Healthcare Finance News June 19, 2024
Susan Morse

The increase counteracts some of the financial uncertainty caused by the California state budget deficit, CalOptima says.

The CalOptima Health Board of Directors has approved an investment of $526.2 million to increase rates paid to hospitals, physicians, community clinics, behavioral health providers and ancillary services providers in Orange County, California.

This represents the largest provider rate increase of its kind in CalOptima Health’s nearly 30-year history, the organization said. The investment is for a 30-month period from this July to December 2026.

It is intended to support access to healthcare services for members and promote longer-term financial stability of the managed care network.

The money to augment provider reimbursement is coming from an unallocated reserve fund.

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