California eProcure #25-082

RFI: Value-Based Hospital Reimbursement Strategy for Medi-Cal

The California Department of Health Care Services (DHCS) is seeking input to inform a new value-based strategy for Medi-Cal hospital reimbursement. - Government Buyer: - California Department of Health Care Services (DHCS) - OEMs and Vendors: - No specific OEMs or vendors are named, as this is a Request for Information (RFI) seeking strategic input rather than procurement of products or services - Products/Services Requested: - Information, strategies, and solutions for value-based hospital payment models for Medi-Cal - Approaches to incentivize high-quality inpatient and outpatient hospital care - Recommendations for aligning hospital payments with federal Medicaid requirements and Medi-Cal's quality strategy - Unique or Notable Requirements: - Solutions must advance access to high-quality care and improve health outcomes for Medi-Cal members - Emphasis on fiscal stewardship and efficient service delivery - Alignment with federal Medicaid guidance and Medi-Cal's quality improvement goals - Input should address both inpatient and outpatient hospital services - No product part numbers, quantities, or specific technical solutions are requested at this stage, as this is an RFI for strategic input only

Description

The California Department of Health Care Services (DHCS) has issued Request for Information (RFI) #25-082 to gather input from entities to develop a comprehensive value strategy for Medi-Cal hospital service reimbursement. The strategy aims to advance access to high-quality inpatient and outpatient hospital services, incentivize appropriate care delivery, and improve health outcomes for Medi-Cal members. DHCS intends to manage hospital payments prudently while aligning with Medicaid requirements and ensuring efficient service provision. Interested parties can submit questions via email to the DHCS Procurement and Contracting Division.

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