1. Affordable Care Act Implementation Updates
Joel Diringer, JD, MPH
May 2014

2. Covered California Special enrollment –
Special COBRA enrollment through July 15
Medi-Cal enrollment is year round

3. Statewide Medi-Cal enrollment
Governor’s May Budget Revise estimates
Enrollment of 1.6 million expansion adults newly eligible for Medi-Cal since January 1 (a 100% increase over January's estimate) for whom the federal government pays 100% of the costs. 
815,000 people who were previously eligible for Medi-Cal but unenrolled (a 60% increase over January's estimate) for whom the federal government and California each pay half the costs.

4. Local enrollment
8403 Merced County residents enrolled for Covered CA health insurance and selected plans through April 15
94% subsidized
Regionally, of subsidized enrollees
70% chose silver plan; 23% bronze.
75% chose Anthem; 17% Kaiser, 11% Blue Shield; 2% Health Net
9062 newly enrolled in CCAH (Medi-Cal) as of May 1
6564 Childless adults
2464 CalFresh Express Lane
34 LIHP
Many Medi-Cal applications still pending

5. Local enrollment Recap to date
Estimated uninsured (per PHCG report): 50,700
Total newly insured: 17,465
% of Medi-Cal and Covered CA eliglbles that enrolled: 41%
Ineligible undocumented: 8750
More will be covered as Medi-Cal applications are processed and special enrollment continues
Residual uninsured will remain

6. Observations Upcoming ACA consumer issues:
Finding providers
Managing co-pays and deductions
In-network; out-of-network
Upcoming ACA enrollment issues
Ongoing Medi-Cal enrollment
Covered CA special enrollment
Open small business enrollment
Upcoming policy issues
Large employer mandate
Cost control