Research Report Evaluation of the San Mateo County Adult Coverage and Systems Redesign Initiative
Embry M. Howell, Dana Hughes, Sarah Benatar, Genevieve M. Kenney, Ashley Palmer, Christine Coyer
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In 2008 San Mateo County, California launched its Adult Coverage Expansion and Systems Redesign Initiative. The initiative expanded coverage for all uninsured adults below 200 percent of the poverty level and redesigned care in county safety net clinics. The program substantially improved access to care for uninsured adults, as well as improved continuity and quality of care for those served by county safety net clinics. However, access remains a problem for new enrollees, due to restrained provider supply and the economic recession. The report provides lessons for other counties as they expand coverage under national health reform.
Research Areas Health and health care Social safety net
Tags Health care delivery and payment Health equity Community-based care
Policy Centers Health Policy Center