California

in 2010, California was approved for a Section 1115 Medicaid Waiver launching the Bridge to Reform which resulted in several changes including expanding Medicaid coverage, reforming safety-net hospitals, and promoting coordinated systems of care for dual eligibles and persons with disabilities. The Delivery System Reform Incentive Pool (DSRIP) is a program offering safety-net hospitals in California funds to make investments in infrastructure, system design and improvements in population health. More than half of participating hospitals expanded medical homes which included expanding primary care capacity, chronic care management, and integration of physical and behavioral health care. Under the Bridge to Reform, the California Children's Services Program Demonstration included pilot programs to improve coordination of care through medical homes, improve satisfaction with care, and develop family-centered care.  In 2012, a waiver amendment provided for the California Duals Demonstration program - Cal MediConnect - that will be implemented in eight California counties in 2014. The program aims to improve care coordination for dual eligible beneficiaries and drive high quality care through medical homes.

California encourages issuers selling Qualified Health Plans (QHPs) in the Marketplace, Covered California, to assist enrollees in selecting a primary care provider, Federally Qualified Health Center (FQHC) or a patient-centered medical home (PCMH) within 60 days of enrollment.

CHIPRA: 
No
MAPCP: 
No
Dual Eligible: 
Yes
2703 Health Home: 
No
CPCi: 
No
SIM Awards: 
Yes
PCMH in QHP: 
Yes
Legislative PCMH Initiative: 
Yes
Private Payer Program: 
Yes
State Facts: 
Population:
38,114,300
Uninsured Population:
15%
Total Medicaid Spending FY 2013: 
$61.9 Billion 
Overweight/Obese Adults:
60.1%
Poor Mental Health among Adults: 
36.8%
Medicaid Expansion: 
Yes

On the wellness curve, focus on primary health care will put California ahead

California led the nation in health care reform by enabling millions to obtain health insurance through the Affordable Care Act. This year, by expanding Medi-Cal to all Californians with low incomes, regardless of immigration status, our state will achieve another milestone: historically low numbers of residents lacking health insurance. 

News Author: 
Alice Hm Chen, Julia Logan

Scaling Innovation: Supporting Access and Equity in Primary Care Through New Payment Models

2021-12-07 13:00 to 14:00

This panel will discuss how innovation and alignment in primary care payment models in California can achieve equitable access and better outcomes for all.

Hear from leaders in primary care, payment innovation, and digital health. Speakers include:

Announcement Type: 

Implementing High-Quality Primary Care in California: A Policy Roundtable

2021-09-23 14:00 to 15:30

For the first time in 27 years, the National Academies of Sciences, Engineering, and Medicine has issued a consensus report on primary care. Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care emphasizes that, although primary care is the only healthcare component in which an increased supply is associated with better population health and more equitable outcomes, it is inequitably distributed and inadequately supported.

Announcement Type: 

California Medicaid RFP

The California Department of Health Care Services solicited public comments on its draft request for proposal (RFP) for upcoming procurement of Medi-Cal (Medicaid) managed care plans. This is the first time California has conducted a statewide procurement, and it will cover 11 million Medi-Cal enrollees.

Practices Will tuition-free medical school help students ‘follow their dreams’ at Kaiser Permanente and NYU?

The jury is out on whether a move by some medical schools to offer free tuition to all students will encourage them to go into primary care and other less lucrative specialties.

When Kaiser Permanente announced Tuesday that it won approval to open its new medical school in California, the news that caught headlines was its decision to offer free tuition to all the medical students in its first five graduating classes.

News Author: 
Joanne Finnegan

CPCA 2019 Annual Conference

2019-10-17 09:00 to 2019-10-18 17:00

CPCA provides this annual informative and empowering program for our membership, partners, and collaborators to enable attendees to learn from one another and honor those who have been instrumental through the year in addressing the serious healthcare concerns facing California's uninsured, low-income, and minority communities. This year's 900+ attendees will include key decision makers and leadership from hundreds of health centers across the state.

Announcement Type: 

California Health Homes Program

In 2018, California's State Plan Amendment was approved in order to implement the state's Health Homes Programs. California has thwo Health Homes: one for chronic conditions for which individuals must have two chronic conditions, or one chronic condition with risk of developing another; and one for adults with Serious Mental Illness (SMI) or children with Serious Emotional Disturbance (SED). 

Analysis: Can States Fix The Disaster Of American Health Care?

Last week, California’s new governor, Gavin Newsom, promised to pursue a smörgåsbord of changes to his state’s health care system: state negotiation of drug prices, a requirement that every Californian have health insurance, more assistance to help middle-class Californians afford it and health care for undocumented immigrants up to age 26.

News Author: 
Elisabeth Rosenthal

As billions in tax dollars flow to private Medicaid plans, who's minding the store?

With no insurance through his job, Jose Nuñez relied on Medicaid, the nation’s public insurance program that assists 75 million low-income Americans.

Like most people on Medicaid, the Los Angeles trucker was assigned to a private insurance company that coordinated his medical visits and treatment in exchange for receiving a set fee per month — an arrangement known as managed care.

News Author: 
Chad Terhune Heide de Marco

Pagine

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