Director of Service Center Division at California Health Benefit Exchange
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Decision makers at California Health Benefit Exchange
Administrative Services Division Director and Deputy Chief Operations Officer
Analyst II
Assistant Chief Financial Officer
Assistant Deputy Director of Human Resources
Audit Manager
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Covered California's approved operating and capital budget for fiscal year 2026-27, the legal budget of record.
This document outlines Covered California's proposed operating and capital budget for fiscal year 2026-27, detailing resource allocation, financial management, and an enrollment forecast extending through fiscal year 2031-32. It emphasizes a transition to a strategic budgeting approach to align investments with organizational priorities, sharpen focus on outcomes, and respond to dynamic economic and policy changes. Key strategic objectives include maintaining financial stability, enhancing consumer affordability and experience, ensuring robust technology infrastructure, and strengthening outreach and program integrity. The overarching goal is to increase the number of insured Californians, improve healthcare quality, lower costs, and reduce health disparities through an innovative marketplace.
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The board meeting included a closed session to discuss contracting and litigation matters, followed by an open session. Key topics included a review of open enrollment performance, focusing on challenges such as the expiration of enhanced premium tax credits and their impact on consumer plan selection, particularly among different income brackets and demographic groups. The executive director provided a report detailing communication strategies, including culturally tailored campaigns and community outreach efforts. Data was presented on enrollment trends, showing a decrease in new signups and shifts in metal tier preferences, with an emphasis on the role of state subsidies in maintaining affordability for lower-income groups.
The board meeting covered several critical policy and action items, including the 2027 Qualified Health and Dental Plan Certification Application, updates to issuer model contracts for the 2027 plan year, and revisions to standard benefit designs. The board also reviewed proposed regulations for the Enrollment Assistance and Certified Application Counselor program to support Tribal Sponsorship. Additionally, the meeting featured a presentation on media investment analysis and marketing mix findings, evaluating the efficiency of advertising strategies in driving plan selections and effectuated enrollments.
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