California 's Implementation Of Children 's Health Insurance Program Essay

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The state of California is active in the payment and delivery system reform. Of the 38 million residents in California, more than 15 million receive care through delegated arrangements with provider organizations in the commercial market, or through Medi-Cal (California’s Medicaid program), Healthy Families (California’s implementation of Children’s Health Insurance Program (CHIP)), and Medicare Advantage plans (California Health Care Almanac, 2015). For the past decade, California’s reimbursement has been through shared risk pool, pay-for-performance quality incentive programs, and full and partial capitation (Pegany & Connolly, 2014). Pegany & Connolly (2014) state that under the Accountable Care Collaborative (ACO) programs, providers and hospitals don’t want assume additional risk, and reward does not outweigh the risk and investments costs. To increase the potential and impact of ACA reform, California policymakers should take advantage of the ACA delivery and payment reforms, and do so will require careful attention.
The Medicaid health home state
The Medicaid health home state plan option looks promising for the state of California. This expands beyond the traditional medical homes model, that in many states, have developed in their Medicaid programs. It offers home health services to eligible individual with chronic conditions, with flexibility in selecting home providers (Medicaid.gov, n.d.). States participating in this option must require that hospitals who
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