Report 2018-115 Recommendation 2 Responses

Report 2018-115: Department of Health Care Services: Although Its Oversight of Managed Care Health Plans Is Generally Sufficient, It Needs to Ensure That Their Administrative Expenses Are Reasonable and Necessary (Release Date: April 2019)

Recommendation #2 To: Health Care Services, Department of

Using the annual reports of successful improvement projects health plans plan to continue or expand to other locations, by December 2019 DHCS should compile a list of successful improvement projects to share with other health plans on a periodic basis, but at least annually.

1-Year Agency Response

DHCS shared the results of the annual Quality Improvement Survey with the plans through email, through the Quality Improvement Toolkit, and through a PowerPoint presentation at the October 2019 Medical Directors Meeting.

California State Auditor's Assessment of 1-Year Status: Fully Implemented

Using the annual report of survey results of successful improvement projects health plans plan to continue or expand to other locations, DHCS compiled a list of successful improvement projects to share with other health plans on an annual basis. DHCS shared the first annual list of successful projects in October 2019 and informed the health plans it would be updating and providing this list annually.

6-Month Agency Response

DHCS continues to share promising practices through all avenues previously discussed, and continues to identify new ways to share promising practices. DHCS conducted the annual Quality Improvement Survey as discussed, and DHCS will be compiling the results of the survey to share the information back with all Managed Care Plans (MCP) through a number of forums, including through the Quality Improvement Toolkit as well as through in person meetings. DHCS will continue to engage further with MCPs to share promising practices.

California State Auditor's Assessment of 6-Month Status: Pending

All Recommendations in 2018-115

Agency responses received are posted verbatim.