SHADAC Expertise

Public Hospital Redesign and Incentives for Medi-Cal (PRIME) Program

SHADAC developed an evaluation design to assist the California Department of Healthcare Services. The evaluation design was for the delivery system reform portion of the Medi-Cal Section 1115 waiver known as PRIME program. The PRIME program aims to expand access and improve health outcomes in California‚Äôs public safety net hospitals and hospital systems while managing utilization and cost by establishing or improving infrastructure to manage high-cost populations through a range of interventions (e.g., care management, care transitions, behavioral health integration); expanding capacity through enhanced efficiency and reductions in unnecessary utilization; and building capabilities to support the transition to value-based purchasing.