California Medi-Cal 2020: What the State’s 1115 Waiver Renewal Means for Medicaid Providers, Health Plans and Patients

Wednesday, February 3, 2016, 3 to 4 p.m. EST — California has received federal approval for a five-year, $6.2 billion 1115 waiver renewal, which can best be described as a mix of old and new. The waiver reauthorizes Medi-Cal managed care and other existing state Medicaid programs – as well as initiating important reforms and innovations. Though scaled down from the state’s original proposal, the new waiver moves California closer to value-based purchasing in Medicaid in several ways. Among the most significant is the successor to the state’s DSRIP program: an initiative called PRIME (Public Hospital Redesign and Incentives in Medi-Cal), which aims to move 60 percent of the Medicaid managed care population of public and district/municipal hospitals into value-based payment arrangements. Other new programs target behavioral integration, promote primary care over emergency care, and seek to shore up access to dental care.

During this webinar, business and policy experts from HMA’s California offices will provide a comprehensive overview of the waiver’s various components, with an emphasis on the type of organizational structures, systems, and performance measurement capabilities providers and health plans will need to successfully compete in the state’s emerging value-based environment.

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