Video Series: Medi-Cal Managed Care Fundamentals
The LHPC Institute has developed a 4-episode video series designed to introduce and explain some of the fundamental concepts of Medi-Cal and managed care. Throughout the series, you will learn more about the Medi-Cal program and who it serves, as well as some of the concepts, principles and structure of Medi-Cal managed care.
Episode 1: What is Medi-Cal?
New employee Jamie needs a crash course on Medi-Cal for an upcoming project. Fortunately, David — Jamie’s old friend and colleague — agrees to give her a quick tutorial.
In this episode:
- Medi-Cal program basics
- How Medi-Cal is funded
- Medi-Cal benefits and services
- Introduction to Medi-Cal delivery systems
Episode 2: Medi-Cal Eligibility
Jamie’s been tasked with a daunting new project — a presentation on Medi-Cal eligibility. Thankfully, David comes to her rescue.
In this episode:
- Who’s eligible for Medi-Cal
- How eligibility is determined
- Pathways to eligibility
Episode 3: What is Medi-Cal Managed Care?
Jamie’s vying for a new position and David helps her prepare for her upcoming interview, which requires her to know the ins and outs of Medi-Cal managed care.
In this episode:
- Medi-Cal delivery systems
- Medi-Cal managed care concepts
- Plan strategies and tools for managing risk and promoting positive health outcomes
Episode 4: Medi-Cal Managed Care Plan Models
David and Jamie have one week left to prepare materials for the company’s annual stakeholders meeting.
In this episode:
- Medi-Cal managed care plan models
- How California’s managed care program is unique
- Value of local health plans within the Medi-Cal managed care framework