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Partnership HealthPlan of California, is an independent, public/private organization serving over 950,000 Medi-Cal beneficiaries in 24 northern California counties: Butte County, Colusa County, Del Norte County, Humboldt County, Glenn County, Lake County, Lassen County, Marin County, Mendocino County, Modoc County, Napa County, Nevada County, Placer County, Plumas County, Shasta County, Sierra ...
Most beneficiaries receive Medi-Cal benefits from contracted Medicaid managed care organizations (MCOs). As of January 2018, 10.8 million people were enrolled in a Medi-Cal managed care plan, representing about 81% of all enrollees. [21] California has several models of managed care which are designated at the county level: [22]
The Statewide Automated Welfare System (SAWS) is the county-managed public assistance eligibility and enrollment system, e.g., the case management system for county eligibility staff providing CalWORKs, Welfare to Work, CalFresh, Medi-Cal, Foster Care, Refugee Assistance, County Medical Services Program, and General Assistance/General Relief. [17]
A statewide deal with Kaiser and Medi-Cal threatens other health plans and the chronic underfunding of Medi-Cal.
California’s Proposition 35 is a battle over how state lawmakers can spend billions in health care dollars. It would make permanent a tax on health insurance plans, a charge that also allows the ...
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The Department of Managed Health Care (DMHC) is a regulatory body governing managed health care plans, including Health Maintenance Organizations (HMOs) and most Medi-Cal managed care plans in California. The DMHC was created as the first state department in the country solely dedicated to regulating managed health care plans and assisting ...
By doing so, the model can project future enrollment numbers in California health programs. According to this model, at some point in time, an estimated 1.1 to 1.3 million Californians will be enrolled in Covered California. Simultaneously, Medi-Cal enrollment is anticipated to reach an unprecedented high, ranging from 7.4 to 7.8 million ...
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