Medi-Cal Managed Care
How to Fulfill the Promise of Medi-Cal
January 22, 2020
Sandra R. Hernández
Medi-Cal, Payment & Financing, Behavioral Health
One of the most important steps California can take to live up to its social and economic potential is to improve the effectiveness of the enormously important Medi-Cal program.
Newsom Budget Proposal Signals Health Care Priorities
January 17, 2020
Xenia Shih Bion
Health Care Costs, Behavioral Health, Medi-Cal
Stories That Caught Our Attention: Five key health care items in the governor's proposed budget tackle important problems, including homelessness, affordability, and behavioral health capacity.
Inland Empire’s McNaughton Feels a ‘Sacred Calling’ to Connect People with Care
January 10, 2020
Behavioral Health, Medi-Cal, Workforce, Payment & Financing, Health Care Costs
The Inland Empire Health Plan's new CEO is continuing the trailblazing path that Californians have come to expect from the large and influential managed care plan.
New California Data Resource Highlights Need for Bold Action on Health Disparities
October 25, 2019
Ernest Moy, Donna L. Washington
Nowhere is the need to measure racial and ethnic health disparities greater than in California, one of the few states where people of color compose the majority of the population.
2019 Edition — Health Disparities by Race and Ethnicity
California is the most racially diverse state in the country, and addressing health disparities experienced by people of color is critically important. This Almanac report shows that people of color face barriers to accessing health care, often receive suboptimal treatment, and are most likely to experience poor outcomes in the health care system.
A Close Look at Medi-Cal Managed Care: Quality, Access, and the Provider’s Experience Under the Regional Model
Blue Sky Consulting Group
Medi-Cal enrollees in 18 rural counties in California receive care under Medi-Cal’s Regional Model of managed care. This report compares access to care, quality of care, and both patients’ and providers’ satisfaction in Regional Model counties with other rural counties across the state.
A Close Look at Medi-Cal Managed Care: Quality, Access, and the Provider’s Experience Under Geographic Managed Care
Blue Sky Consulting Group
This report explores quality of care, access to care, and patient satisfaction for Medi-Cal enrollees in counties that use the Geographic Managed Care Model, which uses five or more Medi-Cal managed care plans (MCPs) to deliver services. Results are compared to similar urban counties that rely on only one or two MCPs.
Voluntary Behavioral Health Integration in Medi-Cal: What Can Be Achieved Under Current Law
Anil Shankar, Diane Ung
Behavioral Health, Medi-Cal
This paper was prepared by two attorneys with extensive experience in structuring Medicaid financing for safety-net providers. It explores different contracting structures through which a county could lead efforts to create opportunities for integration of physical and behavioral health 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.