Our Partner SNI

Issue Brief: California’s Public Health Care Systems’ Journey to Value-Based Care

Today, CAPH/SNI released our latest latest brief, which demonstrates how California’s public health care systems have been leading efforts to evolve safety net payments from volume to value over the past 15 years.

Since 2005, California has implemented three 1115 Medicaid waivers – the primary vehicle for payment and delivery system transformation. Each waiver has challenged public health care systems to tie a greater amount of funding to value-based care.

Over the years, we have seized opportunities for public health care systems to earn billions of dollars in federal funding to develop the infrastructure and care delivery systems needed to improve the quality and efficiency of care.

As a result, health care processes and patient outcomes have improved dramatically, especially in areas such as preventive care and chronic disease management. Further, public health care systems are leading efforts to address issues critical to their communities such as homelessness, behavioral health, and other social needs.

As we look ahead and contemplate an unknown future of performance-based programs through 1115 waivers, public health care systems are considering and analyzing new policies and programs that maintain the resources needed for their essential safety net mission while continuing to tie payments to performance that yields even greater values.

For more information, including highlights from public health care systems’ leaders on their value-based care approach and implementation strategies, download the full brief here.