The state's county-based health plans are public entities organized through one or more counties to ensure that Medi-Cal enrollees, and in some cases county employees and Covered California enrollees, receive comprehensive care. Where are these plans and who do they cover? How have they changed between 2012 and 2018?

This brief distills insights from providers in three states — Arizona, New York, and Washington — that have recently transitioned to integrated managed care for physical and behavioral health conditions. It was written by the Center for Health Care Strategies with support from the Blue Shield of California Foundation and CHCF.

How well does the Medi-Cal program meet the needs of patients who require both physical and behavioral health care services? Blue Sky Consulting Group has identified measures that plans and providers can use to monitor health outcomes for people who access care across multiple systems.

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.

On February 27, 2019, Chris Perrone, director of Improving Access at CHCF, testified before the California Senate Committee on Health during an informational hearing on "Improving Performance and Aligning Incentives in Commercial Health Insurance and Medi-Cal." Read his testimony.

People in Medi-Cal with complex behavioral and physical health needs face a fragmented system that is challenging to navigate. This paper offers recommendations to build an integrated system of care in Medi-Cal, bringing together physical health, mental health, and substance use services to treat the whole person.

This report describes approaches many states are taking to use financial incentives with Medicaid managed care plans to accelerate quality improvements. There is an opportunity to build on current quality improvement efforts in Medi-Cal managed care, led by the California Department of Health Care Services, through financial incentives.