California Managed Health Care Financial Report

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2022 Department of Managed Health Care Annual Report

(2 days ago) WEBThe California Department of Managed Health Care protects consumers’ CaliforniaDMHC @CADMHC . health care rights and ensures a stable health care delivery system. 2022 Department of Managed Health Care Annual Report 1. 2 2022 Department of Managed Health Care Annual Report. 35 30 25 20 Government 15 Commercial 10 5 0

https://www.dmhc.ca.gov/Portals/0/Docs/DO/2022AR.pdf

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California Department of Managed Health Care > Resources > …

(4 days ago) WEBAnnual Reports. The DMHC publishes an Annual Report to share key statistics and highlight the Department’s activities during a given year. The annual reports include the DMHC Help Center Complaint and Independent Medical Review Summary Reports. Calendar Year 2022.

https://www.dmhc.ca.gov/Resources/DMHCReports/AnnualReports.aspx

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Medi-Cal Managed Care Quality Improvement Reports - DHCS

(5 days ago) WEBThe Health Disparity Reports identify and understand health disparities affecting California’s Medi-Cal managed care members and are based on focused studies conducted annually by the EQRO. The reports analyze Managed Care Accountability Set (MCAS) measure results reported by Medi-Cal managed care plans (MCPs) for various …

https://www.dhcs.ca.gov/dataandstats/reports/Pages/MMCDQualPerfMsrRpts.aspx

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Section 1300.84.2 - Quarterly Financial Reports, Cal. Code

(9 days ago) WEBSection 1300.84.2 - Quarterly Financial Reports (a) Each plan shall submit the "Quarterly DMHC Financial Reporting Form", hereinafter "Quarterly Report" (Form No. 10-071), dated July 1, 2022, as incorporated herein by reference, and published by the Department on its website: www.dmhc.ca.gov, within 45 days after the close of each …

https://casetext.com/regulation/california-code-of-regulations/title-28-managed-health-care/division-1-the-department-of-managed-health-care/chapter-2-health-care-service-plans/article-12-reports/section-1300842-quarterly-financial-reports

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Monitoring Performance: A Dashboard of Medi-Cal Managed Care

(3 days ago) WEBSix million Californians receive health care through the Medi-Cal managed care program. Over the past three years, the program has expanded to reach new populations, provide more services, and operate statewide. The program will expand further under the Affordable Care Act (ACA) as those newly eligible for Medi-Cal, California’s …

https://www.chcf.org/publication/monitoring-performance-a-dashboard-of-medi-cal-managed-care/

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2020-2021 Validation of Performance Measures

(9 days ago) WEBPrepared for the California Department of Health Care Services (DHCS) 2020-2021 BHC-CalEQRO Specialty Mental Health Statewide Annual Report their contractors to recipients of State Medicaid managed care services. CMS rules (42 Code of Federal Regulations [CFR], Section 438; Medicaid Program, External Quality Review of Medicaid

https://caleqro.com/data/MH/Reports%20and%20Summaries/Prior%20Years%20Reports%20and%20Summaries/Fiscal%20Year%202020-2021%20Reports/CalEQRO%20Validation%20of%20Performance%20Measures%20Report%20FY%202020-21%20Final%2001.15.22.pdf

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Department of Health Care Services and Department of …

(Just Now) WEBAs of December 2022, about 5.7 million of the Californians enrolled in Medi-Cal were younger than the age of 21. As Figure 1 shows, the State provides behavioral health services to Medi-Cal members through various delivery systems, which include managed care, fee-for-service, and services administered by counties.

https://information.auditor.ca.gov/pdfs/reports/2023-115.pdf

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Data & Reports - HCAI - HCAI - Department of Health Care Access …

(2 days ago) WEBDatasets. HCAI collects and manages data from dozens of health plans, thousands of health facilities and prescription drug manufacturers, and tens-of-thousands of healthcare workforce practitioners and produces a variety of tools to make the data useful and meaningful. This page includes a list of all available datasets.

https://hcai.ca.gov/data/data-and-reports/

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California Department of Managed Health Care

(4 days ago) WEBRFP No. 24MC-SA010 – Health Care Plan Mergers and Acquisitions Impact Analysis (Updated with Questions & Answers and Addendum) DMHC strongly encourages health plans take action to ensure stability of the health care delivery system following Change Healthcare cyberattack. State Reaffirms Right to Contraceptive Care. Join our mailing list.

https://www.dmhc.ca.gov/

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Three Charts That Help Explain the Financial Health of California’s

(2 days ago) WEBUpdated on April 22, 2024 with data from the fourth quarter of 2023. This dashboard, which is updated as new quarterly data become available, continues an analysis of the financial health of California’s hospitals first published by CHCF in 2023.It provides estimates of costs and revenue for California hospitals based on financial data reported quarterly to …

https://www.chcf.org/publication/tracking-financial-health-ca-hospitals/

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Medi-Cal Managed Care: An Overview and Key Issues - KFF

(6 days ago) WEBIn the short time from 2011 to 2015, California expanded managed care to 28 rural counties, transitioned or enrolled almost 5 million beneficiaries into managed care, carved adult day health and

https://www.kff.org/report-section/medi-cal-managed-care-an-overview-and-key-issues-issue-brief/

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A Close Look at Medi-Cal Managed Care: Statewide Quality Trends …

