Industry Overview Generic Keywords: (What are these?) Knowledge Source, Healthcare Market, BusIntell, Reports, Medical, Information, HMO, Pharmacare, Diagnostic Publication Date: 20-JAN-06 Format: PDF Price: $95.00 Delivery: Immediate Online Access
Description The California Department of Health Services' Medical Care Services directly operates California's Medicaid program (Medi-Cal) and the program's eligibility, scope of benefits, reimbursement, and other related components. Medi-Cal serves nearly 6.5 million people. The CDHS is part of the California Health and Human Services Agency. The CDHS is one of the largest departments in State government, with over 5,000 employees working in its Sacramento headquarters and over 60 field offices throughout the State. The CDHS contracts with 22 Medi-Cal managed care plans that provide services to more than 2.9 million Medi-Cal members. The CDHS spends $3.4 billion annually on drugs. As part of its mandate, the CDHS administers a broad range of public and clinical health programs that provide health care services to Californians. In the administration of its programs, the CDHS frequently partners with other state departments, state agencies, hospitals, clinics, health plans, local health jurisdictions and community-based organizations. Scroll to this section This is a section of the Full Report:
Medi-Cal Market Overview Publication Date: 20-JAN-06 Pages: 176 Format: PDF Price: $345.00 Delivery: Immediate Online Access

Description

The California Department of Health Services' Medical Care Services directly operates California's Medicaid program (Medi-Cal) and the program's eligibility, scope of benefits, reimbursement, and other related components. More than 6.5 million people are Medi-Cal beneficiaries. Medi-Cal has been providing health care services to Californians since 1965. Medi-Cal serves a dual role in providing health care for individuals while also providing funding for California's health care system. Medi-Cal is: the nation's largest Medicaid program, serving in excess of 6.5 million people, and the second largest in terms of dollars spent (approximately $34 billion); the source of health coverage for: one in six Californians under age 65; one in four of the state's children; and the majority of people living with AIDS; paying for: 42% of all births in the state; two-thirds of all nursing home days; and two-thirds of all revenue in California's public hospitals; and bringing in nearly $19 billion in federal funds to California's health care providers. Two delivery systems serve Medi-Cal beneficiaries. The fee-for-service system operate sin all 58 counties, serves 50% of beneficiaries and accounts for 77% of expenditures for Medi-Cal beneficiaries. The managed care system operates in 22 counties, serves 50% of beneficiaries, and accounts for 23% of expenditures. Knowledge Source's Medi-Cal Market Overview, 175 pages in length, provides the information and analysis you need to gain an understanding of California's Medicaid health care program. The Market Overview also includes brief profiles of nearly 20 Medi-Cal managed care providers.

Table of Contents

1.0 Medi-Cal Overview - pgs. 4-38 1.1 Strategy - pgs. 26-30 1.2 Financial and Membership Information - pgs. 31-38 2.0 Medi-Cal Program - pgs. 40-86 3.0 Medi-Cal Managed Care Providers - pgs. 88-174 Alameda Alliance for Health - pgs. 89-93 Blue Cross of California - pgs. 94-99 CalOptima - pgs. 100-104 Central Coast Alliance for Health - pgs. 105-106 Community Health Group - pg. 107 Contra Costa Health Services - pgs. 108-111 Health Net - pgs. 112-117 Health Plan of San Joaquin - pgs. 118-123 Health Plan of San Mateo - pgs. 124-127 Inland Empire Health Plan - pgs. 128-132 Kaiser Permanente - pgs. 133-139 L.A. Care Health Plan - pgs. 140-144 Molina Healthcare - pgs. 145-152 Partnership HealthPlan of California - pgs. 153-157 San Francisco Health Plan - pgs. 158-162 Santa Barbara Regional Health Authority - pgs. 163-166 Santa Clara Family Health Plan - pgs. 167-170 Western Health Advantage - pgs. 171-174 4.0 Sources - pg. 176

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