Every month we read the board materials from all 22 public Medi‑Cal plans, along with DHCS policy updates and enrollment data, and turn them into a cited brief. Ask a question and get an answer that links to the page it came from.
Get a cited answer in about a minute. Just ask the way you would ask a colleague.
Every insight traces back to the original source document, down to the exact cited page.
We built it for our own Medicaid consulting work and use it with clients before opening it to others.
Provider network · CALOPTIMA
Why it matters: CalOptima Health is spending reserves to hold its network together while operating margins turn negative and membership shrinks. The $429.6 million commitment runs through December 2028, overlapping the MCO tax replacement and directed-payment phase-down, so providers negotiating with the plan should read it against those timelines.
Oct 2026 board materials · p. 27
Enrollment · SCFHP
Why it matters: Losing about a third of membership in one budget year changes the plan's revenue base, its delegation economics with VHP, and the size of its CalAIM programs. Retention work depends on county renewal data sharing, and that exchange is still being planned.
Sep 2026 board materials · p. 16
Finance & reserves · AAH
Why it matters: Two consecutive loss months at 97-98% MLR mark a turn from a year that closed with $62.4 million in net income. The capital cushion is large, but pharmacy unit cost and rising cost concentration (13.1% of members driving 89.8% of costs) point to pressure that reserves absorb rather than solve.
Sep 2026 board materials · p. 157
Medicaid Insights is a product of Insight Healthcare Advisors, an operator-led consulting firm working across Medicaid strategy and operations. Our team built it for our own client work, after too many hours spent in 300-page PDFs and state portals, and is now opening it to a small group of beta users.
We're inviting a small group of health plan, provider, advisory, investment, and policy leaders to use the product in real work and tell us where it should go next. Our team reviews each request.
Attending the CAHP Medi‑Cal seminar? Your beta access is complimentary, plus 50% off at launch.