Requires the Department of Health Care Services (DHCS) to establish a quality assessment and performance improvement (QAPI) program for all Medi-Cal managed care (MCMC) plans, through which the MCMC plans, commencing January 1, 2021, would be required to meet a minimum performance level (MPL) that improves quality and reduces health disparities, as specified. Requires MCMC plans that meet the performance targets to receive specified financial incentives. Based on consumer surveys, increased data.
To the Members of the California State Assembly:
I am returning Assembly Bill 2275 without my signature.
The department, however, is required by federal law to have an external organization conduct periodic quality reviews of its managed care program. The department also requires extensive plan-specific quality improvement projects.
Adopting these statutory requirements will duplicate current efforts while adding significant costs to Medi-Cal.
Edmund G. Brown Jr.