Medi-Cal Managed Care Plan Rankings: Diabetes Care Quality Measures, July 2018

Both Medi-Cal Managed Care plans and commercial plans are required to report common health outcome measures called HEDIS (Healthcare Effectiveness Data and Information Set) scores. There are 53 county or region-specific Medi-Cal Managed Care plans that serve over 10 million Californians. The California Department of Health Care Services (DHCS) tracks and publishes HEDIS scores of …

California’s ACA Rates To Rise 8.7% Next Year

Premiums in California’s health insurance exchange will rise by an average of 8.7 percent next year, marking a return to more modest increases despite ongoing threats to the Affordable Care Act.

Policy Brief: Toward Universal Coverage: State Alternatives to the Federal Individual Mandate

The Tax Cuts and Jobs Act, signed into law at the end of 2017, included a provision that effectively eliminated the shared responsibility payment for individuals failing to maintain minimum essential coverage. Effective in 2019, the penalty associated with the shared responsibility payment is now reduced to $0.

Policy Brief: Whole Person Care Pilots Focusing on the Reentry Population: Overview of County Plans

The Whole Person Care (WPC) Pilot program is designed to coordinate health, behavioral health, and social services to improve the health outcomes of Medi-Cal beneficiaries who are high utilizers of the healthcare system. Collaborative leadership and systematic coordination among public and private entities is used to meet this goal. The WPC Pilot entities identify target …

Use of Psychotropic Drugs Soars in California Jails

Kaiser Health News Reporter Anna Gorman documents a 25% increase in the number of California jail inmates receiving psychotropic medications over the past five years. The article cites California Health Policy Strategies’s policy brief that reviewed state data from 45 counties. The article has appeared in the Washington Post, U.S. News and World Report, Kaiser …

Policy Brief: EMSA Paramedicine Pilots – Estimating Statewide Medi-Cal Savings

This document presents the results of an analysis of California’s Community Paramedicine Pilot program with the aim of estimating the potential for Medi-Cal program savings if the services provided under the pilots were expanded more broadly throughout the state. Combining all the pilot concepts analyzed here, we estimate a potential general fund savings ranging from …

5 Things California: Steve Wigginton, David Panush, Care4All

Next week we release our Detailed Agenda with a list of almost 70 speakers lined up for our annual event in Sacramento. Until then, however, we’ve highlighted a few interesting sessions you’ll see next week among the 5 Things We’re Watching this week in California health care and health policy.

California Health Policy Strategies launches “fun and easy colonoscopy prep.com”

California Health Policy Strategies has sponsored the launch of a new website with an interesting take on getting people excited about colonoscopies. The website’s url is www.fun-and-easy-colonoscopy-prep.com, and features a “colonoscopy cartoon cavalcade,” a colon quiz, and a colonoscopy completion certificate. The website also introduces “Collin the Colon” through an introductory teaser video.

Reentry Health Policy Project: Overview and Policy Briefs – March 2018

The Reentry Health Policy Project is working to (1) identify state and county-level policies and practices that impede the delivery of effective health and behavioral health care services for formerly incarcerated individuals who are medically fragile (MF) and living with serious mental illness (SMI), as they return to the community; (2) find best practices that …

A Collaborative Approach for Patients with Diabetes

As front-line health care providers, optometrists are seeing alarming increases in the prevalence of diabetes among their patients. In response, the California Optometric Association (COA) has spearheaded a statewide effort to improve prevention, early intervention and treatment of this deadly disease. Medi-Cal Managed Care Plans. Lower income individuals have significantly higher incidence of diabetes, but …