2019 Edition — California’s Health Care Safety Net
This Almanac report, California’s Health Care Safety Net: A Patchwork of Programs and Providers, presents data on the providers and programs that comprise California’s system for providing health care to people with low incomes.
New & Noteworthy
Lawmakers Focus on Mental Health — Especially in Medi-Cal
March 20, 2019
Behavioral Health, Medi-Cal
The California legislature is considering dozens of bills related to behavioral health and the mental health care system. CHCF's associate director for High-Value Care gave lawmakers an overview of mental health in the state.
How Medi-Cal’s Fiscal Balancing Act Could Soon Become More Challenging
March 18, 2019
Medi-Cal’s best-kept secret is that even with the program’s rising enrollment and costs in recent years, its financial impact on California’s General Fund has been relatively small. That could change amid uncertainty over new financing issues.
Newsom Names Pediatrician as California HHS Secretary
March 15, 2019
Xenia Shih Bion
Stories That Caught Our Attention This Week: Mark Ghaly, MD, MPH, a physician with expertise in health care delivery and community outcomes, will soon take the helm of the California Health and Human Services Agency.
How to Pay for It
Behavioral Health, Payment & Financing
The California Health Care Foundation commissioned a series of short papers that focus on reimbursement mechanisms for strategies that advance integration of behavioral health and medical care. This Collection will be updated through early 2019.
Medi-Cal is the foundation of California’s health care safety net and a major component of the state’s budget. The Medi-Cal Explained series provides an overview of the program, including the people it serves, the services it provides, and how it is organized, managed, and financed.
Behavioral Health Integration in Medi-Cal: A Blueprint for California
Logan Kelly, Allison Hamblin, Stephen Kaplan
People in Medi-Cal with complex behavioral and physical health needs face a fragmented system that is challenging to navigate. This paper offers recommendations to build an integrated system of care in Medi-Cal, bringing together physical health, mental health, and substance use services to treat the whole person.
Plan Choice for Covered California Consumers, 2017–2019
In 2019 plan choice on Covered California remained stable. Similar to 2018, 4% of enrollees in 2019 had only one health plan (meaning only one insurer) to choose from. Ninety six percent had at least two, and 81% had at least three. The majority of enrollees who had only a single choice continued to live primarily in Santa Barbara, Monterey, and San Luis Obispo Counties.
Making Quality Matter in Medi-Cal Managed Care
Bailit Health Purchasing
This report describes approaches many states are taking to use financial incentives with Medicaid managed care plans to accelerate quality improvements. There is an opportunity to build on current quality improvement efforts in Medi-Cal managed care, led by the California Department of Health Care Services, through financial incentives.
CHCF Health Innovation Fund
From ending the opioid crisis to making care affordable for all, solving health care's most intractable challenges will require innovative solutions. The CHCF Health Innovation Fund invests in market-based solutions with the potential to improve access and health outcomes for low-income Californians.