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Seamless Coverage Systems: Innovative State and Local Approaches

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This study addresses the issue of seamless coverage systems and recommends a much bolder simplification strategy. Using income as the primary eligibility criteria, this
strategy would reduce the current bewildering array of federal, state and county categorical aid programs to two basic publicly funded systems--one for persons with incomes below the federal poverty level and one for persons with incomes above the poverty level. We believe that only a major programmatic restructuring of the publicly funded health insurance system will develop a truly seamless system of care in California, one that will increase access for more eligible patients and encourage more widespread and continuing participation by providers and health plans.