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Medi-Cal Managed Care Quarterly Performance DashboardReleased November 20, 2014ENROLLMENTE1Enrollment By Population: ACA 596,063591,854592,367599,183596,250586,476ACA 5594,250,9704,253,347Notes: SPDs are Medi-Cal only; SPD children are categorized as SPD'sChildren are exclusively Optional Targeted Low Income (up to 266% FPL) whose parents' income is too high for Medi-Cal; Families population includes parents and children who mostly qualify for TANFEnrollment by Plan Model as of June 1, 2014FamiliesChildrenSPDsDualsLIHPE2Millions6E3ACA ExpMedi-Cal Managed Care vs. FFSas of June 1, 2014: 100%7%10%9%1%0%13%12%10%12%0%LIHP5%7%9%9%0%ACA Exp9%6%5%10%0%Families52%61%63%67%0%Note: Data in this dashboard is preliminary and subject to changeChoice and Auto-Assignment Rates: StatewideChoiceAuto-AssignedPassive Prior100%80%60%40%20%0%4-E469%Notes: Passive Prior includes transitioning populations, membersdefaulted because they were previously a member, or if otherFFSMCfamily members were already assigned to the plan.Date is effective date of plan enrollment. Choice/plan assignmentoccurred during the previous month.Page 1 of 12

Medi-Cal Managed Care Quarterly Performance DashboardReleased November 20, 2014DemographicsMedi-Cal Managed Care Members by Ageas of June 1, 2014 (Includes SPD and Duals)D1 1 12%1-512-1718-206-1119%65 14%0%12% 1-2021-447%18-2045-64African-AmericanMedical Managed Care MembersDual Eligibles by Age As of June 1, 20147%12-1721-44D40%4%6-11Asian/Pacific Islander50%20%Medi-Cal Managed Care MembersMedi-Cal Only SPDs by Age As of June 1, 20141-545-644%25%63%41%65 23%65 D511%18-205%21-4422% 16%21-44Medi-Cal Managed Care Members by Race/Ethnicityas of June 1, 2014 (Includes SPD and Duals)9%1-516%65 5%6-11D2Medi-Cal Managed Care Members Percent of Total by Age/Gender As of June 1, 2014 (Includes SPDs and Duals)Age GroupFemaleMaleTotal 148.9%51.1%176,0871-548.9%51.1%1,210,136Note: Data in this dashboard is preliminary and subject to 5-6455.2%44.8%1,201,90865 62.4%37.6%371,565Page 2 of 12

Medi-Cal Managed Care Quarterly Performance DashboardReleased November 20, 2014UtilizationER Visits per 1,000 Member Months: ons90ER Visits with an IP Admission per 1,000 Member Months: 0105331-IP Admissions per 1,000 Member Months: All4,000SPDsDualsChildren3,2403,0006860Pharmacy Claims per 1,000 Member Months: StatewideU4ClaimsVisitsU12,0007715252281,000-OP Visits per 1,000 Member Months: StatewideAll2,0001,000-Note: Data in this dashboard is preliminary and subject to changeSPDsDualsChildren2,0531,348723382Page 3 of 12

Medi-Cal Managed Care Quarterly Performance DashboardReleased November 20, 2014ACCESSGrievances per 1,000 Member Months (Q2 2014): nces per 1,000 Member Months (Q2 2014): Plan .00.52013 Q32013 Q42014 Q10.02014 Q2GMCTwo-PlanCOHSRMWe cannot breakout grievance data for duals, children, and families at this time.A3Grievances by Reason (Q2 2014): StatewidePopulationPhysical AccessibilityAllSPDsAccess to Primary Care2413Access to Specialists739239Out-of-Network3819915447Other Types ofGrievances6,9732,462Grievance data displayed on this page represents plan-reported data.A4State Fair Hearing Requests by Reason (Q2 2014): StatewideReason Billing IssueDurable Medical EquipmentDenial of ServiceAll Other ReasonsTotalNote: Data in this dashboard is preliminary and subject to n021102713Other11287552641371368Page 4 of 12

Medi-Cal Managed Care Quarterly Performance DashboardReleased November 20, 2014ACCESS (Cont.)A5SPDs Continuity of Care (Q2 2014):StatewideChildren Continuity of Care (Q2 edIn ProcessSPD Continuity of Care StatewideApprovedDeniedA8In ProcessApprovedDeniedIn Process200900150600100300500Children Continuity of Care StatewideQ3 2013Q4 2013Q1 20140Q2 2014Q3 2013Q4 2013Q1 2014Q2 13801520In ProcessTotalIn ProcessTotalContinuity of Care data displayed on this page represents plan-reported data.Note: Data in this dashboard is preliminary and subject to changePage 5 of 12

