BHC partners supported a successful Affordable Care Act through outreach and enrollment efforts…
2.3M+ new enrollees in 2015 alone.
NEW MEDI-CAL ENROLLEES IN 2015
2: Bringing total number to over 10,500 or 40% of county population.
Source: BHC Policy Inventory Tool, 2020.
…which led to a greater decline in the uninsured rate
among adults and children...
Uninsured Adults (Adjusted for Community Characteristics)
Uninsured Children/Teens (Adjusted for Community Characteristics)
…and helped make CA a national model of success
A Decade of Medi-Cal
Credit: Harriet Blair Rowan/California Healthline
Source: California Department of Managed Health Care + Created with Datawrapper
California Endowment Commited $225 Million to Help Implement Affordable Care Act in 2013
Partners helped improve children’s health access bringing the uninsured rate to a historic-low
Kids’ uninsured rate in CA decreased 12 percentage points between 2000 and 2019.Statewide Context for Outreach & Enrollment
97% of all children now have access to coverage & care
Source: California Children’s Report Card, Children Now, 2016.
Sites advanced coverage of undocumented populations at the local level
|BHC Site/Counties||Efforts between 2010 - 2015||Efforts between 2016 - 2020|
|Los Angeles||Created My Health LA program and commits $61 million year per year to provide a no-cost health care program for uninsured residents regardless of residence status; program supported ~150k people.||Passed Enhance My Health LA Motion which integrated mild to moderate mental health services at the primary care level, and expanded access to mental health services.|
|Richmond||Supported “Contra Costa Cares” program ($1M) to provide primary care access for 3k individuals to be enrolled in the program.||Extended “Contra Costa Cares” and expanded program to 4.4k with commitment of $750k to be matched by partnering hospitals.|
|Salinas||Supervisors allocated $500k toward funding of a pilot program offering primary care services to 58.8k undocumented residents, however, did not cover laboratory and prescription services.||Supervisors allocated $2.3M for expansion of existing piilot healthcare project, called Esperanza Care; included expanded laboratory and prescription coverage for an additional 2.5k people.|
|Sacramento||Supervisors voted unanimously for a budget which included funding for a Healthy Partners Program for up to 3k undocumented residents, but places an age restriction of 64.||Supervisors voted to raise the cap of the Healthy Partners Program which provided health care to undocumented residents from 3k to 4k, and eliminated age restriction.|
|Coachella||Medically Indigent Services Program (MISP) program was preserved in Riverside County, after proposed legislation threatened elimination.|
BHC partners contributed to expanding coverage for all undocumented under age 26 (#Health4All)
- The number of county programs serving medically indigent adults regardless of immigration status jumped from 11 to 47 (of 58 in total) between October 2017 and July 2018
- Standard of care continues to vary accross counties.
- In 2019, California became first state to offer health benefits to undocumented immigrants (under age 25); will cover ~100k young adults.
- Public charge & federal legislation aimed to disinvest from ACA remain a threat: It is estimated that 274k children have dropped Medi-Cal between 2017-19 due to new anti-immigrant policies at the federal level.
Ultimate goal is to provide health access and coverage to all Californians, regardless of immigration status or age.
Public partnership pilots come to fruition ensuring the sustainability of these efforts
Partners contributed to building prevention capacity and infrastructure of local communities’ health systems
The California Accountable Communities for Health Initiative (CACHI)
- Established itself as a public/private partnership between state government and private funders.
- Utilized a new model called Accountable Communities for Health (ACH) which brings together clinical providers with public health departments, schools, social service agencies, nonprofit organizations, business groups, public safety agencies and others, in a collective effort to make a community healthier.
- Centered community member voice in how their local health care, public health, and social service organizations addresses key health priorities, such as substance use, heart disease and community violence.
- Joined over 100 communities across the country implementing the ACH model.
Fund leveraged by CACHI
- TCE’s investment leveraged nearly two-fold from other private funders, totaling $19M from seven funders.
- Local communities leveraged their CACHI grants into ~$2M of further investment.
- Imperial County
- Merced County
- San Diego County
- San Joaquin County
- Santa Clara County
- Sonoma County
- Fresno County
- Humboldt County
- Lake County
- Los Angeles County
- Boyle Heights
- Long Beach
- San Gabriel Valley
- Riverside County
- Sacramento County
Receives administrative support from Community Partners, a Los Angeles-based nonprofit intermediary organization and fiscal sponsor that helps foster, launch and grow creative solutions to community challenges.
** Receives administrative support from the Public Health Institute, a nonprofit dedicated to promoting health, wellbeing, and quality of life for people throughout California, across the nation, and around the world.