The 2025-26 Budget: Understanding Recent Increases in the Medi-Cal Senior Caseload

Mar 6, 2025 - Figure  6 shows the cumulative percentage change for each category of Medi ‑Cal enrollees from April 2020 (when the continuous coverage period began) through December 2024 (a year and a half after the beginning of the unwinding of the continuous coverage requirement).
https://lao.ca.gov/Publications/Report/5010

The 2025-26 Budget: MCO Tax and Proposition 35

Feb 26, 2025 - Figure 6 Legislature Faces Two Key Sets of Oversight Issues Implementation of Augmentations When will the department begin implementing augmentations? How will the department structure the augmentations?
https://lao.ca.gov/Publications/Report/4992

The 2025-26 Budget: Medi-Cal Pharmacy Spending

Apr 3, 2025 - As Figure  6 shows, generic versions have become a growing share of antipsychotic prescriptions. Because these generic drugs are notably less expensive than their brand counterparts, their increasing use has helped limit spending on antipsychotics, driving down their share of overall gross pharmacy spending in  Medi ‑Cal.
https://lao.ca.gov/Publications/Report/5026

The 2025-26 Budget: Health Care Access and Information

Feb 20, 2025 - As   Figure  6 shows, while brand drugs represented a small share of commercial health plan fee‑for‑service claims in 2021, they comprised a majority of spending. Costs also are higher for consumers, with average out‑of‑pocket costs more than four times the cost for brand drugs than generics.
https://lao.ca.gov/Publications/Report/4979

The 2025-26 Budget: CalAIM Enhanced Care Management and Community Supports Implementation Update

Mar 6, 2025 - MCP members may be eligible for ECM under multiple POFs, but as shown in Figure  6 , the three most common POFs that members have qualified under are individuals experiencing homelessness, individuals at risk for hospitalization, and individuals with a serious mental illness or substance use disorder.
https://lao.ca.gov/Publications/Report/5003