This explainer provides an overview of the population aged 65 and older in California, including sources of health insurance, demographic information, and how legislation and regulations may impact insurance coverage for this population
This issue brief discusses the medical necessity determination process, which may involve multiple clinicians, for enrollees in health plans and health policies regulated by the Department of Managed Health Care (DMHC) or the California Department of Insurance (CDI).
Issue Brief
Health Insurance Coverage
Medical Necessity Determination Process for Covered Benefits
This policy snapshot provides an overview of efforts to introduce buying health insurance "across state lines" federally and within California within the past 10 years, along with findings from CHBRP analyses of related California legislation and how the findings inform current discussion.
This issue brief analyzes and compares the health services covered by the ten plans available to California as options for the EHB benchmark plan for effective in 2017.
This issue brief describes the choices California has made to comply with the Affordable Care Act's (ACA) pediatric dental and pediatric vision Essential Health Benefit (EHB) requirement.
Issue Brief
Health Insurance Coverage
State and Federal Law
Pediatric Dental and Pediatric Vision Essential Health Benefits
This issue brief provides an example of how state benefit mandates could exceed Essential Health Benefits (EHBs) and how evidence-based analysis may inform discussions of whether to keep or repeal state benefit mandates that exceed EHBs, specifically looking at immunization coverage requirements.
Issue Brief
Preventive Services
Health Insurance Coverage
State and Federal Law
Immunization Mandates, Benchmark Plan Choices, and Essential Health Benefits
This issue brief demonstrates how state benefit mandates may exceed Essential Health Benefits (EHBs) and how evidence-based analysis of the impacts of such mandates may inform discussions of whether to keep or repeal them.
Issue Brief
Preventive Services
Health Insurance Coverage
Mammography Mandates, Benchmark Plan Choices, and Essential Health Benefits