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We value equity: When Medi-Cal rates are not equitable across California, medical services to the Medi-Cal members are not equitable. Low rates perpetuates continuation of low rates

We value data-driven decision making: https://drive.google.com/file/d/1Akb-BJ5AR3V_dvgNhD3HeHVmEV1gnVNe/view/.

We value quality, accessible community care: Allowing providers to care for their communities. Quality care that they want to provide. Quality care requires covering the cost of care. Low rates force providers to choose between providing quality care and providing access to care

We value provider and patient satisfaction: Providers are paying the price. Providers are valuable, a noble profession and trusted. We need to put money behind what we value. Medicine shouldn't be a numbers game.

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Central California healthcare systems and providers are more dependent on Medi-Cal reimbursement rates than other regions, and receives lower rates than other regions.

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Piloting an increase in rates for Central CA, from the bottom to the top of the allowable range, and monitor impacts of the rate increase.

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Data driven (snapshot)

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Snapshot of Healthcare in Central California (1).pdf

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Equity

When Medi-Cal rates are not equitable across California, medical services to the Medi-Cal members are not equitable.

Low rates perpetuates continuation of low rates

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Allowing providers to care for their communities.

Quality care that they want to provide.

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Quality care requires covering cost of care

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Quality vs. Access

Low rates force providers to choose between providing quality care and providing access to care

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Provider satisfaction

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Medicine shouldn't be a numbers game.

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Patient satisfaction

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Access to care

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Providers are paying the price

Providers are valuable / a noble profession / trusted

Putting money behind our value

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The Statista "Chart of the Day" currently focuses on two sectors: "Media and Technology", updated daily and featuring the latest statistics from the media, internet, telecommunications and consumer electronics industries; and "Economy and Society", which current data from the United States and around the world relating to economic and political issues as well as sports and entertainment.

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Infographic: America's Most And Least Trusted Professions

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This chart shows the share of U.S. respondents rating the honesty/ethical standards of the following professions as high/low.

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This region is more dependent on Medi-Cal Reimbursement, and facilities are hard to support

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Lower reimbursement rates; geographically-driven Medi-Cal rates do not bear out logically

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May be a disconnect between rates and the provider's day-to-day experiences; may create unrealistic expectations re. patient load, and quality measures may be impacted

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Pediatric practices: care is shifting to mid-level providers because rates are not high enough

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Is there a disparity in bargaining power between large medical groups and smaller groups?

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Parity in care: the difference in reimbursement between Medi-Cal and private pay is growing and making care unsustainable

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OB units closing because not reimbursed enough to cover costs

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Work with local MCPs to increase rates paid to providers to attract additional workforce for the Medi-cal system

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Work w/MCPs and DHCS around process that they use for determining compliance around time and distance. (consider a neutral third-party to do this monitoring)

-->this is part of establishing the access challenges (understanding access issues will help inform rates discussions)