Medi-Cal Managed Care Quarterly Performance DashboardReleased November 20, 2014ACCESS (Cont.)A9LIHP Continuity of Care (Q2 2014):StatewideA10Mental Health Continuity of Care (Q2 dLIHP Continuity of Care StatewideApprovedDeniedIn-ProcessIn ProcessApproved50040030020010009006003000Q3 2013Q4 2013Mental Health Continuity of Care StatewideA12Q1 2014Q2 2014Approved---1,143Denied---173In Process---117Total---1,433Q3 2013DeniedQ4 2013In ProcessQ1 2014Q2 2014Approved---422Denied---8In Process---34Total---464Continuity of Care data displayed on this page represents plan-reported data.Note: Data collection for LIHP and Mental Health began in Q2 2014Note: Data in this dashboard is preliminary and subject to changePage 6 of 12

Medi-Cal Managed Care Quarterly Performance DashboardReleased November 20, 2014ACCESS (Cont.)A13SPD Beneficiary MERs (Q2 2014) Statewide:(Medical Only)1%All Beneficiary MERs (Q2 2014) Statewide:1% (Medical dingQ3 2013Q4 2013Q1 2014Q2 SPDQ3 2013DeniedQ4 2013PendingQ1 2014Q2 4608310PendingApproved represents the total in Fee-For-Service due to an approved MERNote: Data in this dashboard is preliminary and subject to changePage 7 of 12

KP North - SacramentoKP South - San DiegoSFHP - San FranciscoCalOptima - OrangePartnership - SonomaCenCal - Santa BarbaraCCAH - Monterey/Santa CruzPartnership - Napa/Solano/YoloHPSM - San MateoPartnership - MarinSCFHP - Santa ClaraCHG - San DiegoCenCal - San Luis ObispoIEHP - Riverside/San BernardinoCCHP - Contra CostaKFHS - KernMolina - San DiegoHPSJ - San JoaquinHealth Net - StanislausLA Care - Los AngelesABC - San FranciscoCCAH - MercedHealth Net - TulareHealth Net - Los AngelesCalViva - FresnoMolina - Riverside/San BernardinoCalViva - MaderaGCHP - VenturaAlameda Alliance - AlamedaABC - TulareHealth Net - San DiegoABC - Santa ClaraPartnership - MendocinoABC - MaderaHealth Net - KernABC - FresnoCare First - San DiegoHealth Net - SacramentoMolina - SacramentoABC - SacramentoCalViva - KingsABC - Contra CostaABC - AlamedaABC - KingsMedi-Cal Managed Care Quarterly Performance DashboardReleased November 20, 2014QUALITY AND SATISFACTIONQ1HEDIS 2014 Aggregated Quality Factor ScoreMPLHPLNote: Data in this dashboard is preliminary and subject to changeWeighted Average: 58%Rates 2014100%90%80%70%60%50%40%30%20%Note: The Aggregated Quality Factor Score (AQFS) is a single score that accounts for plan performance on all DHCS-selected Health Effectiveness Dataand Information Set (HEDIS) indicators. It is a composite rate calculated as percent of the National High Performance Level (HPL), the 90th percentile of NCQA national Medicaid level.The High Performance Level is 100%. The Minimum Performance Level is 40%. The Weighted Average is 58%.Page 8 of 12

KP South - San DiegoKP North - SacramentoKFHS - KernIEHP - San Bernardino/RiversideCalOptima - OrangeHPSJ - San JoaquinPartnership - MarinSFHP - San FranciscoPartnership - SonomaCenCal - Santa BarbaraPartnership - MendocinoCCAH - Monterey/Santa CruzLA Care - Los AngelesPartnership - Napa/Solano/YoloHealth Net - Los AngelesHealth Net - StanislausHPSJ - StanislausCenCal - San Luis ObispoGCHP - VenturaMolina - San DiegoCCAH - MercedABC - MaderaABC - FresnoCCHP - Contra CostaCalViva - FresnoABC - TulareSCFHP - Santa ClaraCalViva - MaderaCHG - San DiegoHealth Net - TulareABC - San FranciscoABC - SacramentoMolina - SacramentoMolina - San Bernardino/RiversideHealth Net - KernAlameda Alliance - AlamedaHealth Net - SacramentoHealth Net - San DiegoABC - Contra CostaABC - KingsCare First - San DiegoCalViva - KingsABC - Santa ClaraABC - AlamedaHealth Net - San JoaquinHPSM - San MateoMedi-Cal Managed Care Quarterly Performance DashboardReleased November 20, 2014QUALITY AND SATISFACTION (Cont.)Q2HEDIS 2014 Percentage High Blood Pressure ControlledMPLHPLWeighted Average: 56.4%Note: Data in this dashboard is preliminary and subject to change% With Blood Pressure Controlled95%85%75%65%55%45%35%25%Source: Healthcare Effectiveness Data and Information Set (HEDIS) 2014. Rates reflect 2013 measurement year data.High Performance Level (HPL): Top 10% of Medicaid plans in the U.S. documented controlled members' high blood pressure above this level.The Minimum Performance Level (MPL): Bottom 25% of Medicaid plans in the U.S. documented controlled members' high blood pressure below this level.Page 9 of 12

