COD E R E D

Table 2 (Continued). Local Coverage InitiativesLocation New York, NY San Francisco, CALocal Coverage Initiative Health PassHealthcare AccountabilityOrdinanceStart Date 1999 2001OverviewOrganizational FormDelivery SystemAdministratorPrivate purchasingcooperative for smallbusinessesNew York Business Groupon HealthPublic, health insurancemandate for governmentcontractorsSan FranciscoDepartment of PublicHealthPublic/Private Private PublicFeatures * MC, BC N/ABasic Services Provided ** A – D A - EFinancialProvider(s) Private physicians Private PhysiciansPatient Cost Share Yes NoFunding Sources Grants, Cost Share PublicFunding Model Cooperative GovernmentEligibility/EnrollmentChildren Yes YesAdults Yes YesIncome threshold N/A N/AOtherBusinesses with up to 50employeesCity/County contractorTotal enrolled 9,111 (2004) N/A% previously uninsured 56% 100%*FeaturesIES Integrated Eligibility System(w/ local safety net)PCA Primary Care AssignmentRPR Reduced Provider ReimbursmentCM Case ManagementQA Quality AssuranceSR Structured Referral networkBC Broker CollaborationMC Marketing CampaignRC Rate Cap**Services ProvidedA Primary and Preventative CareB Inpatient careC Specialty CareD Pharmacy AccessE Behavioral Health CareF DentalG VisionD-38