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9:10 a.m. / JUNE 29, 2015

Gloria enters the community health center where she has received care for the past four years. After losing her job, it was the only place she could go without insurance. Fortunately, in 2011, she enrolled in her county’s Low Income Health Program (LIHP), one of the first in the state to cover its neediest, uninsured residents before they were able to transition to Medi-Cal in 2014. Read more about LIHP.

more about LIHP

California’s Section 1115 Medicaid waiver allows counties to develop Low Income Health Programs to provide coverage for childless adults not otherwise eligible for Medi-Cal. BSCF has provided 24 planning grants to counties to date and issued a report in April 2011 about those counties’ work to date.

Once the California Health Benefit Exchange began in 2014, Gloria secured new coverage and assumed she’d find a doctor elsewhere. But she’s been impressed with changes at the health center, from renovations and better customer service to a telehealth program with specialty care. They even coordinate records – in real time – with other providers: Gloria’s nurse practitioner goes over the reassuring results Gloria received after a recent visit to the endocrinologist. This more coordinated, integrated system of care was a key goal of BSCF’s Health Care and Coverage (HCC) program in 2011. Read more.

more about HCC

To achieve better coordination of care within the safety net – and better outcomes for patients – BSCF supported community health centers in 2011 as they developed electronic systems that transfer to or receive patient information from local hospitals. For example, BSCF granted $500,000 to the Health Plan of San Joaquin to support the implementation of health information exchanges between the public hospital, county health centers, county behavioral health centers, and the Community Medical Centers. Another $500,000 grant helped the Los Angeles County Department of Health Services develop clinical guidelines for an eConsult system between public hospitals and community health centers that will allow doctors and specialists to converse online about a patient’s needs.