Philanthropy’s Role in Equitable Medi-Cal Expansion

California has more people enrolled in Medicaid than any other state—almost 15 million of 93 million enrollees nationwide, and the state’s efforts to equitably address the enrollment churn make it worth watching. When the pause on Medicaid redeterminations ended in April, up to 3 million Medi-Cal enrollees, California’s program, were at risk of losing coverage. Most at risk are those often eligible but inconsistently enrolled in Medi-Cal—if at all. Many of these individuals are from poorly served communities who often experience longstanding discrimination in accessing health care. They commonly live in extremely rural areas and lack access to the internet and transportation; have unstable housing; are reluctant to enroll due to their immigration status; and have limited English proficiency, live with a physical disability, or have behavioral health needs. If Medi-Cal is to be a true driver for health equity, we need to close the enrollment gap in these communities.

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Reports

Blue Cross Blue Shield of Massachusetts Foundation: July 2023

This study, commissioned in collaboration with the Health Equity Compact, aims to quantify that economic burden associated with solutions for reducing inequities in health (which require investments of time and resources for which there will always be competing priorities.)

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Reports

Blue Cross Blue Shield of Massachusetts Foundation: May 2023

The Blue Cross Blue Shield of Massachusetts Foundation Massachusetts released a new report, “Closing the Coverage Gaps: Reducing Health Insurance Disparities in Massachusetts.” The foundation noted that Massachusetts has been exemplary in developing health insurance coverage policies to cover its residents.

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New York State Foundations Working Together to Preserve Health Insurance Coverage for Millions of New Yorkers

In March 2020, the United States declared a public health emergency and enacted historic COVID-19 relief legislation. It increased Medicaid funding to states contingent on several conditions, including a “continuous enrollment” requirement that prohibited states from terminating Medicaid enrollees’ coverage until after the public health emergency had ended. How well this worked is a rare silver lining of the pandemic: an estimated 20.2 million people gained coverage since March 2020, and the uninsured rate dropped across the country.

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Requests for Proposals

Blue Cross Blue Shield of Massachusetts Foundation: January 2023

The Blue Cross Blue Shield of Massachusetts Foundation announced a call for proposals for its two responsive grantmaking programs: Special Initiative and Catalyst Funds.

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