Report 2013-602 Recommendations and Responses in 2014-041

Report 2013-602: New High Risk Entity: Covered California Appears Ready to Operate California's First Statewide Health Insurance Exchange, but Critical Work and Some Concerns Remain

Department Number of Years Reported As Not Fully Implemented Total Recommendations to Department Not Implemented After One Year Not Implemented as of 2013-041 Response Not Implemented as of Most Recent Response
Covered California 1 4 3 n/a 3

Recommendation To: Covered California

To comply with federal requirements, Covered California should develop a plan and procedures for monitoring, recertification, and decertification of qualified health plans.

Response

Covered California will be continuing its efforts as stated in the 1-year response submitted July 11, 2014 and provide additional supporting documents as they become available.

  • California State Auditor's Assessment of Status: Not Fully Implemented
  • Completion Date: June 2015
  • Response Date: October 2014

Recommendation To: Covered California

To ensure the success of its outreach effort, Covered California should track the effect on enrollment figures of its planned outreach and marketing activities and of its assister program.

Response

Covered California will be continuing its efforts as stated in the 1-year response submitted July 11, 2014 and provide additional supporting documents as they become available.

  • California State Auditor's Assessment of Status: Not Fully Implemented
  • Completion Date: June 2015
  • Response Date: October 2014

Recommendation To: Covered California

To ensure financial sustainability, Covered California should conduct regular reviews of enrollment, costs, and revenue and make prompt adjustments to its financial sustainability plan as necessary.

Response

Covered California has updated the 1-year response (originally submitted on July 11, 2014) as designated by the California State Auditor's instructions. Covered California will continue with its plans on implementing the enrollment and forecasting model as well as updating the sustainability plan as necessary. Additional supporting documents will be available during March 2015, after the end of the upcoming open enrollment period which runs from November 15, 2014 to February 15, 2015. The results of the second open enrollment will provide a better indication of how far Covered California is progressing toward implementing its sustainability plan.

  • California State Auditor's Assessment of Status: Not Fully Implemented
  • Completion Date: March 2015
  • Response Date: October 2014

Current Status of Recommendations

All Recommendations in 2014-041