Physician Participation in Medi-Cal: Is Supply Meeting Demand? (Webcast)

This webinar was broadcast on September 27, 2016.

 

 

Download the presentation slides.

Download the event transcript.

 

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Event Description

Dr. Janet Coffman, a health services researcher at the University of California, San Francisco, presented results from the 2015 survey on California physician participation in the state's Medicaid program, Medi-Cal. Dr. Coffman examined physician acceptance of new patients overall and by specialty type, practice type, and region. She also considered how these results compare to different benchmarks for assessing adequacy of physician supply and how current Medi-Cal physician supply compares to the supply in previous years.

 

Alan Mckay, CEO of Central California Alliance for Health (CCAH), a Medi-Cal managed care plan serving members in three Central California counties, provided several examples of strategies employed by CCAH to address physician access challenges. These efforts fall into four areas: (1) increasing physician supply, (2) supporting physician retention, (3) promoting the best use of the available healthcare workforce, and (4) reducing the need for physician services.

 

This event was co-sponsored by the Robert Wood Johnson Foundation through its SHARE grant program and by the California Health Care Foundation.

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Event Materials

California Legislation Mandating Physician Survey

The California law that requires the state's Medical Board to administer a mandatory physician survey is set forth in Section 2425.3 of California's Business and Professions Code. Access the full text of the law.

SHADAC Newsletter - September 2016

The SHADAC newsletter contains updates on SHADAC activities, news from the states, resource updates, and blog highlights. Subscribe to our newsletter here.

Visit our Newsletter archive.

Blewett, Lynn A.
Principal Investigator

p 612-624-4802
e blewe001@umn.edu

On Point: Tracking the ACA in Kentucky

SHADAC has been engaged in a project sponsored by Foundation for a Healthy Kentucky to assess the impact of the ACA in Kentucky over time. We are grateful for this opportunity and to be working with the foundation at a time of significant change. 

As part of our project work, we produce quarterly snapshots intended to provide the most up-to-date data available on select health reform topics of interest to the state. In a newly-released snapshot, we focus on data from the first quarter of 2016. Here are a few highlights:

• Remaining Uninsured
  We are still reporting on the significant drop in uninsurance from the access expansion provisions of the ACA. In the current report we also identify some of characteristics of the remaining uninsured: When compared to those with coverage, the uninsured are more likely to be Hispanic/Latino, young adults (age 19-25), have low incomes and less likely to have some college education or a college degree.
   
• Uncompensated Care
  We continue to monitor the significant drop in uncompensated care over time. The most recent data, however, show an uptick in uncompensated care for rural hospitals. This is a trend we will be watching closely.
   
• Child Medicaid/CHIP Participation
  In many of our reports we compare Kentucky to the U.S. and neighboring states. From 2013-2014, Kentucky had the second largest increase in children’s Medicaid/CHIP participation rates compared to neighboring states, with 94 percent Kentucky child participation in 2014.  West Virginia and Arkansas also show high rates of child Medicaid participation (95.9% and 95.8%, respectively).
   
• Medicaid Service Provision  
  Medicaid covered over 6,500 births in Kentucky in the first quarter of 2016 along with thousands of prevention screening services, including: 6,300 for colorectal cancer; more than 5,400 for Hepatitis C; and more than 9,500 for breast cancer.   
   
• Enrollment
  Medicaid covered nearly 611,000 working-age adults  (ages 19-64)in the first quarter of 2016. The Medicaid expansion was particularly important for young adults in the state: over 50% of the expansion population was age 19-25 (23%) or 26-34 (28%).

Evaluation of the Minnesota Accountable Health Model: First Annual Report

The State Innovation Model (SIM) Program is sponsored by the Centers for Medicare and Medicaid Services (CMS) and administered by CMS’s Center for Medicare and Medicaid Innovation (CMMI). SIM provides funding and support to states to transform their public and private health care payment and service delivery systems with the aims of lowering health system costs, maintaining or improving health care quality, and improving population health.

In 2013, Minnesota received a SIM award to implement and test the Minnesota Accountable Health Model. Between October 2013 and December 2016, the Minnesota Department of Human Services (DHS) and the Minnesota Department of Health (MDH) are implementing the Model across the state of Minnesota.

The State Health Access Data Assistance Center (SHADAC) is managing the state-level self-evaluation efforts for the Minnesota Accountable Health Model project during 2015 and 2016 under a contract with DHS and in collaboration with both DHS and MDH.  Five goals have been identified for Minnesota's self-evaluation. These goals include:

1. Document the activities carried out under the Minnesota Accountable Health Model.
2. Document the variation in design, approaches, and innovation in Minnestoa Accountable Health Model activities and programs.
3. Identify opportunities for continuous improvement in Minnesota Accountable Heatlh Model activities and programs.
4. Examine how the Model has contributed to advancing the goals of SIM in Minnesota.
5. Identify lessons learned for sustaining the Minnesota Accountable Health Model beyond Minnesota's SIM grant.

This report describes the activities conducted during, and the results from, the first year of this two-year evaluation.

• View the full report.
• View the Executive Summary.

Learn more about SHADAC's evaluation of SIM in Minnesota.