Joint Informational Hearing

Assembly Health Committee and Budget Subcommittee #1 on Health and Human Services, Senate Health Committee and Budget Subcommittee #3 on Health and Human Services

MEDI-CAL: MANAGED CARE EXPANSION

Tuesday, August 16, 2005 10:00 a.m. – 2:00 p.m. State Capitol, Room 4202

I. Overview of Medi-Cal Managed Care (15 minutes) Shawn Martin, Legislative Analyst's Office

II. Overview of Administration's Proposal in the Context of the Hospital Financing Waiver (15 minutes) Tom McCaffery, Chief Deputy Director, Department of Health Services

III. Readiness and Transition Issues (60 minutes) a. Stan Rosenstein, Deputy Director of Medical Services, Department of Health Services and Vanessa Baird, Division Chief, Medi-Cal Managed Care, Department of Health Services b. Consumer Panel i. Marilyn Holle, Protection and Advocacy Inc. ii. Patricia Yeager, California Foundation for Independent Living Centers iii. Beth Capell, Health Access iv. Angela Gilliard, Western Center on Law and Poverty c. Provider and Plan Panel i. Lisa Folberg, Californa Medical Association ii. Martin Gallegos, California Hospital Association iii. Jack Horn, Partnership Health Plan iv. Carl Maier, Inland Empire Health Plan v. Susan Fleischman, M.D., Blue Cross of California

IV. Quality Assurance and Monitoring Issues (60 minutes) a. Stan Rosenstein, Deputy Director of Medical Services, Department of Health Services and Vanessa Baird, Division Chief, Medi-Cal Managed Care, Department of Health Services b. Kim Flores, Senate Office of Research c. Chris Perrone, California Healthcare Foundation d. Consumer Panel i. Marilyn Holle, Protection and Advocacy Inc. ii. Patricia Yeager, California Foundation for Independent Living Centers iii. Beth Capell, Health Access iv. Angela Gilliard, Western Center on Law and Poverty e. Provider and Plan Panel i. Lisa Folberg, Californa Medical Association ii. Barbara Glaser, California Hospital Association iii. Richard Chambers, CalOptima iv. Carl Maier, Inland Empire Health Plan v. Dave Meadows and Janice Milligan R.N., Health Net

V. Impact on Safety Net (30 minutes) a. Consumer Panel i. Marilyn Holle, Protection and Advocacy Inc. ii. Beth Capell, Health Access iii. Nancy Rimsha of Orange County Health Consumer Action Center/Legal Aid b. Provider Panel i. Bob Dimand, M.D., Children's Specialty Care Coalition ii. Melissa Stafford Jones, California Association of Public Hospitals and Health Systems iii. Elia Gallardo, California Primary Care Association

VI. Capitation Rates (30 minutes) a. Stan Rosenstein, Deputy Director of Medical Services, Department of Health Services and Vanessa Baird, Division Chief, Medi-Cal Managed Care, Department of Health Services b. Keith Berger, California Medical Assistance Commission c. Farra Bracht, Legislative Analyst's Office d. Richard Chambers, CalOptima e. Maya Altman, Health Plan of San Mateo f. Cherie Fields, Local Health Plans of California g. Lisa Folberg, California Medical Association h. Sherrita Lane, California Hospital Association

VII. Public Comment