San Diego: Major Providers Pursue Countywide Networks and New Patient Care Models
California Health Care Almanac Regional Markets Issue Brief
Publisher: The California Health Care Foundation
Jun 30, 2016
- While the hospital market remained largely stable in recent years, most of the smaller hospitals have been losing volume and struggling financially.
- Major systems are pursuing population health strategies and increasingly using provider-sponsored health plans to take full risk for more patients.
- The challenges of independent practice are leading many primary care physicians to choose employment at system-affiliated groups.
- In the two years since Medicaid eligibility was first expanded under the ACA, San Diego's Medi-Cal managed care enrollment almost doubled to 700,000. Many Medi-Cal enrollees without a regular primary care provider sought care at hospital emergency departments, and access gaps for many kinds of specialty care and behavioral health care were even more severe.
- San Diego County's commitment to providing health care for low-income residents continues to be limited, although the county Health and Human Services Agency has become more active in fostering collaborations between health and other social services.
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