Advancing Health Equity through Systems Transformation and Payment Reform: Oversight and Accountability of Managed Care Plans

Publisher: California Pan-Ethnic Health Network
Number of Pages: 4

Download Publication

We are pleased to share several new mini-briefs highlighting CPEHN’s recommendations for ways to advance health equity as part of California’s “Medi-Cal Healthier California for All” (MHCFA) framework These briefs are in response to several MHCFA proposals discussed as part of the Population Health, Enhanced Care Management/In Lieu of Services and Behavioral Health Integration work groups.

The California Department of Health Care Services (DHCS) can ensure Medi-Cal Managed care plan (MCP) oversight and accountability for successful implementation of new population health management (PHM) requirements proposed under the “Medi-Cal Healthier California for All”
framework, by providing financial incentives and encouraging MCPs to engage in regional, multi-payer governance structures to develop and implement strategies and interventions to improve health care quality, advance equity and address the social determinants of health.