Santa Clara County aims to transition to a single plan model for Medi-Cal managed care to enhance reimbursement rates amidst deep budget cuts proposed by House Republicans. However, this move has stirred dissent, with the Santa Clara Family Health Plan filing a lawsuit against what it perceives as a hostile takeover. The county's leadership is pushing forward with the transition by planning significant changes in the governing board, primarily staffing it with county employees. A unified Medi-Cal strategy is deemed essential to stabilize critical health services affected by structural challenges within the current system.
The separation of the Family Health Plan from county operations has resulted in significant structural challenges, impeding revenue maximization for essential local healthcare services.
County Executive James Williams emphasized the urgent need for a unified and efficient Medi-Cal strategy to bolster stability and mitigate cumulative impacts on critical safety net services.
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