L.A. Care History

Laying the Foundation

November 1992

• The California Department of Health Services releases the draft plan, Expanding Medi-Cal Managed Care: Reforming the Health Systems; Protecting Vulnerable Populations. The final draft is released in April 1993. It establishes the Two-Plan Model in which a locally developed health plan competes against a commercial health plan. The plan also outlines the goals and objectives of the Medi-Cal Two-Plan Model, including:

1. Expand choices of physicians and medical providers
2. Improve access to primary and preventive health care services
3. Ensure quality of care
4. Preserve the health care safe net

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