Health Network Enrollment
Goal: 98,000 participants by fiscal year 2020-21
Goal Status: ON TARGET
FY2015-16 Average: 91,854 participants
This measure represents all managed care members, including Medi-Cal and Medi-Cal Expansion members, in the SFHN who use primary care and/or other network services. Members also come from other health care coverage programs, such as Healthy Workers and Healthy Kids, and health care access programs in the city, such as Healthy San Francisco (HSF). Tracking enrollment helps SFHN leadership to make decisions that work towards improving health care delivery and member experience, allowing resources to be effectively allocated and better serve members.
OVERALL ENROLLMENT IN THE SFHN INCREASED IN RECENT MONTHS, DRIVEN BY GROWTH IN MEDI-CAL PARTICIPATION
How the Department of Public Health is Performing
The major provisions of the ACA were implemented in January 2014. While SFHN total enrollment has fluctuated slightly from month to month, the make-up of enrollees has changed. With the implementation of the ACA, many HSF participants became newly eligible for insurance through Medi-Cal Expansion starting January 2014. As a result, the number of SFHN Medi-Cal Expansion enrollees has increased significantly, while the number of HSF participants has decreased. SFHN is actively seeking to partner with a Covered California health plan in order to serve as a health care provider for Covered California members.
Enrollment in San Francisco Health Network's Healthy Kids program decreased significantly in Fiscal Year 2016-17, down from about 1,300 in July 2016 to less than 300 by October 2016. This decrease was part part of a planned transition as many children under 19 years of age became eligible for full-scope Medi-Cal benefits regardless of immigration status, under California's SB75 legislation. The change in enrollment is reflected in a slight decrease in the "Other" category in the chart above, and a slight increase in Medi-Cal enrollment.
How Performance is Measured
The number displayed on the scorecard page represents a fiscal year average of the values in the chart above.
- Learn more about the San Francisco Health Network.
- Learn more about the San Francisco Health Plan.
- Learn More about Healthy San Francisco.
Please visit DataSF for the scorecard data.