The 2021-22 Budget: CalAIM: The Overarching Issues

Feb 9, 2021 - While CalAIM would streamline and simplify Medi ‑Cal in some ways, it also would result in new complexities. For example, the ILOS benefits available to a beneficiary would vary depending on where they live in the state and what managed care plan they are enrolled in.
https://lao.ca.gov/Publications/Report/4357

The 2021-22 Budget: Analysis of CalAIM Financing Issues

Feb 16, 2021 - Unlike today, as long as the payment rates are above counties ’ costs, counties would be able to retain payment amounts above their costs. This methodology also is expected to result in more timely payment and reduce counties ’ administrative burden and multiyear fiscal uncertainty.
https://lao.ca.gov/Publications/Report/4374

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

May 22, 2020 - We would expect childless adult enrollees to grow relatively proportionally to their current share of today ’s Medi-Cal caseload. We would expect that around 30  percent of new entrants into Medi-Cal be either childless adults or children in higher-income families, rather than the roughly 18  percent that the administration assumes.
https://lao.ca.gov/Publications/Report/4245

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

May 24, 2021 - DDS System Still Faces Challenges Today That Could Affect the Success of a Performance Incentives Program. While the pandemic demonstrated that the DDS system could be somewhat nimble in responding to consumers ’ needs, some of the same challenges facing the department in 2020 exist today.
https://lao.ca.gov/Publications/Report/4438

The 2021-22 Budget: CalAIM: Equity Considerations

Mar 12, 2021 - Any improved health outcomes that result from CalAIM could improve health equity insofar as the improved outcomes are concentrated among groups that disproportionately suffer poor health outcomes today.
https://lao.ca.gov/Publications/Report/4402

The 2017-18 Budget: The Governor's May Revision In-Home Supportive Services Cost-Sharing Proposal

May 16, 2017 - As a result, the historical IHSS cost-sharing ratios may no longer be appropriate. The proposal from the administration, however, does not appear to have considered what cost-sharing relationship would reflect the levels of control over the program today.
https://lao.ca.gov/Publications/Report/3671

The 2017-18 Budget: The Coordinated Care Initiative: A Critical Juncture

Feb 27, 2017 - How the Funds Flow Today. Figure  1 shows how funds flow under 1991 realignment today: Step One: Fund the Base. Sales tax and VLF revenues dedicated to 1991 realignment fund the “base. ” Generally, the base reflects the funding the realigned programs received in the prior year.
https://lao.ca.gov/Publications/Report/3585

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

Feb 28, 2020 - As a result, which ILOS benefits would be available to a Medi ‑Cal beneficiary would vary based on where they live in the state. Perhaps more significantly, the ILOS benefits available to a beneficiary could vary within a county in the majority of counties where more than one managed care plan operates.
https://lao.ca.gov/Publications/Report/4185

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

Mar 15, 2021 - The proposal to require all Medi ‑Cal managed care plans to offer a D ‑SNP for their Medi ‑Cal beneficiaries would expand opportunities for at least some level of integration and coordination between Medi ‑Cal and Medicare more widely than it is available today.
https://lao.ca.gov/Publications/Report/4404

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

Nov 28, 2016 - The figure begins with results for the total senior population turning 65 between 2015 and 2019 and then breaks out the results for this cohort by race, education, and sex. The left column of Figure  7 depicts the average number of years lived after turning age 65 broken out by years lived with no ADL limitations, one ADL limitation, and two or more ADL limitations.
https://lao.ca.gov/Publications/Report/3509