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California Counties: The Poor’s last Safety Net

Posted Feb 02 2010 7:33am

The county government is often the place of last resort for the medically indigent in California.  Some counties run hospitals and/or clinics to care for these individuals outside of the Medicaid system.  Other counties operate their own HMO to cover Medicaid patients.  As I previously described, there are three types of private Medi-Cal HMO systems that California counties can adopt: Geographic Managed Care, County-Organized Health System, and Two Plan Counties.  In many of these systems, counties operate their own Medicaid HMO.

A recent California Health Care Foundation study, looks at how different counties care for their poor.  This table summarizes those findings.

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