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How Policy Changes Impact Enrollment: A Look at Three Counties

May 2004

California HealthCare Foundation
Lewin contact: Lisa Chimento

In the current economic climate, California’s counties struggle with the need to provide health coverage to low-income individuals and families in the face of sharp budget cuts. How can a county ensure that its most vulnerable residents gain access to the appropriate public health insurance program? Three California counties – Alameda, San Mateo, and Santa Clara – have gone beyond state requirements, not only in expanding eligibility for coverage, but also in creating a more seamless process for enrollment in county programs, Medi-Cal, and Healthy Families. The report, prepared by The Lewin Group, explores the policy, operational, and other considerations of implementing partnerships among county agencies, health plans, and other community stakeholders to change and improve the process for enrolling families into public health care programs.
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