Report Medi-Cal and Managed Care: Risk, Costs, and Regional Variation By E. Kathleen Adams, Janet M. Bronstein, Edmund R. Becker Dec 1, 2000 California has launched a new effort to expand the use of managed care within Medi-Cal. Under the “two-plan” model, enrollees in 11 counties must choose either a private commercial plan or one organized and operated by the county. The implementation of this model has raised several questions about the fit between Medi-Cal and private managed care. This study analyzes and compares the resources used by Medi-Cal enrollees and a sample of privately insured employees. It also investigates Medi-Cal resource use by county, thereby allowing for regional comparisons. It finds that the two-plan model is practical, but that risk-adjusted rates for short-term and high-risk Medi-Cal clients may improve its long-term success.
blog post The Affordable Care Act Has Expanded Community Clinics in California By Shalini Mustala, Shannon McConville Jan 31, 2024 Community clinics have long been a key health care provider for underserved and low-income Californians. With the state significantly expanding the Medi-Cal program under the federal Affordable Care Act, community clinics have become even more important in promoting access to care, especially for new enrollees.
press release Medi-Cal Patients Are Heaviest Users of Emergency Departments — Majority of Visits May Be Avoidable Aug 19, 2008
Fact Sheet Health Care Reform in California By Shannon McConville May 12, 2021 Coverage expansions under the Affordable Care Act likely kept many Californians insured in 2020.
blog post Online Medical Care during COVID-19 By Paulette Cha, Daniel Tan, Shannon McConville Apr 8, 2020 The central role of telehealth services during the pandemic makes addressing disparities in online access especially important.
blog post Medi-Cal Expansion for Undocumented Seniors By Paulette Cha, Shannon McConville Feb 21, 2020 A proposed expansion of Medi-Cal would boost access to health services, including preventive care and disease management, for eligible undocumented seniors.
blog post Video: Health Conditions and Health Care among California’s Undocumented Immigrants By Stephanie Barton Nov 10, 2023 As the state prepares to expand Medi-Cal to all low-income Californians regardless of immigration status, a new PPIC report looks at how undocumented patients use community clinic services. Researcher Shalini Mustala discusses this report’s key findings, and researcher Paulette Cha moderates a panel discussion on lessons learned from recent Medi-Cal expansions.
Fact Sheet Public Health Insurance in California By Shalini Mustala, Paulette Cha Oct 11, 2023 More than half of Californians are covered by public health insurance—mainly Medi-Cal, which covers low-income residents, and Medicare, which covers most adults aged 65 and older. The state is preparing to expand Medi-Cal to all low-income Californians, regardless of age or immigration status.
press release Health Care For Medi-Cal Population Less Costly Than Care For Privately Insured, Study Finds Dec 7, 2000
