CHA News

Senate Health Committee Holds Hearing on Improving Performance in Commercial Health Insurance and Medi-Cal

Addresses strategies to align incentives

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Earlier this week, CHA attended a Senate Health Committee informational hearing that examined strategies across all purchasers and programs that have the objective of improving the care delivered to people with chronic conditions. 

The committee’s focus is on aligning incentives to reward excellence in patient health outcomes; meeting the needs of patients across socioeconomic, age, and insurance status; and bringing projects with high-quality outcomes to scale statewide.

The committee examined the Integrated Healthcare Association’s Health Care Cost and Quality Atlas; Covered California’s contractual requirements to promote accountability and delivery system reform; the California Public Employees’ Retirement System (CalPERS) efforts to ensure quality for CalPERS members, including a new value-based insurance design for 2019; Pacific Business Group on Health’s California Quality Collaborative; and how Medi-Cal evaluates the quality of care delivered to Medi-Cal members and invests in models to improve care for Medi-Cal members with chronic conditions.

Policy discussions included accounting for demographic and socioeconomic differences, patient care experience, and staff and data infrastructure (investment in data infrastructure, data to inform financial incentives and compare outcomes, and data and care coordination being appropriately shared and aligned).

Presentations from the hearing are linked below. The background paper linked below provides a summary of the strategies discussed.