(1 days ago) WEBThis report examines the quality of care provided by Medi-Cal managed care plans (MCPs) between 2009 and 2018. In addition to reporting on overall statewide trends, this report also examines differences in quality by type of MCP ownership (public, nonprofit, for-profit) and model of managed care (County Organized Health System, …

https://www.chcf.org/publication/close-look-medi-cal-managed-care-quality-trends/

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State of California—Health and Human Services Agency

(3 days ago) WEBState of California—Health and Human Services Agency Department of Health Care Services . IM CHELLE BAASS . GAVIN NEWSOM . DIRECTOR . GOVERNOR DATE: August 25, 2022 TO: ALL MEDI-CAL DENTAL MANAGED CARE PLANS . SUBJECT: APL 22-010: MANAGED CARE PROGRAM ANNUAL REPORT (MCPAR) PURPOSE . The …

https://www.dhcs.ca.gov/services/Documents/APL-22-010-MCPAR.pdf

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2020 Department of Managed Health Care Annual Report

(2 days ago) WEBThe California Department of Managed Health Care protects consumers’ 2020 Department of Managed Health Care Annual Report1 • give informed consent when you have a treatment 2 2020 Department of Managed Health Care Annual Report. 0. 2020 ?.-$$$ / health care ()

https://www.dmhc.ca.gov/Portals/0/Docs/DO/2020ARAccessible.pdf

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Medi-Cal Managed Care Enrollment Report CA Open Data

(2 days ago) WEBThis dataset contains the total number of Medi-Cal Managed Care enrollees based on the reported month, plan type, county, and health plan. Experimental We used data and feedback to make a user-friendly site. Medi-Cal Managed Care Enrollment Report Preview. Published by: California Department of Health Care Services.

https://sandbox.data.ca.gov/dataset/medi-cal-managed-care-enrollment-report/59023be9-568a-49bc-95e4-5e5a5f5662d8

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Department of Health and Human Services Center for …

(6 days ago) WEBDepartment of Health and Human Services Centers for Medicare & Medicaid Services Center for Program Integrity . California Medicaid Managed Care Plans’ Medical Loss Ratio Calculations . Review Periods: January 1, 2014 to June 30, 2015, and July 1, 2015 to June 30, 2016 . Medical Loss Ratio Examination . Final Report . June 2020

https://www.cms.gov/sites/default/files/2020-06/CMS%20MLR%20Findings%20Final%20Report_061620.pdf

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Financial Reports - California Health Care Foundation

(5 days ago) WEBThe California Health Care Foundation is leading the way to better care for all Californians, particularly those whose needs are not well served by the status quo. Independent Auditors Report and Financial Statements, Fiscal Years Ended March 31, 2023 and 2022 (PDF) Independent Auditors Report and Financial Statements, Fiscal …

https://www.chcf.org/about/financial-reports/

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Office of Health Care Affordability Recommendations to the …

(9 days ago) WEBCalifornia Health Care Foundation California Health Policy Survey reports that more than half of Californians (53%) – and nearly three-fourths (74%) of those with lower incomes (under 200% of the federal poverty level) – reported skipping or delaying at least one kind of health care due to cost in the past 12 months. 3. Among those who

https://hcai.ca.gov/wp-content/uploads/2024/05/OHCA-Recommendations-to-Board_Proposed-APM-Standards-and-Goal_Revised-May-2024.pdf

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California Department of Managed Health Care > About Us

(7 days ago) WEBThe OFR conducts routine financial examinations of each health plan every three to five years and initiates non-routine financial examinations as needed. OFR also administers the Department’s premium rate review program, which has saved Californians hundreds of millions of dollars in health care premiums.

https://www.dmhc.ca.gov/AbouttheDMHC/DMHCReports/AnnualReports.aspx

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As investors pour in, for-profit nursing homes leave some seniors …

(1 days ago) WEBResearch raises concerns about quality of care at for-profit nursing homes 04:14. Based on her medical condition, Grace Song had been labeled a fall risk by the Southern California nursing home

https://www.cbsnews.com/news/for-profit-nursing-homes-seniors-concerns/

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Medi-Cal Managed Care - DHCS

(3 days ago) WEBManaged care plans are a cost-effective use of health care resources that improve health care access and assure quality of care. Today, approximately 15.2 million Medi-Cal beneficiaries in all 58 counties receive their health care through five main models of managed care: Two-Plan, County Organized Health Systems (COHS), Geographic …

https://www.dhcs.ca.gov/services/Pages/Medi-CalManagedCare.aspx

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2018 ANNUAL REPORT - California Department of Managed …

(4 days ago) WEBThe California Department of Managed Health Care protects consumers’ health care rights and ensures a stable health care delivery system. May 2019. 2 2018 Department of Managed Health Care Annual Report. Enrollment Overview. Full Service Enrollment (In Millions) Specialized Enrollment (In Millions) Government Commercial Government

https://www.dmhc.ca.gov/Portals/0/Docs/DO/2018AR_FINAL_DRAFT.pdf

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CalAIM - City and County of San Francisco

(4 days ago) WEBDPH Jail Health Services leads the Justice-Involved Initiative with collaboration from SFSO, HSA, many other city agencies, community-based organizations, and SF managed care plans. Special Programs for Youth (SPY) is leading Pre-Release and Reentry services within the CalAIM Justice-Involved Initiative for youth.

https://www.sf.gov/sites/default/files/2024-05/CalAIM%20Impact%20on%20DPH_Health%20Commission_20240604.cleaned.pdf

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