Medi-Cal

Health Net Awards $1.5 Million Grant to Keck School of Medicine to Enable Street Medicine Teams to Better Serve Unsheltered Populations Across California

Retrieved on: 
Tuesday, February 14, 2023

SACRAMENTO, Calif., Feb. 14, 2023 /PRNewswire/ -- Health Net announced today it awarded a $1.5 million grant to Keck School of Medicine of USC's Street Medicine program (USC Street Medicine) to enable street medicine workforces across the state to better serve people who are unsheltered. Distributed over a three-year period, the funds will establish two programs that prepare street medicine workforces to bring care directly to unsheltered populations in the places where they live – on sidewalks, in parks, under bridges, in vehicles or anywhere they reside.

Key Points: 
  • SACRAMENTO, Calif., Feb. 14, 2023 /PRNewswire/ -- Health Net announced today it awarded a $1.5 million grant to Keck School of Medicine of USC's Street Medicine program (USC Street Medicine) to enable street medicine workforces across the state to better serve people who are unsheltered.
  • "That's why we work with organizations like USC Street Medicine to expand innovative programs that address physical, behavioral, social and long-term health needs."
  • Street Medicine programs in California have been expanding at a rapid rate with over 20 programs started within the last four years.
  • USC Street Medicine will provide expert knowledge and technical support for new and existing street medicine teams to help bridge the existing healthcare gap in caring for unsheltered populations.

BluePath Health Named a CalAIM Technical Assistance Marketplace Vendor

Retrieved on: 
Thursday, February 9, 2023

LARKSPUR, Calif., Feb. 9, 2023 /PRNewswire/ -- BluePath Health today announced it has been selected as a California Providing Access and Transforming Health (PATH) Technical Assistance (TA) Marketplace vendor. BluePath was selected for its proven ability to support building data capacity and cross-sector partnerships. These service offerings will be available starting February 27, 2023.

Key Points: 
  • LARKSPUR, Calif., Feb. 9, 2023 /PRNewswire/ -- BluePath Health today announced it has been selected as a California Providing Access and Transforming Health (PATH) Technical Assistance (TA) Marketplace vendor.
  • The new TA Marketplace is available to providers, community-based organizations, Medi-Cal Tribal and Designees of Indian Health Programs, counties, and other entities implementing CalAIM, including Enhanced Care Management (ECM) and Community Supports (CS).
  • Through the marketplace these entities will be able to access BluePath knowledge and resources to build capacity and drive effectiveness.
  • "BluePath Health is thrilled to be part of this revolutionary marketplace, which will help transform the way we collectively care for Californians who need it most," said Timi Leslie, president and founder of BluePath Health.

IEHP Hosts Listening Session with DHCS and Community Partners

Retrieved on: 
Tuesday, February 7, 2023

That's why the California Department of Healthcare Services (DHCS) initiated a series of Listening Sessions throughout the state, with the most recent event held at the headquarters of Inland Empire Health Plan (IEHP) in Rancho Cucamonga on Jan. 27.

Key Points: 
  • That's why the California Department of Healthcare Services (DHCS) initiated a series of Listening Sessions throughout the state, with the most recent event held at the headquarters of Inland Empire Health Plan (IEHP) in Rancho Cucamonga on Jan. 27.
  • The group of DHCS representatives were met by IEHP leadership and nearly 70 Inland Empire partners including Molina Health Care and Kaiser Permanente to discuss priority issues, best practices and the experience of Medi-Cal programs for beneficiaries in our counties.
  • This meeting was the second in a larger series supporting DHCS's ongoing effort to actively meet with and learn from various partners about the state's Medi-Cal program.
  • "We appreciated the time and really look forward to continued collaboration and the inspired action to come out of these conversations."

Health Net Helps Californians Keep Their Healthcare Coverage with 'Review to Renew' Campaign as Medi-Cal Redetermination Resumes April 1, 2023

Retrieved on: 
Wednesday, February 1, 2023

In line with its mission, Health Net announced today the launch of its Review to Renew campaign, which will provide Medi-Cal members with information and resources to help them understand upcoming redetermination deadlines to maintain their current health coverage.

Key Points: 
  • In line with its mission, Health Net announced today the launch of its Review to Renew campaign, which will provide Medi-Cal members with information and resources to help them understand upcoming redetermination deadlines to maintain their current health coverage.
  • During the public health emergency, the federal government waived the annual requirement for states to annually verify eligibility for Medi-Cal – a process known as redetermination.
  • Health Net will emphasize local grassroots marketing at dozens of cultural and community events to educate Medi-Cal enrollees about the steps needed to maintain their Medi-Cal coverage.
  • "Maintaining health coverage helps Californians stay healthy and live their lives to the fullest," said Dr. Ramiro Zúñiga, Vice President, Medical Director at Health Net.

ZeOmega Reports Record Demand and Growth for PHM Solution in 2022

Retrieved on: 
Tuesday, January 31, 2023

PLANO, Texas, Jan. 31, 2023 /PRNewswire/ -- ZeOmega®, the healthcare industry's leading population health management organization, today announced that 2022 was a banner year for the company, with over 60% of current client relationships either added or upgraded. This growth, along with ZeOmega's new product innovations and industry recognitions, reflects the demand for its cutting-edge care management solutions in the payer space, as well as its entrance into the home health and provider markets.

