Policy Brief: Toward Universal Coverage: State Alternatives to the Federal Individual Mandate

By California Health Policy Strategies, LLC

California Health Policy Strategies, LLC, July 18, 2018

The Tax Cuts and Jobs Act, signed into law at the end of 2017, included a provision that effectively eliminated the shared responsibility payment for individuals failing to maintain minimum essential coverage. Effective in 2019, the penalty associated with the shared responsibility payment is now reduced to $0.

Policy Brief: Whole Person Care Pilots Focusing on the Reentry Population: Overview of County Plans

By California Health Policy Strategies, LLC

California Health Policy Strategies, LLC, June 11, 2018

The Whole Person Care (WPC) Pilot program is designed to coordinate health, behavioral health, and social services to improve the health outcomes of Medi-Cal beneficiaries who are high utilizers of the healthcare system. Collaborative leadership and systematic coordination among public and private entities is used to meet this goal. The WPC Pilot entities identify target …

Policy Brief: EMSA Paramedicine Pilots – Estimating Statewide Medi-Cal Savings

By California Health Policy Strategies, LLC

California Health Policy Strategies, LLC, May 13, 2018

This document presents the results of an analysis of California’s Community Paramedicine Pilot program with the aim of estimating the potential for Medi-Cal program savings if the services provided under the pilots were expanded more broadly throughout the state. Combining all the pilot concepts analyzed here, we estimate a potential general fund savings ranging from …

Reentry Health Policy Project: Overview and Policy Briefs – March 2018

By California Health Policy Strategies, LLC

California Health Policy Strategies, LLC, March 11, 2018

The Reentry Health Policy Project is working to (1) identify state and county-level policies and practices that impede the delivery of effective health and behavioral health care services for formerly incarcerated individuals who are medically fragile (MF) and living with serious mental illness (SMI), as they return to the community; (2) find best practices that …

A Collaborative Approach for Patients with Diabetes

By California Health Policy Strategies, LLC

California Health Policy Strategies, LLC, January 18, 2018

As front-line health care providers, optometrists are seeing alarming increases in the prevalence of diabetes among their patients. In response, the California Optometric Association (COA) has spearheaded a statewide effort to improve prevention, early intervention and treatment of this deadly disease. Medi-Cal Managed Care Plans. Lower income individuals have significantly higher incidence of diabetes, but …

How Many Incarcerated Individuals Received Psychotropic Medication in California Jails: 2012­-2017

By Konrad Franco, David Panush, and David­-Maxwell-­Jolly

California Health Policy Strategies, LLC, January 17, 2018

This policy brief uses data from the Board of State and Community Corrections (BSCC) to estimate the number of jail inmates who receive psychotropic medication and assess the relative representation of this group among the jail population. To provide a measure of the prevalence of mental illness in jail, we reviewed data from 45 counties …

Caring For Individuals With Diabetes: Medical Group Report Card For Medicare Advantage Members

By California Health Policy Strategies

California Health Policy Strategies, January 17, 2018

Data from the California Office of the Patient Advocate and Integrated Healthcare Association allow us to compare Medical Groups serving patients enrolled in Medicare Advantage plans in California in 2015-2016. These slides present diabetes-related quality scores for 171 different medical groups. At the end of this presentation is a comprehensive list of all the medical …

Reentry Health Project Report: Highlights – Power Point Presentation, January 2018

By California Health Policy Strategies, LLC

California Health Policy Strategies, LLC, January 16, 2018

Objective: Identify state and county-level policies and practices that impede the delivery of effective health and behavioral health care services to people who are reentering their communities following incarceration in prison or jail; and find best practices that can be replicated at the state and local level.

Reentry Health Policy Project: Meeting the Serious Medical and Mental Health Needs of Californians Leaving Jails and Prison

By California Health Policy Strategies

California Health Policy Strategies, January 8, 2018

Justice-involved populations tend to experience high rates of physical and mental health problems within complicated social contexts, including long term unemployment, chronic system dependence, weak social ties, and residence in economically-depressed areas. Consequently, many are high utilizers of multiple systems who pose unique challenges to the correctional, community health, and social service systems that are …

Medi-Cal Enrollees and Emergency Department Utilization: Encounters as a Rate Remains Flat

By Zachary Goldman

California Health Policy Strategies, June 21, 2017

Despite recent media coverage about increased emergency department (ED) use among Medi-Cal enrollees since expanding coverage in 2014, the data tell a much different story when put into context. Emergency department encounters for Medi-Cal enrollees grew from 800,000 in 2013 to 1.4 million in 2016, and Medi-Cal enrollment grew from 9.9 million to 13.5 million …