This paper recommends how the California Department of Health Care Services can strengthen its purchasing strategy and oversight to drive quality improvement in Medi-Cal managed care.

Many states use financial incentives tied to quality of care and other measures of performance in their Medicaid managed care programs. This paper outlines a measure set and performance evaluation methodology that California could use as part of a financial incentive program to drive quality improvement in Medi-Cal managed care.

This fact sheet provides an overview of how the Department of Health Care Services assesses quality of care provided by the more than 30 full-service and specialty managed care plans that participate in Medi-Cal's managed care program.

Despite tremendous progress under the ACA, too many Californians still struggle to afford coverage on the individual market. But the factors that drive affordability on the individual market are notoriously complex. This brief explains the basics so policymakers and their staff can navigate policy discussions about how to make coverage more affordable.

This CIN resource is designed to serve as a primer for anyone interested in gaining a better understanding of health payment models in California and nationally. It focuses on concepts and terminology related to value-based payment models and to health care delivery models and systems. 

Across California, 25 pilot programs are working to closely coordinate physical and behavioral health care with social services to help Medi-Cal enrollees with high-cost, complex needs. This paper delves into the technological successes, barriers, and opportunities encountered by the pilot programs thus far.

This issue of  CIN Connections includes strategies to manage total cost of care. It features Mitch Katz, MD, head of the largest public health care system in the country, and other health care leaders across the state who share their experiences managing risk and total cost of care.

This set of quality measures highlights California’s performance across a range of chronic conditions, including cancer, diabetes, cardiovascular disease, and respiratory disease, and includes data by race/ethnicity, payer, and county.

There is concern that Medi-Cal's asset test is harmful to seniors and people with disabilities seeking to enroll. This issue brief describes Medi-Cal's current asset test rules as well as options and questions California should consider as it examines this policy.

This Capital Link report provides an aggregate financial and operational profile of California Federally Qualified Health Centers for 2013–17. This includes financial performance, utilization, payer mix, and more.

All Californians should have access to the care they need, when they need it, at a price they can afford. Californians with low incomes often face greater barriers to care than those with higher incomes. This Almanac quick reference guide provides a look at the data provided by the 2017 California Health Interview Survey.