The 2023-24 Budget: Analysis of the Medi-Cal Budget

Feb 10, 2023 - Delay of Funding for Elimination of End ‑of ‑Year Provider Payment Processing Hold. As a budget solution in 2006 ‑07, the state implemented a hold in processing fee ‑for ‑service provider payments for the last two weeks of the fiscal year —a practice which remains in effect today.
https://lao.ca.gov/Publications/Report/4675

The 2023-24 California Spending Plan: Health

Oct 23, 2023 - Delays Elimination of End-of-Year Provider Payment Processing Hold. As a budget solution in 2006-07, the state implemented a hold in processing fee-for-service provider payments for the last two weeks of the fiscal year —a practice that remains in effect today.
https://lao.ca.gov/Publications/Report/4810

An Alternative Approach: Treating the Incompetent to Stand Trial [Publication Details]

Jan 3, 2012 - This report finds that the pilot program has greater flexibility to hold down costs and has been able to restore ISTs to competency in a shorter amount of time than state hospitals. We find that if the pilot program is expanded, it has the potential to significantly reduce the waitlist, as well as reduce costs to the public sector.
https://lao.ca.gov/Publications/Detail/2549

The 2021-22 Budget: Department of Developmental Services (DDS) May Revision Budget Proposal

May 24, 2021 - The administration proposed a similar program in 2020, but chose to withdraw the proposal as the pandemic took hold. At the time the proposal was made, our office noted that the DDS system lacked some of the optimal conditions for a successful performance incentive program, including clear, observable measures and few competing interests (due to RC staff having many different demands on their time, particularly given their individual caseloads).
https://lao.ca.gov/Publications/Report/4438

The 2020-21 Budget: Analysis of the Medi-Cal Budget

Feb 14, 2020 - For other types of services in managed care, the state ’s conceptual approach to promoting quality is to measure the performance of managed care plans and hold plans accountable for their performance.
https://lao.ca.gov/Publications/Report/4161

The 2024-25 Budget: Medi-Cal Analysis

Feb 14, 2024 - Historically, the state has sought to maintain payment adequacy in the managed care system by setting actuarially sound rates to plans and by holding plans accountable to access and quality standards.
https://lao.ca.gov/Publications/Report/4838

Federal Approval of a Reauthorized Managed Care Organization Tax Now Appears More Likely

Dec 21, 2018 - In addition, a state may not hold payers of the health care-related tax harmless by providing its payers direct or indirect payments that do so. California ’s MCO Tax Prior to 2016 ‑17, California imposed an MCO tax on the total operating revenue received by MCOs through their Medi-Cal line of business.
https://lao.ca.gov/Publications/Report/3915

The 2022-23 Budget: Public Health Foundational Support

Feb 16, 2022 - Annual updates about the $300  million spending plan (which could be presented at budget hearings), including discussion of progress toward full implementation of the core spending areas; updates on various initiatives in the plan, such as development and implementation of statewide performance targets; updates on strategic IT planning and projects; how it is holding LHJs
https://lao.ca.gov/Publications/Report/4544

The MCO Tax: A Flat Versus Tiered Structure

Jul 20, 2015 - In contrast, holding total enrollment across the MCO industry constant, the total amount of revenue raised by a flat tax does not vary with the size, number, or composition of each individual MCO. Thus, compared to a flat tax, a tiered tax is significantly less predictable as a revenue source —as well as more complicated to administer —due to its competitive effects on the MCO
https://lao.ca.gov/Publications/Report/3292

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

Jul 13, 2023 - That said, the need to hold significant reserves changes the timing of when revenues are allocated to programmatic purposes. Moreover, if allowable reserve levels are inadequate, counties may need to rely on othe r budgeting strategies to manage the volatility of the MHSA tax, which can raise questions regarding the efficient allocation of resources.
https://lao.ca.gov/Publications/Report/4780