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2023-2025 Strategic Plan

The CenCal Health 2023-2025 Strategic Plan outlines the organization’s vision and strategies to advance health equity, quality, and community partnerships in Santa Barbara and San Luis Obispo counties. The plan aims to guide CenCal Health’s efforts in addressing the evolving needs of Medi-Cal members, expanding its service role, and ensuring long-term sustainability through collaboration, innovation, and a commitment to excellence.

Our Priorities:

Cultivate Community Partnerships

Objective 1: Facilitate community collaboration to strengthen the health system

STRATEGIES

  • Convene, educate and collaborate with community stakeholders on Medi-Cal reforms, changes and directions to enable coordinated action
  • Align the CenCal Health Doorway to Health Foundation to advance quality and health equity for all and promote innovation
  • Play a leading policy role as liaison, educator and advocate for local Medi-Cal and safety-net health care priorities at the local and statewide level

Objective 2: Engage locally on health equity

STRATEGIES

  • Embrace the role of convener, facilitator, and humble partner with other health providers, social service leaders and government agencies to promote health equity
  • Solicit member, provider and community partner voices through meaningful engagement to improve customer experience
  • Collect, analyze and share data on health disparities and the social determinants of health to propel community action

Advance Quality and Health Equity for All

Objective 1: Exceed quality standards and expectations

STRATEGIES

  • Expand quality strategies to be a top quality performer among Medi-Cal health plans
  • Enhance the Quality and Equity Program by achieving NCQA accreditation
  • Partner with our provider network to support targeted quality improvements

Objective 2: Reduce health disparities in our populations

STRATEGIES

  • Develop a health equity strategy
  • Implement population health capabilities to identify and address health disparities among our Medi-Cal members
  • Enhance insight into health disparities by expanding the collection and sharing of drivers of health indicators

Expand our Service Role and Reach

Objective 1: Prepare to serve new members

STRATEGIES

  • Prepare for a sustainable and integrated Medi-Cal and Medicare program serving dually-eligible members
  • Explore local needs and market opportunities for Covered California and Medicare Advantage
  • Facilitate Medi-Cal coverage expansions for newly eligible residents

Objective 2: Develop new Medi-Cal programs and benefits

STRATEGIES

  • Expand Enhanced Care Management, Community Supports and Community Health Workers programs responsive to local needs
  • Invest in capacity to serve members through State-sponsored incentive programs
  • Advocate to preserve and support local voice and decision-making

Organize for Impact and Effectiveness

Objective 1: Advance organizational readiness to support strategy

STRATEGIES

  • Develop planning and execution capabilities to advance organizational integration and coordination
  • Achieve insight into organizational performance to target improvements
  • Adapt processes through continuous improvement methodologies

Objective 2: Foster employee growth and inclusion towards a diverse culture

STRATEGIES

  • Develop a strategic human resources function and capabilities to meet future state requirements
  • Evolve core competency requirements and performance management system
  • Enhance employee training and development

Objective 3: Leverage and adapt technology and analytics to enable transformation

STRATEGIES

  • Evolve technology model to emphasize external partnerships, to meet business needs
  • Develop advanced analytical insight to support the management and improvement of member care
  • Advance health data exchange and interoperability solutions

Objective 4: Ensure financial performance to support sustainability

STRATEGIES

  • Develop strategic financial function to evaluate regional rates impact and interventions
  • Evolve cost containment focus to manage member risk and needs
  • Deploy targeted investment and incentive strategies