Health Plan Advantage D-SNP Enrollment

Access & Continuity of Care

Work with county and state officials to identify the resulting losses in coverage from federal and state health care policy and financing changes upon the most vulnerable in our service areas.
Keep provider partners, advocacy organizations, members, county leaders, and community stakeholders informed of these impacts.
Explore possible initiatives to minimize coverage losses with community stakeholders.

Optimize the core Medi-Cal program in light of expected enrollment declines and funding challenges.
Continue growth, stabilization, and optimization of the D-SNP product.
Evaluate other products or programs for growth (e.g., PACE, C-SNP, ACA, dental, etc.).
Establish and monitor program-specific goals and targets

Leverage technology and project management processes to enhance organizational stability and agility.
Establish a governance and compliance framework to monitor regulations, anticipate impacts, and support timely adaptation.
Implement rigorous forecasting processes with clear assumptions, scenario modeling, and cross-functional input.
Enhance healthcare economics analytics to drive cost management understanding and decision-making.
Explore value-based arrangements that align incentives and improve outcomes.

Create intentional opportunities for collaboration, recognition, and engagement.
Invest in continuous learning and job enrichment efforts to ensure employees have the skills, knowledge, and confidence to thrive in a rapidly evolving environment.
Equip executives and directors with the training and coaching needed to lead effectively in a dynamic landscape.

Continuing the plan’s key role in the transformation of the Medi-Cal program, by bringing together provider partners, advocacy organizations, members, county leaders, community-based organizations (CBOs), and interested stakeholders to keep the community updated on all aspects of Medi-Cal and Medicare
reforms, including policy and financing changes.
Advance efforts across county agencies and community-based organizations to promote innovation and align funding streams and care coordination.
Coordinate efforts to respond to the impacts of H.R. 1
on the community at large.
Collaborate with partners to identify
opportunities to build local
workforce capacity.