AJMC February 20, 2025
Comparing plans with similar characteristics, such as size, geographic location, or demographics served, allows for more meaningful insights and improvement opportunities.
Every year, managed care plans (MCPs) in California take a test, so to speak.
This test involves being compared and evaluated with other health plans across the nation using several quality domains, including patient experience, prevention, equity, and treatment. But the current evaluation system is based on inequitable benchmarks and policies that could put the most vulnerable among us at risk.
Think of plans as students in a class who are all taking the same test. The underperforming students would have their pencils, iPads, and computers taken away, yet are asked to outperform the other students the following year.
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