CHCF: California and Its Counties Under the ACA: A Leadership Framework

Deborah Reidy Kelch California’s state-county partnership for health care is shifting under the ACA. This framework provides policymakers and stakeholders a way to understand the changes.  As California moves to implement the ACA, it is making major health program, policy, and fiscal changes that will transform the way the state and its 58 counties share … Continue reading

California Health Care Foundation: In Transition: Seniors and Persons with Disabilities Reflect on Their Move to Medi-Cal Managed Care

Carrie Graham, Health Research for Action at UC Berkeley Beginning in 2011, seniors and persons with disabilities (SPDs) in 16 counties with Medi-Cal fee-for-service were required to choose a managed care plan or be assigned to one. After one year, approximately 240,000 SPDs had made the transition to managed care.   Advocates for the affected … Continue reading

CHCF: Best Practices in Assisted Living: Considering Potential Reforms for California

While residents of California’s assisted living facilities require more health care services than in the past, state regulations haven’t kept pace.   Downloads Residential Care Facilities for the Elderly Quick Reference Guide, 2013 (1.02 MB) Maribeth Shannon Testimony Before the Joint Legislative Hearing of Human Services Committees, 2/11/14 (5.13 MB)  A number of troubling incidents that have been chronicled in … Continue reading

CHCF: Early Evidence, Future Promise of Connected Health

The success of the Affordable Care Act will depend on embracing technology that allows providers to reach more patients, treat them effectively and efficiently, and track their progress over time. With partial sponsorship from the California HealthCare Foundation (CHCF), the February 2014 issue of the journal Health Affairs explores the early evidence and future promise of connected … Continue reading

California Healthcare Foundation: Individual Coverage Under the ACA: California vs. Federal Provisions

Since passage of the federal Affordable Care Act (ACA) in 2010, California has enacted implementing state legislation in key areas, including establishment of a state-administered exchange, health insurance premium rate review, benefit standards and cost-sharing limits, and detailed rules for the offering and sale of private coverage to individuals and small groups. California developed ACA … Continue reading

California Healthcare Foundation: Health Reform in Translation

The Affordable Care Act (ACA) requires that most people obtain health insurance, and it provides new structures and supports to help them do so. To further Californians’ understanding of ACA implementation, CHCF is creating a set of resources called Health Reform in Translation. A series of infographics is available at right. Four fact sheets provide simple summaries of the … Continue reading

CHCF: Health Care Costs 101 Slow Growth: A New Trend?

Katherine B. Wilson While the US continues to spend a greater percentage of GDP on health care than any other industrialized nation, the 2011 increase bucked historical trends, according to the latest Health Care Costs 101  September 2013 The United States continues to spend a greater percentage of its wealth on health care than any other … Continue reading

California Healthcare Foundation: Long Term Care in California: Ready for Tomorrow’s Seniors?

Charlene Harrington, Edwina Newsom, and Leslie Ross, University of California, San Francisco The number of elderly residents in California is expected to balloon in the next 30 years. Will the long term care system be able to care for the state’s aging population? The leading edge of the baby-boom generation is beginning to flood California’s … Continue reading

California Healthcare Foundation: Help Yourself: The Rise of Online Health Marketplaces

Jane Sarasohn-Kahn Online health care shopping sites are making it easy for Americans to search for, schedule, and often pay for doctor appointments and other services in a single transaction.  The high cost of health care is motivating cost-conscious Americans to shop around. Seeking to benefit from this new potential market, doctors and dentists are … Continue reading

CHCF: Medi-Cal Facts and Figures: A Program Transforms

Jose Quintanilla, puts his shirt back on after getting a pneumonia shot at the adult primary care clinic at San Francisco General, on Thursday June 28, 2012, in San Francisco, Calif., where 36% of the patients are uninsured and 28% are on Medicare. In a divided but stunning decision, the U.S. Supreme Court on Thursday upheld virtually all of the far-reaching law crafted by President Obama to extend health coverage to most uninsured Americans. The narrow 5-4 ruling was a victory for Obama but also will serve as a rallying issue for Republicans calling for repeal of the Affordable Care Act passed by Democrats in 2010. Photo: Michael Macor, The Chronicle / SF

SEE THE REPORT Medi-Cal, California’s Medicaid program, is in the midst of a major transformation. Most apparent are changes in enrollment, both underway and planned, from the transition of children from Healthy Families to Medi-Cal, and from eligibility simplifications and expansions under the Affordable Care Act. Due to these changes, by 2019 approximately two million … Continue reading

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