Develop payment levels and mechanisms for paying individual and small group medical providers over 5 to 10 years.
Establish formal collaboration with all professional membership organizations for payment and peer review. Establish and structure rate negotiations and payment systems for all CA licensed Professionals.
Develop payment levels and mechanisms for paying hospitals and major medical groups over the coming 5 to 10 years.
Set up audit procedures to determine costs to non-medical enterprises to provide health insurance to their employees, including time/costs for negotiations with health insurance firms, maintaining HR personnel to provide employee info, maintaining payroll services to collect fees from employees, and paying private insurance firms, etc. Then, negotiate a tax/payment mechanism to collect 80% (maybe higher) of this sum annually from non-medical firms currently providing access to health insurance to their employees.
Interpretation of this paragraph: Assure the continuation of payroll funding of health insurance as we transition from private insurers to the CALTCHA trust fund.
Systematically identify and obtain all dollars sources to cover CA CALTCHA from Feds, philanthropy, state, and local sources.
Negotiate waiver with Feds re providing Medicare/Medicaid funds to CALTCHA agencies.
Develop job retraining, early retirement, and job placement mechanisms for persons no longer needed in billing departments at individual and small group medical practices, hospitals and large medical groups, and employees at private insurance firms. Develop a budget to support these services over at least the first five years.
Identify numbers and types of medical personnel, at all levels and in all fields, needed to provide medical services, both in institutional settings and at-home services. Then develop a budget and timeline to generate a sufficient stream of such trained personnel without charging tuition. Finally, determine the adequacy of existing institutions to provide such training and the need for expanded training facilities for different practitioners.
Organize the statewide public UC, State U, and CC leadership to assess actual workforce needs, numbers, recruitment from diverse class, race, cultural, and caste populations, and new curriculum units to modernize service delivery and moral attitudes
Structure CA Health Service Corps to pool, assign and track new tuition covered workforce to health deserts
Determine timeline and process for negotiations with pharmaceutical firms and medical equipment manufacturers to provide all medical supplies and determine budgets for the first 5 to 10 years.
Determine transition process and timing for CALTCHA to replace private insurance firms. Determine what supplementary, non-essential coverage private insurance firms will be allowed to provide, e.g., cosmetic surgery, teeth whitening, private rooms, etc. Address legal issues regarding the “taking” of most business services now provided by private insurance firms. Do the same for any union-run plans.
Establish select and recruit cadre level leadership training strategy and organization to staff and stabilize the implementation and transition
Detail and establish all mandated CALTCHA model admin structures to put the system in place over time.
Ascertain statewide Neighborhood, County, District, and Statewide policy and decision-making regulations.
Establish the Neighborhood Assembly framework and development protocol and linkage to 61 Health Liaisons Units.
Plot essential triennium health facility and asset decentralization short and long-term implementation.
Establish State Trust Fund Board and State Pro and Tech Advisory Councils
Establish criteria-based and prioritized Trust Fund Board funding for the first 3-year cycle.
Establish conversion of private investor facility ownership to nonprofit status.
Problem-solving regional ombudsman to expedite delivery of needed care when conflicts arise.
Design and set up unified coding and data collection/reporting and publicly visible systems.
Structure individualized LifeTime Care planning model to replace Medicaid institutionalization paradigm.
IIdentify capital projects to provide first-level medical services (1) to under-served urban areas and (2) to under-served rural areas. Then prioritize projects and cost them out to develop a capital budget over the first ten years.
Determine the nature and extent of current medical debt, sorted by income/wealth levels of persons/families with such debt. Then develop a scheme to determine payment timing and levels, and prioritize recipients to develop a budget to absorb such debts.
Calculate and plot management of zeroing out student and pre CALTCHA consumer debt.
Set up orientation system and service strategy for all local health officers and Departments and Neighborhood Assemblies.
Mount essential PR information through all media channels – print, TV, social media, billboards, etc
Prepare legal defense apparatus to address challenges from opposition forces.
Plot Statewide education and organizing campaigns (tools and people) to mobilize grassroots support for “passage” of CALTCHA.
How to set up a membership for all CA residents with needed ID cards?