California AB2594 establishes a pilot program for voluntary employees' beneficiary associations in southern California.
California AB2594 creates a pilot program for voluntary employees' beneficiary associations in southern California. The program aims to demonstrate cost control and improved health outcomes compared to fee-for-service models. It involves risk-bearing arrangements with health care providers, including financial responsibility divisions, utilization review requirements, and continuity of care provisions. The pilot program includes an ombudsperson for enrollee complaints and requires quarterly reporting to the department.
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- Core Provisions
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- Legal Framework
- Critical Issues
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