Key Points: 
  • ZeOmega grew its client base by 23% this past year, signing on notable organizations like AbsoluteCare , CCS , and HealPros .
  • Additionally, ZeOmega expanded its Medicaid population reach in California through an engagement with CalOptima Health , the third largest Medi-Cal plan.
  • Responding to the increase in customer volume, ZeOmega increased its national employee headcount by 19% and added to its leadership team.
  • "ZeOmega has greatly expanded this past year, on the client side and from an industry and product development perspective," said ZeOmega Chief Executive Officer Sam Rangaswamy.

Medi-Cal Members Can Now Get Innovative Digital Programs to Prevent, Treat, Reverse Chronic Conditions

Retrieved on: 
Monday, January 23, 2023

LOS ANGELES and SAN DIEGO, Jan. 23, 2023 /PRNewswire/ -- Blue Shield of California Promise Health Plan is now offering its Medi-Cal members Wellvolution, a digitally based lifestyle medicine and mental health support program that can be personalized to address individual health needs and preferences.

Key Points: 
  • Created in collaboration with Solera Health, Wellvolution offers four pillars of health support through its app-based programs: disease prevention; chronic-condition reversal; mental health support; and tobacco cessation.
  • "Wellvolution improves access to care, which we know helps to close healthcare gaps for our members."
  • Wellvolution programs that Medi-Cal members can access include:
    Diabetes Prevention - A Centers for Disease Control and Prevention-approved Diabetes Prevention Program (DPP).
  • For more information about digital resources available to Medi-Cal members through Blue Shield's Wellvolution platform, go to wellvolution.com/medi-cal .

California Department of Health Care Services Awards Contract to Pear Therapeutics to Support the Recovery Incentives Program

Retrieved on: 
Thursday, January 12, 2023

The California Department of Health Care Services (DHCS) has selected Pear Therapeutics, Inc .

Key Points: 
  • The California Department of Health Care Services (DHCS) has selected Pear Therapeutics, Inc .
  • (Nasdaq: PEAR), a leader in developing and commercializing software-based medicines, to support the implementation of the Recovery Incentives: California’s Contingency Management Program .
  • Contingency management is an evidence-based, cost-effective treatment that provides motivational incentives to treat individuals living with stimulant use disorder and support their path to recovery.
  • The pilot program will allow eligible Medi-Cal members, across 24 counties in California , to take part in a structured 24-week outpatient program that will be followed by at least six months of additional recovery support services.

CWCI Study Tracks Trends in the Utilization of Inpatient Care in California Workers’ Comp

Retrieved on: 
Wednesday, January 4, 2023

The latest results come from a CWCI study that measures and compares the use of inpatient services and procedures in different systems using data compiled by the state on more than 35.3 million hospital stays with 2012 through 2021 discharge dates.

Key Points: 
  • The latest results come from a CWCI study that measures and compares the use of inpatient services and procedures in different systems using data compiled by the state on more than 35.3 million hospital stays with 2012 through 2021 discharge dates.
  • Workers’ compensation is by far the smallest program analyzed, representing just 163,249 (
  • Workers’ compensation inpatient surgeries continue to be led by spinal fusions (17.6% of the 2021 surgeries) and major joint replacements (10.7 percent).
  • More detailed findings from the CWCI study have been released in a Research Update Report, “Trends in the Utilization of Inpatient Care in California Workers’ Compensation.” CWCI members and subscribers can access the report and a summary Bulletin at www.cwci.org , while others can purchase a copy for $21 at www.cwci.org/store.html .

Molina Healthcare Projects its California Medicaid Revenue will Double Under Revised Medi-Cal Contract Awards

Retrieved on: 
Tuesday, January 3, 2023

Molina Healthcare, Inc. (NYSE: MOH) (“Molina”) confirmed today that the California Department of Health Care Services (“DHCS”) has announced the awards of Medi-Cal contracts to Molina Healthcare of California commencing on January 1, 2024.

Key Points: 
  • Molina Healthcare, Inc. (NYSE: MOH) (“Molina”) confirmed today that the California Department of Health Care Services (“DHCS”) has announced the awards of Medi-Cal contracts to Molina Healthcare of California commencing on January 1, 2024.
  • In Riverside and San Bernadino Counties, Molina will remain the sole commercial plan.
  • DHCS has also agreed to grant Molina a contract to offer D-SNP products for dual eligible members in Los Angeles County.
  • The DHCS grant of a D-SNP contract for dual eligible members in Los Angeles County will create a significant additional revenue opportunity for Molina.

Manifest MedEx Earns Validated Data Stream Designation in NCQA Data Aggregator Validation Program for Measure Year 2022

Retrieved on: 
Tuesday, January 3, 2023

Manifest MedEx (MX), California’s largest nonprofit health information organization, announced today it has earned the Validated Data Stream designation in the National Committee for Quality Assurance (NCQA) Data Aggregator Validation program for a third consecutive year.

Key Points: 
  • Manifest MedEx (MX), California’s largest nonprofit health information organization, announced today it has earned the Validated Data Stream designation in the National Committee for Quality Assurance (NCQA) Data Aggregator Validation program for a third consecutive year.
  • From ingestion at primary sources through transmission to end users, the designation verifies adherence to NCQA process, system, and data standards.
  • Uniquely accepted as standard supplemental data in HEDIS® audits, no primary source verification is required for HEDIS® reporting when health plans report data from Data Aggregator Validation validated sources.
  • The combined NCQA validated data and extracted data for HEDIS® reporting from MX is one of the largest influencers on administrative rates outside of HPSJ’s claims data.