February 13 & 14, 2023
1:30 – 3:00 p.m., Pacific Time​

Registration is now closed.

Overview

Are you new to Medi-Cal managed care or want a refresher on managed care fundamentals? Make plans now to join us for this two-part introductory webinar series designed to help participants better understand the essential concepts behind Medi-Cal and managed care.

The series will cover:

• Medi-Cal program basics
• How Medi-Cal fits within the broader California health care landscape
• The different managed care models and how they work
• Managed care principles and key plan functions
• How the State regulates and oversees Medi-Cal managed care plans
• Managed care principles and key plan functions
• And more …

Who Should Attend: All plan staff are welcome; however, this introductory series may be most valuable and informative for those who are new to Medi-Cal and managed care.

Session 1 Agenda

*May be subject to change

Medi-Cal Managed Care —​ Context & Framework
February 13, 2023 | 1:30 – 3:00 p.m.

• Overview and history of Medicaid and Medi-Cal
• How Medi-Cal fits within the broader health insurance market
• Who is covered by Medi-Cal and how it is financed
• Medi-Cal’s delivery systems —​ managed care and fee-for-service
• Medi-Cal managed care models and how they work
• What benefits and services are/are not included in Medi-Cal managed care

Session 2 Agenda

*May be subject to change

Medi-Cal Managed Care — How it Works
February 14, 2023 | 1:30 – 3:00 p.m.

• Overview of managed care principles and concepts, and their application within plan operations
• Key operational areas and functions of managed care plans, and how they are interrelated
• Program oversight and regulation — roles and functions of the Department of Health Care Services (DHCS) and Department of Managed Health Care (DMHC)
• Key issues for Medi-Cal managed care
  • Continuing impact of COVID-19
  • Restarting Medi-Cal eligibility redeterminations
  • CalAIM and the reshaping of Medi-Cal

Faculty

Maya Altman
Former CEO of Health Plan of San Mateo

During Maya Altman’s 16-year tenure as HPSM’s CEO, she was a prominent advocate for integrating care, benefitting HPSM members and the broader community. She also served as a leader in state and federal policy development for dually eligible (Medicare and Medicaid) individuals and was appointed to the Master Plan for Aging Stakeholder Advisory Committee.

Bradley P. Gilbert, MD, MPP
Consultant and former CEO of Inland Empire Health Plan

Dr. Bradley Gilbert has more than 30 years of experience in public health and managed care leadership. He previously served as the Director of the California Department of Health Care Services and as Chief Executive Officer at Inland Empire Health Plan (IEHP), a managed care plan serving 1.24 million members in California’s Riverside and San Bernardino Counties. Prior to IEHP, Dr. Gilbert served as the Director of Public Health/Health Officer for San Mateo and Riverside Counties, leading positive changes for public health care in those communities. He also has clinical and leadership experience in jail medicine and substance use disorder treatment center, as well as with Kaiser Permanente and private practice.

Registration

NOTE: Health plan staff interested in participating should adhere to their respective plan’s process for LHPC Institute event registration where applicable.

Fees* (per connection)
Individual webinar                 $30
Full series                               $60
Plan series registration^       $160
*Special registration pricing will be offered while health plan staff work remotely. Standard pricing will resume once staff return to work
on-site.
^ Select this option if plan staff will view the webinars communally on-site. Plans with multiple sites must register each site separately and identify whom at each site should receive the webinar access information upon registering. When registering, please enter unique email addresses for each additional site as the system may not allow duplicate logins.​ Registration closes Feb. 8.

Registration Confirmation: Registrants will receive two emails — a registration confirmation email and a separate email that contains access information for the webinar. 

Participating in the Webinar: You will only need a computer with an updated web browser (Google Chrome, Microsoft Edge, Mozilla Firefox or Safari are recommended). Participants may opt to listen to the webinar via telephone or device. 

Cancellation Policy: Cancellation notification must be submitted in writing to institute@lhpc.org seven or more days prior to the course date. Refunds will not be given after that date. Substitutions are encouraged. Payment will be due for registered individuals that do not attend or participate in the event, and for which a cancellation notice is not received.