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Open Access Publications from the University of California

Scholarly Works (11 results)

  • Article
Recent Work (2022)
Comment submitted to the Internal Revenue Service on proposed regulation that would address the ACA “Family Glitch.
    Cover page: Comments on Rule Proposed by the Internal Revenue Service on Affordability of Employer Coverage for Family Members of Employees
    • Article
    Recent Work (2022)
    Proposed federal regulations would fix the family glitch by extending subsidies to spouses and children offered unaffordable family coverage through an employer. The employee would still be excluded from subsidies if their cost for single coverage through their employer was affordable. We use the California Simulations of Insurance Markets (CalSIM) model to project for 2023 how many people would fall into the family glitch in California, how many would be newly eligible for a positive dollar subsidy, and how many would enroll in Covered California with subsidies under the family glitch fix.
      Cover page: Fact Sheet: Fixing the Family Glitch in California — Projections from the California Simulation of Insurance Markets
      • Article
      Recent Work (2023)
      The California Office of Health Care Affordability (OHCA) will establish statewide and sectoral health care spending targets with the goal of achieving a more sustainable per capita rate of spending growth on health care provided by a range of health care entities. This policy brief will discuss the various economic indicators that can be used in setting the statewide target.
        Cover page: What can we afford? Considerations for aligning Office of Health Care Affordability spending target with Californians’ ability to afford increases
        • Article
        Recent Work (2022)
        The Medi-Cal redetermination process has been paused during the COVID public health emergency. As a result, many more individuals have newly enrolled in Medi-Cal than disenrolled, increasing Medi-Cal enrollment by almost 2 million since the beginning of the pandemic. This blog post summarizes (1) the available estimates of the potential reduction in Medi-Cal enrollment once the PHE is unwound and redeterminations have been completed, and (2) the likely eligibility for and enrollment in private coverage among those losing Medi-Cal.
          • Article
          Recent Work (2023)
          The California state government has close to a quarter of a million employees, almost half of whom are women and almost two-thirds of whom are workers of color. But across occupations and throughout the state, many state workers earn well below what is needed to attain a decent standard of living in California.
            Cover page: State workers struggle to make ends meet throughout California; Women, Black, and Latino workers are disproportionately affected
            • Article
            Recent Work (2022)

            California has the opportunity to expand Medi-Cal to all low-income Californians, regardless of immigration status or age. This policy would result in a massive increase in coverage, bringing close to 700,000 undocumented Californians into coverage and reducing the uninsured rate for residents under 65 to just 7.1%, the biggest single improvement since implementation of the ACA.

              Cover page: California’s biggest coverage expansion since the ACA: Extending Medi-Cal to all low-income adults
              • Article
              Recent Work (2020)

              The ACA covered millions of people and reduced the racial and ethnic disparities in health coverage in California; to take away these coverage options especially during a global pandemic and recession would exacerbate racial and ethnic inequality in California.

                • Article
                Recent Work (2021)

                The American Rescue Plan substantially increases premium subsidies for coverage purchased through health insurance exchanges like Covered California. We project that these subsidies will help over 1.6 million Californians, including 151,000 individual market enrollees who will qualify for subsidies for the first time and 135,000 uninsured people who will become insured.

                  • Article
                  Recent Work (2022)

                  In response to the COVID-19 pandemic, Congress enacted the American Rescue Plan of 2021 to provide additional temporary financial help for buying health insurance through the ACA Marketplaces. If these enhanced subsidies are not extended for 2023 and beyond, we project 220,000 fewer Californians would have individual market insurance in 2023 than if enhanced subsidies are extended, and premiums would be less affordable for more than two million individual market enrollees.

                    Cover page: The Threat to Coverage and Affordability Gains in Covered California if Congress Fails to Renew Subsidy Enhancements
                    • Article
                    Recent Work (2021)
                    Even after the American Rescue Plan (ARP) substantially increases premium subsidies for health insurance coverage purchased through Covered California, large inequities remain in who has access to affordable coverage. Nearly 3.2 million Californians will remain uninsured in 2022, or about 9.5% of the population age 0-64, according to our projections. The highest uninsured rates will be among undocumented Californians (65%) and those eligible only for insurance through Covered California (28%).
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