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February 18, 2004 - We describe the current Medi-Cal health care delivery system and evaluate its strengths and weaknesses in regard to addressing the health care needs of the aged and disabled. We identify additional aged and disabled persons that would benefit from receiving care from managed care plans. We recommend the enactment of legislation directing the Department of Health Services (DHS) to gradually shift an estimated 330,000 aged or disabled persons from the fee-for-service system to the Medi-Cal managed care system. We further recommend strengthening the existing Medi-Cal managed care system to address problems that limit the ability of DHS to ensure access to services and quality of care.
February 11, 2004 - California's program for substance abuse treatment services to Medi-Cal beneficiaries, known as Drug Medi-Cal, provides a patchwork of services with an inconsistent level of support for different modes of treatment and for different treatment populations. In this report, we recommend an approach for addressing these concerns which would provide greater authority and resources for community-based services, contain the fast-growing costs of methadone treatment, and integrate a new and potentially more cost-effective mode of treatment into Drug Medi-Cal that does not require a net increase in state General Fund resources.
July 22, 2003 - Presented to the Assembly Select Committee on Information Technology and the High-Tech Workforce
March 7, 2003 - Hearing handout presented to The Foundation Consortium for California's Children and Youth
March 6, 2003 - Hearing handout presented to the Senate Health and Human Services Committee and Budget and Fiscal Review Subcommittee No. 3
February 26, 2003 - Overview of Proposed Budget Reductions for Human Services. Presented To: Senate Health and Human Services Committee and Budget Fiscal Review Subcommittee #3
February 24, 2003 - Index of Information Technology Issues in the Analysis of the Budget Bill, 2003-04
February 19, 2003 - In reviewing the state's two major data centers, we found two options that could reduce department expenditures: (1) consolidation of data centers, and (2) consolidation of servers from various state departments to state data centers.
February 19, 2003 - The administration proposes a model for a new state information technology governance structure consisting of three components: a State Chief Information Officer, an oversight board, and state control agencies. Our review found that the proposal lacks details and leaves many questions unanswered. We recommend the Legislature evaluate the proposal based on the key objectives of leadership, accountability, and oversight.
February 19, 2003 - Developmental centers (DC) population has declined significantly over the last forty years. We examine the DC system's population trends and cost-effectiveness, and provide the Legislature with options and recommendations related to future DC operations.
February 19, 2003 - Poor management of treatment for persons with chronic diseases, such as asthma, diabetes, and heart disease, is driving up the state's costs for Medi-Cal. The implementation of a disease management program could eventually reduce state expenditures by as much as hundreds of millions of dollars annually.
February 19, 2003 - In order to improve the operation of programs serving California's senior citizens, we recommend eliminating the Department of Aging and shifting its functions to the Department of Social Services. Consolidation should improve service delivery and result in administrative savings of $3.4 million.
February 19, 2003 - The state's programs to provide services for some of its most medically fragile children is missing opportunities to control increasing costs and preserve General Fund resources that could help address the state's fiscal problems. Potential General Fund savings would be at least $43 million.