Monitoring Medi-Cal: Recommendations for Measuring the Performance of California’s Medicaid Program
January 18, 2011
Bailit Health Purchasing
Medi-Cal pays for the health care of 7.7 million people — more than any other Medicaid program in the nation. It is also the largest insurer in the state, covering one in five Californians and generating annual expenditures that are expected to top $50 billion in 2011.
Yet despite Medi-Cal’s size and significance, its performance has gone largely unmeasured. In 2007, the California Health Care Foundation, working with leadership of the California Department of Health Care Services, undertook a project to investigate the potential usefulness of a data framework, or “dashboard,” that could:
Reflect how well Medi-Cal serves its beneficiaries and California taxpayers, as well as the integral role it plays in the overall health care delivery system
Balance the interests of program officials, policymakers, and stakeholders by providing a clear summary of program performance without sacrificing depth
Apply measures to the different population groups, services, and programs that are able to reflect the importance of each of these performance categories
This report presents the study’s findings and recommendations, as well as a series of steps California could take to develop such a dashboard.
The complete text is available as a Document Download.