KP North - SacramentoPartnership - SonomaPartnership - MarinPartnership - Napa/Solano/YoloABC - San FranciscoAlameda Alliance - AlamedaABC - AlamedaKP South - San DiegoABC - Contra CostaCCHP - Contra CostaSCFHP - Santa ClaraABC - TulareHealth Net - SacramentoPartnership - MendocinoCCAH - Monterey/Santa CruzSFHP - San FranciscoABC - KingsHPSJ - San JoaquinABC - MaderaHealth Net - TulareABC - SacramentoABC - FresnoCCAH - MercedCenCal - Santa BarbaraMolina - SacramentoCenCal - San Luis ObispoLA Care - Los AngelesABC - Santa ClaraCalViva - KingsCalViva - FresnoHPSM - San MateoHealth Net - StanislausCHG - San DiegoMolina - San Bernardino/RiversideGCHP - VenturaHealth Net - Los AngelesHPSJ - StanislausKFHS - KernCalOptima - OrangeIEHP - San Bernardino/RiversideHealth Net - KernCare First - San DiegoCalViva - MaderaMolina - San DiegoHealth Net - San DiegoHealth Net - San JoaquinMedi-Cal Managed Care Quarterly Performance DashboardReleased November 20, 2014QUALITY AND SATISFACTION (Cont.)Q3(Percent of the compliance of the quality measure for low back pain)HEDIS 2014 Use of Imgaing Studies for Low Back PainMPLHPLWeighted Average: 80.4%Note: Data in this dashboard is preliminary and subject to changeImaging for Low Back Pain95%90%85%80%75%70%65%60%Source: Healthcare Effectiveness Data and Information Set (HEDIS) 2014. Rates reflect 2013 measurement year data.The High Performance level (HPL): the 90th percentile of NCQA national Medicaid level.The Minimum Performance Level (MPL): the 25th percentile of NCQA national Medicaid level.Page 10 of 12

Q450%KP North - SacramentoKP South - San DiegoPartnership - SonomaCenCal - San Luis ObispoCCAH - Monterey/Santa CruzCalOptima - OranceCenCal - Santa BarbaraHPSM - San MateoHPSJ - San JoaquinCalViva - KingsPartnership - MarinGCHP - VenturaMolina - San DiegoABC - San FranciscoABC - Contra CostaABC - KingsPartnership - CCAH - MercedPartnership - MendocinoABC - Santa ClaraCare First - San DiegoMolina - SacramentoABC - FresnoABC - MaderaIEHP - Riverside/San CHG - San DiegoAlameda Alliance - AlamedaSCFHP - Santa ClaraABC - SacramentoLA Care - Los AngelesMolina - Riverside/San Health Net - SacramentoHealth Net - TulareHealth Net - Los AngelesSFHP - San FranciscoHealth Net - KernCalViva - MaderaCalViva - FresnoHealth Net - StanislausKFHS - KernCCHP - Contra CostaABC - TulareHealth Net - San DiegoABC - AlamedaRateMedi-Cal Managed Care Quarterly Performance DashboardReleased November 20, 2014QUALITY AND SATISFACTION (Cont.)Satisfaction - CAHPS 2013 (Adult): Getting Needed Care90%85%80%75%70%65%60%55%Medi-Cal Managed Care members were asked to assess how often it was easy to get needed care for themselves or their child from specialists as well as care, tests, or treatmentthrough the health plan in the last six months. The rate is the percentage of members who responded "Always" or "Usually" to the specific questions.Note: Data in this dashboard is preliminary and subject to changePage 11 of 12