CA SB402

Requires the California Health and Human Services Agency to convene a Multipayer Payment Reform Collaborative by June 1, 2022, composed of representatives from health plans, insurers, primary care practices, employers, consumer organizations, and state officials.

Directs the collaborative to propose multipayer payment reform pilots for fee-for-service primary care practices in areas hardest hit by COVID-19, particularly in regions with greatest impact on communities of color, with pilots to be established by January 1, 2023.

Requires the agency to work with state regulators to ensure participating payers include health care service plans, licensed insurers, and self-insured plans, while authorizing inclusion of self-insured employers and multiemployer plans.

Mandates the collaborative propose uniform payment methods across payers (including global payments, population-based payments, and performance incentives), practice participation criteria, common quality metrics, and a plan for statewide expansion.

Requires comprehensive evaluations of the pilots in the second and fourth years following implementation, including data on enrollees, geographic distribution, payment methods, quality metrics, health outcomes, health disparities, and estimated savings.