Eliminating the ACA’s Individual Mandate: How Would California Fare?
ACA/Health Reform, Insurance Coverage
The federal tax law of 2017 eliminates, beginning in 2019, the ACA's financial penalty for not having health insurance. This paper describes how ACA provisions promote enrollment, the potential impact of the elimination of the penalty, and why California may wish to impose a state-based penalty.
Older Californians Struggle to Afford Lowest-Cost Plans on Covered California
Older Californians who earn slightly above the maximum to qualify for federal ACA subsidies are particularly vulnerable to the high cost of health coverage in the individual market. Even the lowest-cost Covered California bronze plans have premiums that can be out of range. Explore the data from your region.
Community Paramedicine in California: Overview of Pilot Projects
California is piloting the use of community paramedicine to improve the effectiveness and efficiency of health care delivery. Specially trained paramedics are partnered with other providers to meet local health care needs. These one-pagers describe the six concepts being piloted throughout the state.
Short-Term Plans Could Bring Long-Term Risks to California’s Individual Market
Insurance Coverage, ACA/Health Reform
The Trump administration could cause an expansion of short-term, limited-duration insurance in California. This report discusses the potential implications for California's individual health insurance market.
Intended Consequences: Modernizing Medi-Cal Rate Setting to Improve Health and Manage Costs
Manatt Health, Optumas Healthcare
Medi-Cal, Payment & Financing
The current Medi-Cal rate-setting methodology can hurt health plans that invest in initiatives that lower costs (such as care coordination), thereby discouraging more plans from making those investments. A new rate-setting methodology is needed.
Evaluation of a Collaborative Maternal Mental Health Care Pilot
Maternal Mental Health Now (MMHN) established a model of collaborative care at three federally qualified health centers in Los Angeles. Outside evaluators documented whether this model achieved the desired outcomes at each clinical site, and assessed the potential for spread to reach underserved perinatal populations.
Mental Health in California: For Too Many, Care Not There
Behavioral Health, Providers
This Almanac report provides an overview of mental health in California: disease prevalence, suicide rates, supply and use of treatment providers, and mental health in the correctional system, plus available data on spending and quality of care.
Partnering to Succeed
The MacColl Center for Health Care Innovation at Kaiser Permanente Washington Health Research Institute and JSI Research & Training Institute
This paper outlines seven partnership models that are helping small community health centers (CHCs) improve care and thrive under value-based payment. It also provides a framework to assess which partnership models are right for different CHCs.
County Data Snapshots Highlight Increased Need for Medication-Assisted Treatment
Lisa Clemans-Cope, Marni Epstein, Douglas Wissoker
Data snapshots for each California county estimate opioid use disorder prevalence, treatment capacity, treatment gaps, and opportunities to build more resources.
California’s Current and Future Behavioral Health Workforce
Janet Coffman, Timothy Bates, Igor Geyn, Joanne Spetz
Behavioral Health, Opioid Safety, Workforce
This report synthesizes data about California’s behavioral health workforce. California needs to make substantial investments to meet future demand for behavioral health professionals.