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Eliminating Adult Dental Benefits in Medi-Cal: An Analysis of Impact

December 2011

California eliminated non-emergency adult dental services from Medi-Cal in 2009. What has this policy change meant for Medi-Cal beneficiaries and dental providers?

California's 2010 Medicaid Waiver Stakeholder Process: Impact and Lessons Learned

November 2011

State health officials and foundations came together to help shape California's Medicaid waiver request. How effective was the process and what were the lessons learned?

California Health Plans and Insurers

November 2011

Despite some enrollment losses, most California health plans still turned a profit in 2010. This annual CHCF Almanac report looks at market share, financial performance, and consumer satisfaction.

The Oregon Health Insurance Experiment: Evidence from the First Year

July 2011

In 2008, Oregon held a lottery to expand its Medicaid program. This research finds the coverage increased individuals' health care access and usage, lowered out-of-pocket costs and medical debt, and improved health and well being.

Continuity for (Former) Medi-Cal Enrollees and Affordability for the Low-Income Exchange Population

July 2011

A policy analysis presents options for maintaining continuity of care for low-income Californians when people's incomes fluctuate. One proposal is to offer Medi-Cal plans, under specified conditions, through the Exchange.

Monitoring Medi-Cal: Recommendations for Measuring the Performance of California's Medicaid Program

January 2011

Medi-Cal covers one in five Californians. How best to monitor the performance of the state's largest insurer? This report recommends a "dashboard" to manage the program and provide accountability.

Share of Cost Medi-Cal

September 2010

Share of cost Medi-Cal provides benefits for those with incomes too high to qualify for cash assistance but too low to cover health care. This issue brief provides an overview, including a description of relevant policy issues.

Where the Money Goes: Understanding Medi-Cal’s High-Cost Beneficiaries

July 2010

Seven percent of Medi-Cal beneficiaries accounted for more than three-quarters of fee-for-service program expenditures in fiscal year 2008. This snapshot makes recommendations for better controlling costs.

Physician Participation in Medi-Cal

July 2010

This report uses data from a Medical Board of California survey; it finds that low participation rates are a continuing problem and discusses the implications for low-income patients.

Denti-Cal Facts and Figures

May 2010

This overview documents the difficulties faced by beneficiaries in California's Medicaid dental program. It highlights key trends and statistics ranging from utilization to expenditures.

Briefing — Physician Participation in Medi-Cal, 2008

March 26, 2010

This policy briefing presented survey data on physician participation in Medi-Cal and examined the differences in Medi-Cal physician participation across specialties and geographic regions. Presentation slides and a related report are available for download.

The Medi-Cal Prescription Drug Benefit: An Overview

December 2009

This issue brief provides an overview of the Medi-Cal outpatient prescription drug benefit program, summarizes the impact of Medicare Part D on drug utilization and spending by Medi-Cal beneficiaries, and considers Medi-Cal's approaches to managing drug costs.

Financing Medi-Cal's Future: The Growing Role of Health Care-Related Provider Fees and Taxes

November 2009

This issue brief reviews federal requirements for health care-related provider fees and taxes, and examines California's experience with provider fees under Medi-Cal.

Medicaid Section 1115 Demonstration Waivers: Comparing California, Massachusetts, and New York

October 2009

This issue brief compares California's waiver to the 1115 waivers of two states with innovative and more comprehensive waivers: Massachusetts and New York.

Medicaid Payment Rate Lawsuits: Evolving Court Views Mean Uncertain Future for Medi-Cal

October 2009

This issue brief explores the evolution of Medicaid provider payment rate lawsuits and the lessons they provide for the future of Medi-Cal rate setting, as well as their implications for the direction of equal access litigation.

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