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This page tracks emerging developments in the federal government’s approach to Medicaid program integrity, along with the implications of those actions for different states.
Amid increasing state and national interest in using managed care delivery models for Medicaid beneficiaries, the Kaiser Family Foundation’s Commission on Medicaid and the Uninsured (KCMU) hosted a public briefing on Tuesday, June 25, 2013 to provide information on recent transitions from fee-for-service to managed care, and to discuss their implications for care access and delivery. Moderated by Diane Rowland, Executive Vice President of the Foundation and Executive Director of the KCMU, the briefing began…
This brief examines how health service providers, plan administrators, and community-based organizations in Contra Costa, Kern, and Los Angeles Counties experienced the transition of Medi-Cal-only seniors and persons with disabilities (SPDs) to managed care as part of the state’s “Bridge to Reform” Medicaid waiver. Findings presented may inform similar transitions of high-need beneficiaries in other states and coverage expansions in 2014 under the Affordable Care Act.
California’s Uninsured Struggle With Costs and Access And Say They Want Insurance, But Most Have Heard Little About The Affordable Care Act, And Many Who Are Likely To Be Eligible For Medi-Cal or Exchange Subsidies Don’t Know It Many Undocumented Immigrants in CA Think They Will Get Coverage Through the ACA But Won’t Menlo Park, Calif. – California’s uninsured are skipping medical care, struggling with costs and want coverage, but many report knowing little about…
California has long been a leader in tackling climate change. However, as recent events have shown, despite its progressive climate policies, the Golden State is still very vulnerable to the effects of climate change. One key effect of climate change is its impact on health. From degraded air and water quality, to the mental health impact of climate emergencies like wildfires, to health complications from increased heat, to increases in vector-borne diseases like Lyme Disease,…
This brief describes recent HHS actions (state-specific and nationwide) related to Medicaid program integrity and outlines some open questions about the future of Medicaid program integrity, including which states might become a focus of administration effort.
This fact sheet provides an overview of population health, health coverage, and the health care delivery system in California in the era of health reform.
California is a bellwether state for understanding the impact of the Affordable Care Act (ACA). Much attention has been paid to enrollment in California's new coverage options, such as the Medicaid expansion (Medi-Cal) and plans sold through ACA marketplaces (Covered California), and to changes in the uninsured from 2013 to 2014. However, less is known about how this coverage has affected people’s access to care and financial security, and why others remain uninsured. This report,…
Health care ranks among the top issues for voters in the Democratic primaries. This slideshow examines the role of health care as an issue in the 2020 California Democratic primary and is based on KFF analysis of AP VoteCast, a survey of California primary voters conducted for the Associated Press by NORC at the University of Chicago.
Final update made on November 26, 2013 (no further updates will be made) Establishing the Marketplace On September 30, 2010, former Governor Arnold Schwarzenegger (R) signed into law two complementary bills, AB 1602 and SB 900, to establish the California Health Benefit Exchange. California was the first state in the nation to pass legislation creating a health insurance Marketplace after the enactment of federal health reform.1 Current Governor Jerry Brown (D) called a special legislative…
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