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Alliance for Health Reform Congressional Briefing: State Implementation of Federal Health Care Reform Kim Belshe State of California December 6, 2010.

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Presentation on theme: "Alliance for Health Reform Congressional Briefing: State Implementation of Federal Health Care Reform Kim Belshe State of California December 6, 2010."— Presentation transcript:

1 Alliance for Health Reform Congressional Briefing: State Implementation of Federal Health Care Reform Kim Belshe State of California December 6, 2010

2 California Context 8+ million uninsured 7.5 million Medicaid population Low Medicaid provider reimbursement Strained fiscal context ($25 billion deficit) Political leadership transition Executive branch brain drain Not starting from scratch

3 Preparing for PPACA 2010 Legislative Priorities Pre-existing condition insurance plan Insurance conformity Health Benefit Exchange Implementation Roadmap Medicaid Waiver Expanded coverage Care coordination for high-needs populations Public hospital system transformation

4 PPACA State Implementation Challenges State internal capacity Supporting a culture of coverage Simplifying and streamlining eligibility and enrollment systems Building provider capacity, esp. Medicaid Serving those outside the mandate Establishing an active purchaser Exchange


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