Foundation Publications

Posted June 24, 2015
This brief summarizes California’s implementation of key models from the Patient Protection and Affordable Care Act (ACA) to improve care for older adults and people with disabilities, noting current accomplishments and recommendations for further system transformation.
Posted September 30, 2014
Until the passage of the Affordable Care Act (ACA), Medicare Fee-for-Service (FFS) providers had little incentive to coordinate or manage care for high-cost beneficiaries, much less understand the individual characteristics that likely drive high health care spending. Over the next decade, Medicare Advantage enrollment is expected to grow, Medicare FFS payments will increasingly be tied to value and quality, and providers will inevitably take on more risk to serve an older and likely more complex member population.
Posted August 19, 2014
The Coordinated Care Initiative (CCI) changes the way the medical care and long-term services and supports systems serve low-income older adults and people with disabilities. The main components of the CCI include:Cal MediConnect, California’s dual eligible integration demonstration;Mandatory enrollment of individuals eligible for both Medicare and Medi-Cal into managed care; andIntegration of Medi-Cal-funded LTSS into managed care (MLTSS).
Posted July 7, 2014
On June 20, 2014, California's Governor Brown signed the state’s 2014-15 budget, which outlines the state’s spending plan for the fiscal year beginning on July 1, 2014 and ending June 30, 2015. The budget includes program modifications that impact the health and human services delivery system serving older adults and people with disabilities.
Posted June 17, 2014
Long-term services and supports (LTSS) should be affordable, high-quality, and well-coordinated in order to support older adults and people with disabilities in the setting of their choice. The 2nd State Scorecard on Long-Term Services and Supports (Scorecard), produced by the AARP Public Policy Institute, examines state system performance using five identified dimensions of a high-performing LTSS system. 
Posted May 22, 2014
California’s fiscal outlook continues to improve, with revenue expected to increase by $2.4 billion through 2014-15. The Governor’s May Revision projects resources of approximately $109.3 billion in 2014-15, with total expenditures increasing to $107.8 billion and a general reserve of $528 million. Reflecting priorities to pay down liabilities and “save for a rainy day,” the governor and legislative leaders have announced a constitutional amendment to develop a strong Rainy Day Fund that will require voter approval. 
Posted April 1, 2014
Testimony from Victoria Ballesteros, MA, director of communications, at the April 1, 2014 California Assembly Committee on Aging and Long-Term Care reveals a clear and disconcerting picture: Latino voters age 40-plus are consistently more worried and less financially prepared than the rest of the state's voters when it comes to long-term care.
Posted January 27, 2014
Showing signs of economic recovery, California is experiencing higher revenues than projected in the 2013-14 budget, with an additional $6.3 billion in unanticipated revenue from 2012-2013 budget through 2014-2015 budget. The Governor’s proposed budget projects revenue of about $108.7 billion in 2014-15, with total expenditures increasing to $106.8 billion. This budget growth is attributed to taxes approved by voters in 2012, reductions in spending in previous years, and the improving economy.
Posted December 4, 2013
California’s behavioral health system seeks to support individuals with mental health and/or substance use disorders, involving both public and private payers and providers. The current public system has evolved from primarily a state-run, institution-based system to a community-based system with local (county) control. Recent changes at both the federal and state levels aim to better connect behavioral health care with medical services.