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Overview April 19, 2018

Publications

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Publication September 13, 2019 LHPC WorksOctober 2019 Issue

Message from the CEO

LHPCWorks was launched as an extension of our member health plans’ commitment to being accountable partners and leaders among California’s Medi-Cal stakeholder community. With the flurry of activity both federally and in California, LHPC has been hard at work advocating for policies and legislation that would enhance access and quality of care for Medi-Cal beneficiaries. All in all, 2019 has been a remarkable year.

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Publication September 13, 2019 LHPC WorksOctober 2019 Issue

“Carving Out” Medi-Cal’s Pharmacy Benefit: What California Can Learn from 13 Other States

The proposed Medi-Cal pharmacy carve-out —“Medi-Cal Rx” — will transfer the pharmacy benefit offered by health plans back to the fee-for-service program, where it would be administered by a pharmacy benefit manager. The carve-out concept is not untested. Are there lessons learned for California to do it differently? 

  • Assessment of Medi-Cal Pharmacy Benefits Policy Options Full Report
  • Assessment of Medi-Cal Pharmacy Benefits Policy Options Summary Report
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Publication September 13, 2019 LHPC WorksOctober 2019 Issue

Federal Regulatory Actions Threaten the Health of Low-Income Californians

Federal regulatory activity over the past year has continued to target immigrants and low-income households. These proposed or final policies — including public charge, changing the poverty measure inflation factor, and requiring immigration status verification for households receiving housing assistance — fundamentally erode and disincentivize receipt of public services that are critical for the health and well-being of the nation’s most vulnerable populations.

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Publication September 13, 2019 LHPC WorksOctober 2019 Issue

Legislative Wrap-Up

Taxes. Sanctions. Oversight. Data sharing. We covered it all in the first half of the 2019-20 legislative session.

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Publication September 13, 2019 LHPC WorksOctober 2019 Issue

Spotlight On …
Jarrod McNaughton

Jarrod McNaughton, CEO of Inland Empire Health Plan, brings a person-focused philosophy to leadership and life. Learn more about his personal and professional goals, leadership approach and what makes him tick.

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Publication April 25, 2018 LHPC WorksJune 2018 Issue

Message from the CEO

Welcome to the first issue of LHPC Works, a publication dedicated to providing information and insights about the issues confronting California’s local health plans and the priorities they are working on to provide high quality, accessible health care coverage for millions of Californians enrolled in Medi-Cal (California’s Medicaid program). The local plans’ story began nearly 50 years ago with one county’s vision of creating a health plan directly connected and accountable to its community.

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Publication April 25, 2018 LHPC WorksJune 2018 Issue

Connecting Health Care and Housing

The conditions in which people are born, grow, live, work, and age have such significant influence on an individual’s health that the World Health Organization calls them “social determinants of health” (SDOH). Local plans, with a depth of understanding about and connections to their communities, are finding creative solutions to better bridge the divide between health care delivery and SDOHs – with particular focus on housing, which is among the most pressing and complex of SDOHs to address within regulatory restrictions.

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Publication April 25, 2018 LHPC WorksJune 2018 Issue

Local Health Plans Work to Improve Access to Care

California’s successful implementation of the ACA gave millions of people access to health insurance. The rapid expansion of the Medi-Cal program – over 4 million since 2013 – meant health plans had to focus on creative solutions to account for longstanding provider shortages and meet regulatory and contractual access requirements. Access challenges exist across California, but are felt most acutely in rural areas, where obstacles faced by both health care providers and patients are vastly different from those in urban areas.  

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Publication June 28, 2018 LHPC WorksJune 2018 Issue

Managed Care 101: Quality Requirements in Medi-Cal Managed Care

The Medi-Cal managed care program currently covers approximately 10.6 million Californians, an increase of more than four million since 2013. This dramatic growth in a relatively short period of time – combined with provider shortages, diverse member demographics and vast geographic and market variations across California – makes quality improvement a complicated and significant undertaking. Nevertheless, care quality is a top priority for policy makers, health plans, and consumers. As it should be.

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Local Health Plans of California
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