Behavioral Health Quality Framework: A Roadmap for Using Measurement to Promote Joint Accountability and Whole-Person Care
There is a critical need for a clear framework to measure quality and outcomes in behavioral health care. The approach described in this paper provides a testable model for guiding these efforts.
Health Disparities Require Bolder Action on Medi-Cal Managed Care Contracts
June 24, 2021
Health Equity, Medi-Cal, Payment & Financing
The draft RFP for Medi-Cal managed care procurement is a significant step forward, but California must do more to eliminate disparities in access and outcomes
Paying Medi-Cal Managed Care Plans for Value: Design Recommendations for a Quality Incentive Program
Bailit Health Purchasing
Medi-Cal, Payment & Financing
This report recommends a new way to pay Medi-Cal managed care plans (MCPs) designed to improve the quality of care for Medi-Cal enrollees. The Department of Health Care Services would withhold part of its capitation payments to MCPs, who could earn back some or all of the amount withheld depending on their performance on quality measures.
Recontracting Medi-Cal Managed Care Plans
In 2021 the California Department of Health Care Services will begin the process of recontracting with Medi-Cal managed care plans (often referred to as procurement). It's a critical opportunity to use new financial incentives and oversight measures to improve quality and access to care for Medi-Cal members.
Sacramento Briefing Explores Integration of Physical and Behavioral Health in Medi-Cal
February 28, 2020
Behavioral Health, Medi-Cal
Hundreds of providers, administrators, government officials, consumers, and advocates learned how Medicaid programs can integrate behavioral health services and physical health care.