Community Health Group, which has more than 300,000 members, says it will appeal Department of Health Care Services decision
More than half of San Diego County’s nearly 900,000 Medi-Cal recipients will have to switch health plans in 2024, according to a major consolidation effort announced by the state Department of Health Care Services Thursday.
No one currently covered by Medi-Cal, the state’s safety net health insurance system, will lose their coverage as a result of the announcement. Rather, there will be a smaller number of plans able to offer “managed care” services in the region. Managed care refers to the practice of having a health insurance company contract with a specific set of local medical providers to serve their members.
Researchers found that the counties with more plans tended to do a few percentage points worse on everything from managing chronic disease to child and adolescent access to primary care. The differences weren’t always visible, with no differences observed, for example, in the percentage of patients who needed to be readmitted after receiving care.
San Diego County government has been behind the state’s move to narrow the playing field with Nathan Fletcher, chair of the county board of supervisors, and his colleague Nora Vargas, getting unanimous approval in a “letter of support” program on a countyThough Fletcher declined through a representative to comment on DHCS’s choice of plans in San Diego, he was clear during the board meeting last year that he thought shrinking the number of managed care plans operating in the San Diego region...
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