To: Joint Conference Committee (JCC) Members
From: Beth Hernandez, Quality and Health Equity Director, Contra Costa Health Plan
Date: October 3, 2025
Subject: Quality & Health Equity Update
Recommendation
Receive an informational report on Contra Costa Health Plan's (CCHP) Quality and Health Equity program activities, recent accomplishments, and focus areas.
Background
The Quality and Health Equity Department at CCHP is responsible for monitoring and improving the quality of care delivered to our members, advancing health equity across populations, and supporting the organization's population health efforts. The department manages quality measurement and reporting, oversees accreditation, implements data-informed interventions to address disparities and improve outcomes, delivers health education to promote prevention and wellness, and ensures access to culturally and linguistically appropriate services. Staff collaborate across departments, with providers, and in community organizations to ensure care delivery aligns with the needs of CCHP's diverse membership.
Key Accomplishments and Highlights
CCHP submitted its Measurement Year (MY) 2024 Healthcare Effectiveness Data and Information Set (HEDIS) in June 2025. These measures are used by a variety of regulators for enforcement purposes. CCHP anticipates earning back 100% of capitation dollars (totaling approximately $6 million) for CY 2024 through Department of Health Care Services (DHCS) Quality Withhold program. CCHP surpassed the Department of Health Care Services (DHCS) Minimum Performance Level (MPL) for all Medi-Cal Accountability Set (MCAS) Measures in 2024 and will not receive any sanctions.
The National Committee on Quality Assurance (NCQA) just released the 2025 Health Plan Ratings, and CCHP received 4.5 Stars, placing CCHP as 1 of 3 Medicaid plans in California with 4.5 Stars (the other two being Kaiser Permanente North and South). CCHP is 1 of 14 in Medicaid Plans in the country to receive ...
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