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The Changing Healthcare Landscape in California
Shannon McConville
Northern California Grantmakers Annual Conference—From Ideas to ActionMay 2015
2
ACA Medi-Cal enrollment levels have exceeded expectations
Total enrollment
Enrollment targets
Eligible population
0
1,000,000
2,000,000
3,000,000
4,000,000
5,000,000
6,000,000
7,000,000
Covered California, subsidized
Medi-Cal
SOURCE: Covered California enrollment totals, May 2014; UC Berkeley/UCLA CalSIM model version 1.8.
3
Federal gov’t provides bulk of new Medi-Cal funding, but future state costs uncertain
2013-2014 Budget 2014-2015 Budget 2015-2015 Budget$0
$20,000
$40,000
$60,000
$80,000
$100,000Other
State General Fund
Federal funds
To
tal e
xpe
nd
iture
s (i
n m
illio
ns)
SOURCE: Department of Health Care Services, Medi-Cal Local Assistance Estimates, May 2014 and November 2014
Despite coverage gains, 1 million may remain uninsured in Northern and Central regions
4
0
100,000
200,000
300,000
400,000Not eligible due to immigration status
Eligible for Covered California without subsidies
Eligible for Covered California with subsidies
Eligible for Medi-Cal
Re
ma
inin
g u
nin
sure
d, 2
01
9
SOURCE: Lucia et al., 2015, “Which Californians Will Lack Health Insurance Under the Affordable Care Act.”
5
State and county policy strategies to manage costs and improve access and outcomes
State-level– Coordinated care initiative, Health homes for chronic
conditions, payment reforms New Medicaid waivers, state innovation model
– Coverage options for undocumented immigrants SB4, PRUCOL
County-level– Medical homes for uninsured, Electronic Health
Records My Health LA, HealthPAC
– Dedicated revenue for county safety net systems Alameda County Measure A/AA
6
But improving the health of Californians requires more than access to medical care
SOURCE: Robert Wood Johnson Foundation, Commission to Build a Healthier America
The Changing Healthcare Landscape in California
Shannon McConville
Northern California Grantmakers Annual Conference – From Ideas to ActionMay 2015
8
Notes on the use of these slides
These slides were created to accompany a presentation. They do not include full documentation of sources, data samples, methods, and interpretations. To avoid misinterpretations, please contact:
Shannon McConville ([email protected]; 415-291-4481)
Thank you for your interest in this work.
