Back to Basics: Medi-Cal Managed Care Fundamentals Webinar
An overview of Medi-Cal and its managed care delivery system
NOTE: This webinar is open to all. Please feel free to pass along this information to providers, partners and others who may benefit from the information that will be shared during the program.
Register now
August 27, 2024
1:30 – 3:00 p.m., Pacific Time
Overview
What is Medi-Cal and who does it serve?
What is Medi-Cal managed care and how does it work?
What important changes will impact Medi-Cal managed care?
Intended for new staff and those who are new to Medi-Cal or managed care, this helpful primer will improve your understanding of the Medi-Cal program’s structure and purpose, as well as offer an overview of what Medi-Cal managed care is, who it serves and how it works.
Who should attend:
This introductory webinar may be most valuable and informative for individuals who are new to managed care and/or the Medi-Cal environment. The program may also be valuable for local health plan staff who have not yet participated in the LHPC Institute’s Medi-Cal Managed Care 101 course.
Agenda
What is Medi-Cal?
- Joint federal and state-governed program
- What Medi-Cal means to California’s health insurance market
Who is Eligible for Medi-Cal?
- Covered populations
- Characteristics of Medi-Cal beneficiaries
- How individuals become eligible
- Process to apply for and maintain coverage
Medi-Cal Managed Care Basics
- What is Medi-Cal managed care?
- How plans assume and manage risk within the managed care construct
- Agencies responsible for oversight of Medi-Cal managed care plans
How Does Medi-Cal Managed Care Work?
- Managed care plan models
- Covered benefits and services
- Services and populations carved out of managed care
- How beneficiaries are enrolled in managed care plans
- How plans manage the delivery of services to members
Important Changes Impacting Medi-Cal Managed Care
- CalAIM — what’s happening now and what’s on the horizon
- Other priorities that impact managed care plans
Faculty
John F. Grgurina Jr.
Former Chief Executive Officer
San Francisco Health Plan
As Chief Executive Officer of San Francisco Health Plan (SFHP), John Grgurina led the mission-driven SFHP staff and Governing Board to ensure that San Francisco was a healthy community for all. During his 14+ year tenure, SFHP was the highest ranked public Medi-Cal plan every year based on aggregated quality measures and won multiple awards for Outstanding Performance in Quality Care from DHCS for the Medi-Cal program. The plan also experienced significant growth, quintupling their Medi-Cal membership.
Prior to SFHP, John served as President and Executive Officer of PacAdvantage, Chief Deputy and Lead Negotiator of the Managed Risk Medical Insurance Board and as an analyst at the State Department of Finance assigned to the Medi-Cal budget.
John earned his bachelor’s degree from UCLA and Masters of Public Administration from California State University, Hayward.
Registration
NOTE: This webinar is open to all. Please feel free to pass along this information to providers, partners and others who may benefit from the information that will be shared during the program.
Fees* (per connection)
LHPC Member $50
Government Staff $50
Nonmember $100
Member Plan Registration^ $150
*Special registration pricing will be offered while staff work remotely. Standard pricing will resume once staff return to work on-site. Please contact the LHPC Institute for group pricing.
^ Select this option if plan staff will view the webinars communally on-site. Plans with multiple sites must register each site separately and identify whom at each site should receive the webinar access information upon registering. When registering, please enter unique email addresses for each additional site as the system may not allow duplicate logins.
Registration closes August 22 at 5:00 p.m.
Registration Confirmation: Registrants will receive two emails — a registration confirmation email and a separate email that contains access information for the webinar.
Participating in the Webinar: You will only need a computer with an updated web browser (Google Chrome, Microsoft Edge, Mozilla Firefox or Safari are recommended). Participants may opt to listen to the webinar via telephone or device.
Cancellation Policy: Cancellation notification must be submitted in writing to institute@lhpc.org seven or more days prior to the course date. Refunds will not be given after that date. Substitutions are encouraged. Payment will be due for registered individuals that do not attend the event and for which a cancellation notice is not received.