CHCF Goal: Improving Access to Coverage and Care
A Close Look at Medi-Cal Managed Care: Statewide Quality Trends from the Last Decade
Philip R. Lee Institute for Health Policy Studies at UCSF
This report examines the quality of care provided by Medi-Cal managed care plans between 2009 and 2018. In addition to reporting on overall trends in performance, this report also examines differences by type of ownership (public, nonprofit, for-profit) and model of managed care.
A Close Look at Medi-Cal Managed Care: Stories of Quality Improvement Success
Athena Chapman, Caroline Davis
This paper highlights examples of Medi-Cal managed care plans that have made significant progress on individual quality-of-care measures. The paper identifies several common, interconnected strategies that were key to improving quality and provides concrete examples of how plans put these strategies into place.
Expanding the Role of Nurse Practitioners
In 2019, the California Future Health Workforce Commission released a plan to address the state’s shortages of primary care and behavioral health providers. One of the Commission’s top recommendations was to maximize the role of nurse practitioners (NPs) and to expand their practice authority. In doing so, they noted that California is 1 of 28 states — and the only western state — that restricts NPs by requiring them to work with physician oversight.
Lessons from Three States — Expanding the Role of Nurse Practitioners in California
This fact sheet summarizes how Colorado, Nevada, and New Mexico have expanded practice authority for nurse practitioners. CHCF hosted a briefing on May 6, 2019, with experts from these states on what California can learn about nurse practitioners and expanded practice authority.
The Final Public Charge Rule Is Out. Here’s How It Affects Immigrants.
August 16, 2019
Billy Wynne, Dawn Joyce
Medi-Cal, Health Equity
The government has finalized immigration restrictions, creating a preference for wealthy, English-speaking, insured, and educated immigrants, while erecting hurdles for immigrants who are poor.
Independent Nurse Practitioners Bridge Big Gaps in Rural Care
August 7, 2019
California is one of 22 states that do not permit nurse practitioners to practice and prescribe without ongoing physician oversight. Journalist Heather Stringer traveled to Colorado to see how nurse practitioners are being deployed in two rural communities.
CIN Connections, Summer 2019 — Leadership for Continuous Change and Improvement
With rising costs, increasing burnout, and a rapidly changing environment, health care leaders may feel like they’re facing an uphill battle. This summer 2019 issue of CIN Connections features tips, advice, and actionable information for health care leaders to effectively lead change in their organizations.
These Four Federal Proposals Would Have Major Health Implications for Immigrants
July 11, 2019
Billy Wynne, Dawn Joyce
Coverage Trends, Medi-Cal
The federal government seeks to modify federal policies with harmful changes that could hurt immigrants’ access to health care and other public benefits while weakening the health and social safety net.