Publications

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Policy Brief
Changing the Medicaid program is a top priority for the Republican party. Common themes from GOP proposals include converting Medicaid from a jointly financed entitlement benefit to a form of capped federal financing. While proponents of this reform argue that it would provide greater flexibility and a more predictable budget for state governments, serious consequences would likely result for Medicaid enrollees and state governments.
Policy Brief
Changing the Medicaid program is a top priority for the Republican party. Common themes from GOP proposals include converting Medicaid from a jointly financed entitlement benefit to a form of capped federal financing. While proponents of this reform argue that it would provide greater flexibility and a more predictable budget for state governments, serious consequences would likely result for Medicaid enrollees and state governments.
Policy Brief
Although the American Health Care Act (AHCA) was defeated in March 2017, the policies in the bill represented a mix of ideas long favored by conservatives. If enacted, this repeal-and-replace bill would have had devastating consequences for most of the 5 million Californians currently receiving direct benefits from the Affordable Care Act (ACA) including more than 1 million who receive subsidies through Covered California and almost 4 million who have enrolled in the Medi-Cal expansion.
Policy Brief
Although the American Health Care Act (AHCA) was defeated in March 2017, the policies in the bill represented a mix of ideas long favored by conservatives. If enacted, this repeal-and-replace bill would have had devastating consequences for most of the 5 million Californians currently receiving direct benefits from the Affordable Care Act (ACA) including more than 1 million who receive subsidies through Covered California and almost 4 million who have enrolled in the Medi-Cal expansion.
Journal Article
The Patient Protection and Affordable Care Act (ACA) expands access to health insurance in the United States, and, to date, an estimated 20 million previously uninsured individuals have gained coverage. Understanding the law's impact on coverage, access, utilization, and health outcomes, especially among low-income populations, is critical to informing ongoing debates about its effectiveness and implementation.
Journal Article
The Patient Protection and Affordable Care Act (ACA) expands access to health insurance in the United States, and, to date, an estimated 20 million previously uninsured individuals have gained coverage. Understanding the law's impact on coverage, access, utilization, and health outcomes, especially among low-income populations, is critical to informing ongoing debates about its effectiveness and implementation.
Policy Research Report
The eighth edition of The State of Health Insurance in California, published every two years since 2002, evaluates the first year of the Patient Protection and Affordable Care Act (ACA) of 2010. Using data from the 2013-2014 California Health Interview Survey (CHIS), the authors find that in 2014, the uninsured rate significantly declined. ACA health insurance expansions played a large role in this, giving Californians more options for coverage than ever before.
Policy Research Report
The eighth edition of The State of Health Insurance in California, published every two years since 2002, evaluates the first year of the Patient Protection and Affordable Care Act (ACA) of 2010. Using data from the 2013-2014 California Health Interview Survey (CHIS), the authors find that in 2014, the uninsured rate significantly declined. ACA health insurance expansions played a large role in this, giving Californians more options for coverage than ever before.
Policy Brief
The Affordable Care Act (ACA) halved the rate of those Californians who are uninsured from 6.5 million in 2013 to 3.3 million in 2015, according to Census Bureau figures in this new data brief. Two factors drove the decline: Medi-Cal expansion and subsidies for those purchasing insurance through the state health marketplace, Covered California.
Policy Brief
The Affordable Care Act (ACA) halved the rate of those Californians who are uninsured from 6.5 million in 2013 to 3.3 million in 2015, according to Census Bureau figures in this new data brief. Two factors drove the decline: Medi-Cal expansion and subsidies for those purchasing insurance through the state health marketplace, Covered California.
Policy Note
An estimated 703,800 persons in California in 2015 had some type of developmental disability. Since 1969, California has provided people with developmental disabilities access to specialized care if they meet certain programmatic criteria. Not all Californians with developmental disabilities meet this criteria, however, leaving an estimated 423,800 Californians with developmental disabilities outside the state's safety-net.
Policy Note
An estimated 703,800 persons in California in 2015 had some type of developmental disability. Since 1969, California has provided people with developmental disabilities access to specialized care if they meet certain programmatic criteria. Not all Californians with developmental disabilities meet this criteria, however, leaving an estimated 423,800 Californians with developmental disabilities outside the state's safety-net.
Policy Brief
This policy brief examines public versus private health care expenditures in California.  The authors find that personal health care expenditures are estimated to total more than $367 billion in 2016 and that approximately 71 percent of these expenditures will be paid for with public funds (i.e., taxpayer dollars). This estimated contribution of public funds to health care expenditures is much higher than estimates that include only major health insurance programs such as Medicare and Medicaid.
Policy Brief
This policy brief examines public versus private health care expenditures in California.  The authors find that personal health care expenditures are estimated to total more than $367 billion in 2016 and that approximately 71 percent of these expenditures will be paid for with public funds (i.e., taxpayer dollars). This estimated contribution of public funds to health care expenditures is much higher than estimates that include only major health insurance programs such as Medicare and Medicaid.
External Publication
Authors of the paper provide a framework to assess the business case for Person-Centered Care (PCC). They highlight factors that affect the strength of the case, and share encouraging evidence and forecasts that suggest that PCC models of care can be beneficial from a business or financial perspective to equip and encourage organizations that may be considering adopting or expanding PCC.
External Publication
Authors of the paper provide a framework to assess the business case for Person-Centered Care (PCC). They highlight factors that affect the strength of the case, and share encouraging evidence and forecasts that suggest that PCC models of care can be beneficial from a business or financial perspective to equip and encourage organizations that may be considering adopting or expanding PCC.
Journal Article
​Because value-based care is critical to the Affordable Care Act success, the authors forecasted inpatient costs and the potential impact of podiatric medical care on savings in the diabetic population through improved care quality and decreased resource use during implementation of the health reform initiatives in California, by using enrollment of diabetic adults into Medicaid and subsidized health benefit exchange programs using the California Simulation of Insurance Markets (CalSIM) base model.
Journal Article
​Because value-based care is critical to the Affordable Care Act success, the authors forecasted inpatient costs and the potential impact of podiatric medical care on savings in the diabetic population through improved care quality and decreased resource use during implementation of the health reform initiatives in California, by using enrollment of diabetic adults into Medicaid and subsidized health benefit exchange programs using the California Simulation of Insurance Markets (CalSIM) base model.
Journal Article
Authors studied the effectiveness of a vendor’s telephone-based diabetes disease management program delivered over three years to Medi-Cal diabetes patients ages 22 to 75 years in Los Angeles and Alameda counties. Three outcomes were measured: receipt of at least one hemoglobin A1C test, LDL-cholesterol test, and retinal examination each year.
Journal Article
Authors studied the effectiveness of a vendor’s telephone-based diabetes disease management program delivered over three years to Medi-Cal diabetes patients ages 22 to 75 years in Los Angeles and Alameda counties. Three outcomes were measured: receipt of at least one hemoglobin A1C test, LDL-cholesterol test, and retinal examination each year.