Managed Care and Low-Income Populations: A Case Study of Managed Care in California

This report updates a 1994 case study of California’s Medicaid managed care initiative. California uses three predominant managed care models in its Medi-Cal program: county organized health (COHS), geographic managed care (GMC), and the two-plan model. This case study focuses specifically on Los Angeles County’s two-plan model and Orange County’s COHS model. It is one of a series of reports from the Kaiser/Commonwealth Low-Income Coverage and Access Project.

This project examines how changes in the Medicaid program have affected health insurance health insurance coverage and access to care for the low-income population in eight states: California, Florida, Maryland, Minnesota, New York, Oregon, Tennessee, and Texas.