The Division is responsible for evaluating and promoting health plan regulatory compliance and quality improvement as related to health care delivery systems. The staff also offer advice and assistance to health plans in these areas and assist other areas of the Department in evaluating issues relating to health care delivery and managed care operations. Division of Special Projects Plans, executes, and evaluates special projects relating to managed health care and managed health care program regulation in collaboration with internal and external resources. The special projects include regulatory quality improvement projects to enable regulatory policies and practices for plans to become more effective and efficient while reducing papeleo. Studies are conducted to determine whether particular problems exist within the plans.
Staff also provides analysis of findings and makes recommendations.
See CalPERS Health Pages for more information.