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Rise in Medi-Cal Enrollment Corresponded to Increases in California County Health Spending During ACA Implementation.
Shana Alex Charles1, Francis Nepomuceno,, Gerald F Kominski1
1UCLA Center for Health Policy Research.
Policy Brief (UCLA Center for Health Policy Research)
|October 2, 2018
Summary
California county health spending increased with Medi-Cal enrollment after the ACA expansion. Regional variations suggest other factors influenced spending, posing risks if Medi-Cal becomes a block grant.
Area of Science:
- Public Health
- Health Policy
- Health Economics
Background:
- The Affordable Care Act (ACA) expanded Medi-Cal enrollment starting in 2014.
- County health departments are crucial providers of public health services.
Purpose of the Study:
- To examine the relationship between Medi-Cal enrollment growth and county health department spending in California.
- To identify regional variations and potential influencing factors beyond enrollment.
Main Methods:
- Analysis of Medi-Cal enrollment data and county health department expenditures for 2014-2015.
- Comparative analysis of spending trends across California regions.
Main Results:
- Medi-Cal enrollment and county health spending generally rose in tandem.
- Northern California showed high enrollment with low spending growth; Central California had low enrollment with high spending growth.
- These regional differences indicate other factors influenced spending patterns.
Conclusions:
- The expansion of Medi-Cal was associated with increased county health spending.
- Potential shifts in federal funding, such as a block-grant program, could significantly impact county budgets and services.
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