2023-2025 Strategic Plan

Objective 1: Facilitate community collaboration to strengthen the health system

STRATEGIES

• Convene, educate and collaborate with community stakeholders on Medi-Cal reforms, changes and directions to enable coordinated action
• Align the CenCal Health Doorway to Health Foundation to advance quality and health equity for all and promote innovation
• Play a leading policy role as liaison, educator and advocate for local Medi-Cal and safety-net health care priorities at the local and statewide level

Objective 2: Engage locally on health equity

STRATEGIES

• Embrace the role of convener, facilitator, and humble partner with other health providers, social service leaders and government agencies to promote health equity
• Solicit member, provider and community partner voices through meaningful engagement to improve customer experience
• Collect, analyze and share data on health disparities and the social determinants of health to propel community action

Objective 1: Exceed quality standards and expectations

STRATEGIES

• Expand quality strategies to be a top quality performer among Medi-Cal health plans
• Enhance the Quality and Equity Program by achieving NCQA accreditation
• Partner with our provider network to support targeted quality improvements

Objective 2: Reduce health disparities in our populations

STRATEGIES

• Develop a health equity strategy
• Implement population health capabilities to identify and address health disparities among our Medi-Cal members
• Enhance insight into health disparities by expanding the collection and sharing of drivers of health indicators

Objective 1: Prepare to serve new members

STRATEGIES

• Prepare for a sustainable and integrated Medi-Cal and Medicare program serving dually-eligible members
• Explore local needs and market opportunities for Covered California and Medicare Advantage
• Facilitate Medi-Cal coverage expansions for newly eligible residents

Objective 2: Develop new Medi-Cal programs and benefits

STRATEGIES

• Expand Enhanced Care Management, Community Supports and Community Health Workers programs responsive to local needs
• Invest in capacity to serve members through State-sponsored incentive programs
• Advocate to preserve and support local voice and decision-making

Objective 1: Advance organizational readiness to support strategy

STRATEGIES

• Develop planning and execution capabilities to advance organizational integration and coordination
• Achieve insight into organizational performance to target improvements
• Adapt processes through continuous improvement methodologies

Objective 2: Foster employee growth and inclusion towards a diverse culture

STRATEGIES

• Develop a strategic human resources function and capabilities to meet future state requirements
• Evolve core competency requirements and performance management system
• Enhance employee training and development

Objective 3: Leverage and adapt technology and analytics to enable transformation

STRATEGIES

• Evolve technology model to emphasize external partnerships, to meet business needs
• Develop advanced analytical insight to support the management and improvement of member care
• Advance health data exchange and interoperability solutions

Objective 4: Ensure financial performance to support sustainability

STRATEGIES

• Develop strategic financial function to evaluate regional rates impact and interventions
• Evolve cost containment focus to manage member risk and needs
• Deploy targeted investment and incentive strategies