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  • Dartboard with five arrows in the bullseye
    Report

    Paying Medi-Cal Managed Care Plans for Value

    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…

    •Medi-Cal
  • happy family with new baby sits in living room
    Behind the Headlines

    Lifting Up Solutions that Support Black Mothers

    Stories That Caught Our Attention This Week: Amid all the excellent media coverage of the US maternal mortality crisis, something has been missing. “Too much reporting on Black maternal health has been doom and gloom,” says one California nursing professor.

    •Maternal Health
  • Karleen Skip
    Expert Perspective

    For Californians Most in Need, Whole Person Care Pilots Break Down Barriers

    Whole Person Care pilots are gaining momentum and have attracted more than 100,000 enrollees so far. The pilots could make significant improvements in care for the most vulnerable Californians.

    •Behavioral Health
  • gold colored trophies
    Report

    Accountability in the Medi-Cal Managed Care Program

    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.

    •Medi-Cal
  • Report

    California’s Individual Market and Affordability

    What policymakers need to know: Learn about consumer affordability challenges in California’s individual health insurance market. In this resource center, you’ll find background information, definitions of key terms, an explanation of key Affordable Care Act provisions, data, and real-life scenarios…

    •Health Care Costs/Affordability
  • Dr. Renee Hsia stands in front of Emergency Room entrance sign.
    Report

    Can the Right Technology Reduce Avoidable Emergency Department Visits?

    More than 140 million patients visit US emergency departments each year. Health care technology companies hope to reduce that demand by better managing chronic diseases in primary care settings and easing access to treatment for mental health and substance use…

    •Technology and Innovation
  • Quick Read

    Health Care Sharing Ministries: Characteristics and California Market

    This presentation describes health care sharing ministries (HCSMs), how prevalent they are in California, the current landscape of state and federal regulations around them, and potential questions for regulators.

    •Health Insurance Coverage
  • CIN Lexicon total cost of care
    Tool

    Fundamental Concepts for Managing Risk and Understanding the Total Cost of Care

    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…

    •Health Care Costs/Affordability
  • : Eduardo and Maria Contreras sit in the living room of their mobile home in San Juan Capistrano on Wednesday, March 20, 2019. The two make too much money for Medi-Cal, but what they earn is still not enough to purchase Covered California health plans because they don't qualify for subsidies under the Affordable Care Act. (Photo by Mark Rightmire, Orange County Register/SCNG)
    Behind the Headlines

    California Lawmakers Consider Ways to Close Coverage Gaps

    Stories That Caught Our Attention This Week: For years, the California Legislature has tried to ensure that all Californians have health coverage, and Governor Gavin Newsom has embraced that goal. Where do things stand in Sacramento?

    •Medi-Cal
  • A group of medical providers stand in a circle, digital tablets in hand, having a conversation.
    Project

    Catalyzing Coordination: Technology’s Role in California’s Whole Person Care Pilots

    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…

    •Technology and Innovation
  • Illustration of speech bubbles
    Behind the Headlines

    Select Comments Opposing Proposed Public Charge Regulation

    A compilation of organizational statements and official comments submitted to the Department of Homeland Security by health care organizations and philanthropies in opposition to the Trump administration’s proposed changes to the public charge rule.

    •Medi-Cal
  • CIN Connections
    Expert Perspective

    CIN Connections, Spring 2019 — Managing Financial Risk and Total Cost of Care

    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…

    •Health Care Costs/Affordability
  • Healthfinch's practice automation platform helped Marina Snitman, PharmD, Director of Pharmacy at QueensCare Health Centers, a Federally Qualified Health Center in Los Angeles County, and her team streamline and standardize their prescription refill process.
    Report

    Putting Prescription Refill Automation Tech to the Test in the Safety Net

    The average physician receives 10 to 25 prescription refill requests per day, contributing to a growing administrative burden — especially in under-resourced safety-net institutions. A tech solution helped two California health centers.

    •Technology and Innovation
  • Report

    Lessons Learned from Implementing a Practice Automation Platform in the Safety Net

    This report evaluates the effectiveness of Charlie, a practice automation platform developed by CHCF investee healthfinch, in safety-net settings. Two Federally Qualified Health Centers implemented Charlie, and both saw positive changes, including to time spent on refills, efficiency of refills,…

    •Technology and Innovation
  • young man sitting at desk holding an envelope with a bill, looks concerned
    Behind the Headlines

    Lawmakers Grapple with Patients’ Surprise Medical Bills

    Stories That Caught Our Attention This Week: Surprise medical bills for consumers have prompted Congress to explore new legislative remedies. California lawmakers are debating next steps to protect patients in a battle that has raged for years.

    •Health Care Costs/Affordability