Author: CAPH

In the past three years of the Public Hospital Redesign and Incentives in Medi-Cal (PRIME) program, California’s public health care systems have been making the improvements necessary to their systems’ data infrastructures to meet the program’s reporting requirements. “We haven’t just been reporting, we’ve been expanding collaboration, improving standardization, enhancing data integrity, and building our capacity to provide better health

September 30th marked the deadline for the Governor to sign or veto bills for the 2018 state legislative session. CAPH monitored the health-care related bills very closely, and engaged in a number of bills that would have impacted  public health care systems. Below is a summary of key health care-related legislation relevant to public health care systems. SB 1152 (Hernandez)

San Diego is the eighth-largest city in the United States and features broad ethnic diversity with more than half of the population identifying as Hispanic, Asian/Pacific Islander, or African-American. About 4% of San Diegans identify as part of the Lesbian, Gay, Bisexual, Transgender (LGBT) community. UC San Diego Health provides about 650,000 outpatient visits each year across its clinics, and

Disparities Reduction Projects across the Public Health Care Systems By June of 2017, public health care systems participating in PRIME (Public Hospital Redesign and Incentives in Medi-Cal) had collected granular Race, Ethnicity, and Language (REAL) data for more than 460,000 patients – an increase of nearly 200,000 over the baseline established in the first year of the program. Public health

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 Pool (QIP). What is the Quality Incentive Pool? The Quality Incentive Pool (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