Month: September 2018

As part of an effort to address hypertension and improve blood pressure control among its target disparity population, San Francisco Health Network is piloting “Food Pharmacies” at several primary care clinics to help patients with their nutritional needs.  This effort is part of the Hypertension Health Equity Project, which began in 2015, as a quality improvement and equity initiative of

Complex care management for high-risk medical populations is a core component of the Public Hospitals Redesign and Incentives in Medi-Cal (PRIME) program. To address a disproportionate share of resources spent on the top 1% of beneficiaries, San Joaquin General Hospital (SJGH) implemented a new PRIME program to better care for high-risk patients, relying on data and analytics for patient identification and care coordinators

Medi-Cal: Improving Health through Efficient Care The Medi-Cal program provides access to needed care for more than 13 million Californians. Prior to the ACA, many low income Californians lacked coverage, causing them to delay care until their health needs advanced, grew more complicated, and required costly emergency care. With the peace of mind of Medi-Cal coverage, millions of patients have

OAKLAND, CA, September 24, 2018 – The California Association of Public Hospitals and Health Systems (CAPH) is deeply concerned about the regulation released over the weekend by the Trump Administration that would make it harder for immigrants who access public services to become lawful permanent residents. “This regulation is a misguided departure from current policy that could severely weaken public

The April 2016 Medicaid Managed Care Rule required providers, including California’s 21 public health care systems, to restructure their supplemental payments. CAPH members took advantage of an opportunity in the new rules to create the Quality Incentive Program (QIP). What is the Quality Incentive Program? The Quality Incentive Program (QIP) represents a new pay for-performance program for California’s public health

What are Supplemental Payments? In order to partially bridge the gap between Medi-Cal base rates and the actual cost of providing care, California’s public health care system have for years financed and received supplemental payments for services provided to patients enrolled in Medi-Cal managed care plans. These supplemental payments add up to more than $1 billion in federal funds each