Recent Results for HEDIS Scores for Follow-Up After Emergency Department Visit for Substance Use for Medi-Cal, Commercial and Medicare Health Plans
Key findings – overall performance is poor. Average performance for Medi-Cal and Commercial plans for follow-up care is less than 1 in 3 within 30 days of visiting an emergency department in 2023.
CalAIM Update: Community Supports Utilization by county and Medi-Cal Managed Care Plan – January to December 2024
Report provides most recent CalAIM Community Supports utilization data and trend for 2024 by quarter. Analysis for all fourteen community supports includes data by county and Medi-Cal managed care plan.
CalAIM Update: Enhanced Care Management Enrollment by Population of Focus, County and Medi-Cal Managed Care Plan January to December 2024
Report provides most recent publicly available ECM enrollment data and trend for 2024 by quarter. The report includes enrollment and penetration rates by managed care plan, county, and population of focus.
Policy Brief: Medi-Cal Managed Care: 2023 Performance in Post Emergency Department Follow-up Care for Medi-Cal Beneficiaries with Substance Use
Provides HEDIS performance data on how many Medi-Cal beneficiaries receive any follow-up after an emergency department visit for overdose or major substance use disorder within 7 days and within 30 days. In 2023.
Policy Brief: Eye Exams for People with Diabetes in California: HEDIS Scores 2021-2023
Provides HEDIS measures for dilated eye examinations for Medi-Cal, Medicare and commercial health plans
Policy Brief — Fatal Overdoses in California 2018-2023
Updates data on overdose deaths and emergency department visits over past 5 years. Deaths have doubled in past five years.
Issue Brief: Enhancing Financial Sustainability for Street Medicine: Examining Medi-Cal Managed Care Contracts with California Providers.
Review contracting issues between Medi-Cal managed care plans and street medicine providers.
SUD Counselor Certification: Training on Medication Assisted Treatment (MAT)
Review current curriculum to determine level of training on MAT.
Policy Brief: Prevalence of Individuals with a Developmental Disability Among California’s Unsheltered Population
Reviews data from “Point in Time (PIT)” counts suggesting that between 6-17% of unsheltered individuals self identify as having a developmental disability. Other surveys suggest the prevalence may be as high as 23%.
CALAIM Update – Including 2024 – Q1 and Q2: Enhanced Care Management Enrollment by Population of Focus and by Medi-Cal Managed Care Plan
Report provides most recent publicly available ECM enrollment data and trend from January 2023 through June 2024. Also provides enrollment data by population of focus About 75% of total enrollment statewide is in three populations of focus: Individuals experiencing homelessness, Individuals at risk of avoidable hospitalization or emergency department visits, and individuals with serious mental […]