Coverage Initiative


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California's Coverage Expansion Initiatives

Through two consecutive federal waivers, California established programs that sought new and innovative ways to expand health care coverage to eligible low-income, uninsured individuals not otherwise covered by Medi-Cal. From 2007-2014, the UCLA Center for Health Policy Research worked with the State of California Department of Health Care Services to evaluate the implementation and impact of two demonstration programs:
California's Health Care Coverage Initiative (HCCI) program extended health care coverage to more than 230,000 low-income uninsured adults who were not otherwise eligible for public programs such as Medi-Cal. Ten counties participated in the HCCI program: Alameda, Contra Costa, Kern, Los Angeles, Orange, San Diego, San Francisco, San Mateo, Santa Clara, and Ventura. The program was later expanded to all California counties as part of the Low-Income Health Program (LIHP).
The Low-Income Health Program (LIHP) ― also known as California’s “Bridge to Reform” -- was a county-based program that offered health care coverage to low-income adults in the years immediately preceding the implementation of health care reform. The goal of LIHP was to shift low-income uninsured individuals from more costly episodic care to a more coordinated system of care, thereby improving access to care, quality of care, and overall health. Nearly 500,000 Californians ultimately participated in LIHP.
The Center maintained a website and a blog to inform HCCI and LIHP participants on the latest program dashboards. The website also provided a venue for participating counties to exchange information, share lessons learned, and upload various required reports.