This report examines enrollment and retention in Healthy San Francisco, a health care access program for uninsured adults in the city and county of San Francisco. The program has successfully enrolled a significant portion of uninsured working-age San Franciscans, especially those in the lowest...

Using a variety of data sources, this paper examines health care utilization patterns of Healthy San Francisco enrollees. The findings suggest that the program, designed to increase uninsured people's access to health care, is increasing access to primary care for participating adults, improving...

In recent years, many health maintenance organizations (HMOs)have exited the market for Medicare managed care; since 1998, the number of participating plans has fallen from 346 to 174. As a result of this reduced participation by HMOs, hundreds of thousands of Medicare beneficiaries have been...