Pre - Post ACA Hospital Utilization Experience 2015 ITUP Conference Jon D. Gilwee, Government Affairs | February 17, 2015

Government Affairs| February 17, 2015

Government Affairs | February 17, 2015

UC Irvine Health – By the Numbers -- 411 Beds (6.5% Orange County Total) -- 109,000 Annual Patient Days (9%) -- 485,000 Annual Outpatient Visits (16%) -- 40,000 Annual Emergency Department Visits -- 67,500 Annual FQHC Visits Government Affairs | February 17, 2015

Health Exchange/Medi-Cal Enrollment United States: 9,500,000* Covered California: 1,200,000* Medi-Cal: 12,000,000* *projections Government Affairs | February 17, 2015

CalOptima’s Experience (CalOptima Medi-Cal Expansion and Membership Growth; January 2015) Government Affairs | February 17, 2015

Department Name | Month X, 201X

Medi-Cal Discharges Government Affairs | February 17, 2015

Commercially Insured Discharges Government Affairs | February 17, 2015

Uninsured Discharges Government Affairs | February 17, 2015

Emergency Department - Outpatient Government Affairs | February 17, 2015

Emergency Department – Medi-Cal Government Affairs | February 17, 2015

Emergency Department - Uninsured Government Affairs | February 17, 2015

Observations - Conclusions -- Importance of Payor Mix -- Capacity issue challenges -- Major shift from uninsured and county programs to Medi-Cal – not much private coverage growth -- Volume of Uninsured Decreased (ED visits up), but issue remains priority to address and manage in community -- Need for continued Safety Net Support (both patient care and infrastructure) Government Affairs | February 17, 2015