The 2021-22 Budget: CalAIM: Equity Considerations

Mar 12, 2021 - All that said, the evaluations only cover the expiring pilot program ’s earliest years of implementation. Positive impacts directly related to program implementation could take longer to arise. The forthcoming evaluations should cover the impacts of the latter years of implementation and, therefore, fundamentally could change our understanding of the impacts of these programs.
https://lao.ca.gov/Publications/Report/4402

Analysis of California’s Physician-Supervision Requirement for Certified Nurse Midwives

Mar 11, 2020 - As shown in Figure  1, to practice, a nurse midwife typically must attend six  years of post ‑secondary education and training. OB ‑GYNs, on the other hand, must attend 12  years of post ‑secondary education and training, including residency.
https://lao.ca.gov/Publications/Report/4197

Impact of COVID-19 on Health Care Access

May 7, 2021 - While the number of hospital inpatient bed days was roughly unchanged between 2020 and 2019 (on net), physician and nonphysician encounters were down by around 10  percent year over year. As Figure  5 shows, physician and nonphysician encounters have gradually, but not fully, returned to 2019 levels by the last quarter of 2020.
https://lao.ca.gov/Publications/Report/4426

The 2021-22 Budget: Medi-Cal Enterprise System Modernization Effort

Feb 17, 2021 - The administration decided last year to consolidate the previous Medi ‑Cal IT system modernization initiatives and associated projects into a single MES Modernization effort. While DHCS expects MES Modernization to include the previous Medi ‑Cal IT system modernization initiatives, the new effort also will include other projects and substantially broadens the scope of Medi ‑Cal IT system modernization.
https://lao.ca.gov/Publications/Report/4375

The 2020-21 Budget: Overview of the Governor's Budget [Publication Details]

Jan 13, 2020 - The Governor allocates most of the surplus toward one-time purposes, including maintaining a positive year-end balance in the state’s discretionary reserve. Under the administration’s estimates, total reserves would reach $20.5 billion at the end of 2020-21—this represents a $1.7 billion increase from the 2019-20 enacted level.
https://lao.ca.gov/Publications/Detail/4135

The 2021-22 Budget: CalAIM: New Directions for Services for Seniors and Persons With Disabilities

Mar 15, 2021 - In the years following initial implementation of CCI, many dually eligible beneficiaries living in participating CCI counties chose not to participate in Cal MediConnect, leaving enrollment below initial expectations.
https://lao.ca.gov/Publications/Report/4404

Major Potential State Fiscal Risk Averted Following Withdrawal of Proposed Federal Medicaid Financing Regulation

Sep 21, 2020 - Rather than materializing immediately, the fiscal impact of MFAR on Medi-Cal likely would have fully materialized over the course of several years since the regulation gave states time to come into compliance with the rule changes.
https://lao.ca.gov/Publications/Report/4269

The 2020-21 May Revision: Recommend Reduction to Medi-Cal Caseload Costs

May 22, 2020 - This is because qualifying for Medi-Cal through the disabled caseload category —rather than the childless adult caseload category —comes with additional administrative burdens and can typically take over a year.
https://lao.ca.gov/Publications/Report/4245