A Long-Term Outlook: Disability Among California’s Seniors

Nov 28, 2016 - Seniors turning 65 between 2015 and 2019 who have greater than a high school education spend fewer years on average with one or more ADL limitations than seniors with a high school degree or GED credential and seniors with less than a high school education (4.2 years vs. 4.8 years and 5.8  years, respectively).
https://lao.ca.gov/Publications/Report/3509

The 2021-22 Budget: Analysis of CalAIM Financing Issues

Feb 16, 2021 - Currently, capitated rates generally are set on a plan ‑by ‑plan and county ‑by ‑county basis. Because capitated rates differ by enrollee population, plan, and county, DHCS and its contracted actuary annually have to develop thousands of distinct capitated rates.
https://lao.ca.gov/Publications/Report/4374

The 2021-22 Budget: Initial Comments on the Governor’s May Revision

May 17, 2021 - The majority of these one-time proposals ($15  billion) meet the definition of capital outlay for the purposes of the SAL and are excludable. Governor Proposes $15  Billion in Spending on Capital Outlay.
https://lao.ca.gov/Publications/Report/4432

The 2019-20 Budget: Using Proposition 56 Funding in Medi-Cal to Improve Access to Quality Care

Feb 22, 2019 - Capitated Payments Adjust Over Time to Account for Changes in the Provider Rates Managed Care Plans Pay. As previously discussed, capitated rates are updated annually to reflect changes in Medi ‑Cal managed care plans ’ costs.
https://lao.ca.gov/Publications/Report/3949

Mental Health Services Act: Revenue Volatility and the Governor’s Proposal to Reduce Allowable County Reserves

Jul 13, 2023 - By contrast, Proposition  63 filers derive a far greater share of their income from relatively volatile sources, including capital gains; partnership income; and dividends, interest, and rent. In particular, capital gains depend heavily on movements in financial markets.
https://lao.ca.gov/Publications/Report/4780

Mental Health Services Act: Proposed Restructuring of the MHSA Funding Categories and Impacts on County Spending

Jul 13, 2023 - In addition, about 20  percent of CSS funding can be used for capital facilities, technological needs, workforce, education and training, and deposits for counties ’ prudent reserves. While not required by MHSA, state regulations currently require counties to use 50  percent of CSS funding for FSPs.
https://lao.ca.gov/Publications/Report/4782

The 2021-22 Budget: Analysis of the Governor’s Medi-Cal Telehealth Proposal

May 13, 2021 - The above coverage requirements applied to both fee ‑for ‑service health care provider reimbursement and reimbursement to health care providers through capitation. Outside of the fee ‑for ‑service and capitated reimbursement models, under this Medi ‑Cal telehealth policy there were specific exceptions for certain health care provider types.
https://lao.ca.gov/Publications/Report/4430

The 2020-21 Budget: Re-Envisioning Medi-Cal—The CalAIM Proposal

Feb 28, 2020 - That is, they would be reimbursed through the standard capitated rate ‑setting process, whereby the state establishes capitated ‑rate levels largely based on Medi ‑Cal managed care plans ’ average reported costs per beneficiary.
https://lao.ca.gov/Publications/Report/4185

The 2023-24 Budget: Overview of the Governor's Budget

Jan 13, 2023 - As the figure shows, most of the discretionary increases are to finance some capital outlay projects with cash instead of lease revenue bonds. This increases the size of the budget  problem. $800   Million in Other Differences.
https://lao.ca.gov/Publications/Report/4662

The 2020-21 Spending Plan: Health Budget and Policy

Oct 15, 2020 - This legislation features two key components: Reduces Capitated Rates. Medi-Cal managed care plans are paid using “capitated rates, ” which are per-member per-month payments intended to cover their members ’ average cost of care.
https://lao.ca.gov/Publications/Report/4281