Medicaid Insights gives Medi‑Cal executives what you need to navigate an uncertain Medicaid environment with confidence. Each month we ingest thousands of pages of board updates, DHCS policy changes, and enrollment data across all 22 public plans, then notify you of what matters to your organization.
22 public plans · 272 board documents · 57K+ cited figures
Health plan board updates, DHCS policy changes, enrollment data, and more, ingested every month and read for what it means to your organization.
Stop checking a dozen government, plan, and policy sites to make sense of what’s happening. Policy, performance, and operations connect in one clear brief.
Like having your own team of Medi-Cal policy researchers on demand. Plain-English questions, cited answers in about a minute.
Every insight traces back to the original source document, down to the exact cited page.
Experienced healthcare strategists solving our own pain points, now opening it to others.
Three current storylines, exactly as the product reads them, each cited to the page of the board material it came from.
CalAIM · HPSM
Why it matters: This is the most concrete example yet of how state and federal policy will unwind CalAIM services for a defined population, and the advocacy fight over a partial carve-out will set precedent for other county plans. Safety-net providers lose wrap payments six months before members lose managed care, compounding the financial and access shock.
Board storyline · Jul 2026 board materials · p. 6
Finance & reserves · HPSJ/MVHP
Why it matters: An MLR above 110% is not a rounding problem, it signals structural mispricing or cost trend the plan has not yet corrected. Anyone tracking Central Valley Medi-Cal plans should watch reserve drawdown, rate advocacy with DHCS, and cost-containment actions in coming quarters.
Board storyline · Jun 2026 board materials · p. 4
Provider network · CALOPTIMA
Why it matters: Access failures are now showing up simultaneously in appeals data, member experience scores, and network adequacy filings, which is the pattern regulators look for. The CCS de-approval creates immediate care-continuity risk for medically fragile children and a test of the plan's transfer and network-build execution.
Board storyline · Jun 2026 board materials · p. 178
Current high-impact storylines from the latest available public plan materials.
Medicaid Insights is a product of Insight Healthcare Advisors, an operator-led consulting firm working across Medicaid strategy and operations. We built it as an internal tool to answer the questions we kept bouncing between clunky portals and multi-hundred-page PDFs to answer. Now we're bringing that value to the community at a moment when Medi‑Cal is anything but certain.
Richard founded IHA after roles spanning Augmedix, DaVita Medical Group through its Optum acquisition, and Insight Research Group. He is a guest lecturer at the UC Berkeley School of Public Health.
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. Richard reviews each request.
Attending the CAHP Medi‑Cal seminar? Your beta access is complimentary, plus 50% off at launch.