Briefs & Reports

Accountable Care in the Safety Net

HMA analyzed the elements of ACOs and their likely role in the future, the particular challenges faced by the Safety Net in moving toward this new model and basic steps that Safety Net providers need to take to achieve a population-focused, collaborative approach to delivering health care services.

HIE Financing and Sustainability

Financing and sustainability are key challenges in developing a statewide health information exchange. Workable business models for HIE have been elusive in the past and states are struggling to figure out how to assure the future of health information exchange in the midst of an unprecedented state budget crisis. This webcast discusses some of the … Read More

Medi-Cal Share of Cost

This paper explores the costs and utilization of the Medi-Cal population who are share of cost, effectively a partial acceptance into the Medicaid program (or Medi-Cal in California) that is intended to assist individuals whose incomes exceed the Medicaid limit but who have unusually high medical expenses which they cannot afford.

Medicaid Enrollment: December 2009 Data Snapshot

This report finds that Medicaid enrollment increased by nearly 6 million people between the start of the recession in December 2007 and December 2009. In December 2009, 48.5 million people were enrolled in state Medicaid programs, an increase of 1.6 million over June 2009 and 3.7 million over December 2008, an annual growth rate of … Read More

Hoping for Economic Recovery, Preparing for Health Reform: A Look at Medicaid Spending, Coverage and Policy Trends — Results from a 50-State Medicaid Budget Survey for State Fiscal Years 2010 and 2011

HMA’s annual 50-state survey of Medicaid officials finds that a number of states experienced rapid growth in their Medicaid enrollment and spending last year and expect additional growth, though at a slower pace, in fiscal year 2011. States reported an average increase in Medicaid spending of 8.8 percent across all states in fiscal year 2010, … Read More

Share of Cost Medi-Cal

This issue brief examines the role of share of cost Medi-Cal in California. Contrary to common misperception, most of the 7 million Californians covered under Medi-Cal do not qualify for cash assistance (also known as “welfare”) through CalWORKs or SSI. Many qualify in other ways, such as through programs for working families with incomes below … Read More

Patient Protection and Affordable Care Act of 2010: Advancing Health Equity for Racially and Ethnically Diverse Populations

An analysis of the potential of federal health care reform to reduce racial and ethnic health disparities. The report provides a comprehensive review of the Affordable Care Act with a focus on provisions that explicitly address health disparities, including data collection by race/ethnicity, workforce diversity, cultural competence, and health disparities research.