In San Joaquin, Two Medi-Cal Health Plans Struggle to Improve Quality

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AutoInsuranceMM.Info – Low income insurance – In San Joaquin, Two Medi-Cal Health Plans Struggle to Improve Quality

Two health plans, which serve nearly a quarter million Medi-Cal patients combined, failed to meet the state’s minimum performance levels for Medi-Cal health plans since at least 2016.

Two health plans that serve low-income residents in the Central Valley have consistently failed to meet state standards, recent reports show.

Health Net of San Joaquin and Health Plan San Joaquin, which serve nearly a quarter million Medi-Cal patients combined, failed to meet the state’s minimum performance levels for Medi-Cal health plans since at least 2016.

The state’s performance threshold is 40 percent; on a June quarterly report, Health Net was at 30 percent and Health Plan was at 39 percent. Both plans have been below the performance level for several quarters and have been working with the Department of Health Care Services, which manages Medi-Cal, on improvements.