Medi-Cal Managed Care Performance Measurement of Physician Organizations (POs)

Funded by the Blue Shield of California Foundation (BSCF), IHA led a pilot to collect standardized Medi-Cal managed care results in four southern California counties at the physician organization (PO) level. Five Medi-Cal managed care plans worked collaboratively with IHA to establish a common measure set and submit Medi-Cal results stratified by PO.  Measures focus on clinical quality, resource use and meaningful use of health information technology.  

Results were rolled out to health plans and physician organizations in 2014, using IHA’s performance measurement web reporting platform.  The pilot demonstrates that performance measurement of POs in Medi-Cal managed care is feasible and that plans are interested in moving in this direction—measuring and reporting performance closer to where care is delivered.  The results are summarized in an issue brief.