California's Health Care Coverage Initiative: County Innovations Enhance Indigent Care

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Description:
In ten California counties, low-income uninsured residents -- especially those with complex chronic conditions -- are beginning to benefit from innovations aimed at expanding access to care and redesigning systems for improved efficiency, including L.A. County. The innovations are supported by the Health Care Coverage Initiative (CI) component of California's Medicaid hospital financing waiver. This issue brief describes the CI counties' experiences and highlights common strategies and challenges that they faced in moving toward effective, financially sustainable systems.