartnerAndrea Miller, Managing PartnerMedia Strategies, Inc.611 Broadway, Suite 206New York, NY 10012Tel. 212.260.1520Fax. 212.260.9058

Health Coverage and Access: Policy Issues For Women

This chartpack provides briefing materials that review the key health coverage and access concerns facing American women. Issues that are addressed include women’s role in the health system, insurance coverage and access to care, managed care, contraceptive coverage, Medicare reform, and assistance with long-term care.

• Chart Pack

The Kaiser Family Foundation announced that it will create television and radio public service announcements (PSAs) aimed at connecting disadvantaged youth with technology resources and training. The PSAs, along with a coordinated effort to develop a national database of youth-oriented community technology centers, were announced at an East Palo Alto event on April 17th hosted by President Clinton.

• News Release: New
• Fact Sheet

This report, Medicaid Enrollment in 21 States: June 1997 -June 1999, prepared by Health Management Associates, includes enrollment data obtained directly from state Medicaid and CHIP programs. Findings show that across the 21 states, which represent 73% of total Medicaid enrollment, enrollment fell from 23.2 million in June 1997 to 22.6 million in June 1998, but turned upward in June 1999 to 22.9 million. State-by-state data is included for: Arkansas, California, Florida, Georgia, Ilinois, Indiana, Iowa, Kansas, Massachusetts, Michigan, New Jersey, New Mexico, New York, North Carolina, Ohio, Oklahoma, Pennsylvania, Tennessee, Texas, Utah, and Wisconsin.

New data prepared for the Kaiser Commission on Medicaid and the Uninsured released April 12 find recent Medicaid enrollment increases in more than half of the 21 states surveyed. A companion report describes survey results on ways states are trying to simplify the enrollment process.

• Report
• News Release: New Medicaid Data from 21 States Finds Recent Enrollment Increases in 12 States

Public health agencies and managed care organizations share responsibility for the health of the populations they serve. Their relationships are particularly important in the area of STDs. This study analyzes the evolving relationships between managed care organizations and public health agencies in how they manage the prevention, treatment, and tracking of STDs.

• Report

Kaiser Public Opinion Update, April 2000

summarizes key findings from past surveys on the uninsured conducted by the Kaiser Family Foundation and the Harvard School of Public Health and a new survey conducted by the Foundation in conjunction with The NewsHour with Jim Lehrer. The surveys show that the public is concerned about the problem of the uninsured, but that solutions remain elusive because of the lack of public consensus on the best approach and the lack of willingness to pay for solutions.

• Public Opinion Update