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Lessons From California’s Public Reporting On Pathways To Health Insurance Coverage
HealthAffairs Blog

The recent Medicaid expansion, brought about by the Affordable Care Act (ACA), has paved the way for more than 13 million Californians to enroll in the program; another 1.2 million residents have enrolled in qualified health plans (QHPs) through Covered California, the state’s health insurance marketplace.

In connection with these health insurance expansions, California launched an ambitious effort to collect and report key data on the pathways to publicly subsidized health care coverage. California was one of the first states to attempt to report this information publicly. The systematic understanding that the state is building about the flow of enrollment, the stability of coverage, and the diversity of enrollees lays the groundwork for fully understanding and anticipating the challenges of enrolling people in insurance and connecting them to care.