Holding Plans Accountable for Quality in Medi-Cal Managed Care Everyone in Medi-Cal, regardless of where they live or their managed care plan, should have the same opportunity to get timely, high-quality care. But today access and quality of care varies widely within the Medi-Cal managed care system.
Over 80% of all those in Medi-Cal (or roughly 11 million Californians) are enrolled in a managed care plan. Variation in quality and access across plans, and by other factors such as race and ethnicity, means some enrollees are much more likely than others to get life-saving preventive care or essential treatment for chronic conditions. This collection highlights potential solutions, including how the Department of Health Care Services can hold Medi-Cal managed care plans accountable to improve quality and reduce disparities through contracting and oversight, and with effective financial incentives.