In California, Medi-Cal managed care is superior to Medi-Cal fee-for-service.
This is a comparative analysis of California's "experiment" in Medi-Cal managed care. It compares managed care to fee-for-service in the area of quality. In March 1993, the California State Department of Health Services issued a State Strategic Plan for Medi-Cal Managed Care. The goal: to transfer the delivery of care for the majority of the state's Medi-Cal population from a predominantly fee-for-service payment system to capitated managed care. The state of California has steadily increased its commitment to the large-scale expansion of managed care within the Medi-Cal Program in order to improve beneficiaries' access to quality preventative and primary health care while acting as a prudent purchaser of services. This study examines one Local Initiative--Inland Empire Health Plan--created as a not-for-profit, joint powers, public entity by Riverside and San Bernardino counties, California.
Bruno
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Inland Empire Health Plan (IEHP), CA, USA.
Gilbert
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BP
D002140:California; D019090:Case Management / Q000592:standards; D003406:Credentialing / Q000592:standards; D018588:Fee-for-Service Plans / Q000191:economics / Q000592:standards*; D006266:Health Education / Q000592:standards; D006297:Health Services Accessibility / Q000592:standards; D006761:Hospitals / Q000592:standards; D007356:Insurance, Pharmaceutical Services / Q000592:standards; D008329:Managed Care Programs / Q000191:economics / Q000592:standards*; D008484:Medicaid / Q000458:organization & administration* / Q000592:standards; D011314:Preventive Health Services / Q000592:standards; D011787:Quality of Health Care; D013221:State Health Plans / Q000191:economics / Q000592:standards*; D014481:United States