We Use Data to Improve Outcomes

As California continues to implement CalAIM, Health Net remains a committed, trusted partner. This includes Enhanced Care Management and Community Supports.

We bring decades of experience, expertise and innovation to our relationships with the state, providers and community-based organizations. Together, we develop solutions that improve care delivery and enhance our Medi-Cal safety net.

We Clarify Needs and Improve Care with Encounter Data

To improve future care, we must understand current care. Health Net has partnered with the State of California and invested $50 million to improve the timely reporting of complete and accurate encounter data for all health plans and providers. Encounter data gets collected during each patient visit or interaction.

This initiative has allowed everyone to better understand how people in underserved communities seek and find care. With this context, we can improve quality of care and reduce disparities.

With more and better data, we can measure improvement and monitor trends for the health of all Californians.

We Use Data to Tailor Local Solutions

Better outcomes rely on better decisions based on better data. That ideal sequence doesn’t happen in a vacuum.

We know that high quality of care must include equity. That begins with innovative approaches and performance-based data to measure. It’s simple. As data improves and needs are revealed, we need to assess which measures help and which don’t.  

In some cases, we call members affected by extreme weather to offer help.

Read about other ways we use data to improve outcomes.

Cousins dancing at backyard family party

We Took Swift Action to Expand Telehealth

When members can’t get to care, we bring care to them. Long before COVID-19, our innovation-first approach to access brought virtual services to patients statewide. This same mindset drove our pandemic response. At the outset of the pandemic, we expanded telehealth services to all of our Medi-Cal enrollees — in just seven weeks.

During the pandemic, we also helped Medi-Cal providers expand telehealth access. We did that with $13.4 million in grants to 138 safety net clinics across the state. Learn about the positive outcomes.

We Innovate with Best Practices

Our multi-faceted solutions, many built on innovation, help promote whole-person health. Alongside partners in CalAIM, we help deliver seamless, coordinated care for our members at every stage of life.

We’ve documented our approach to innovation within Medi-Cal in an industry report here.

Our model rests on three critical foundations: