Covered California: A Startup in Government with Dr. Monica Soni

California is full of hardworking people—nurses, teachers, delivery drivers, baristas—who keep our communities running. Many of them live paycheck-to-paycheck, making too much to qualify for most government benefits, but not enough to afford the basics. For nearly 2 million Californians, Covered California provides a critical lifeline, offering access to affordable health insurance and now basic needs support. Dr. Monica Soni, Chief Medical Officer of Covered California, joins Claudia to talk about the program’s important and expanding role in the California landscape.

We discuss:

• What the working poor really need: breathing room in their budgets to afford healthy food
• Operating a startup within government
• How collaboration across Covered California, Medi-Cal and CalPERS – which together cover 45% of Californians – will drive faster and more aligned health improvement in California

Monica’s team uses experiments and user research to shape every aspect of the program:

“But I do think in our DNA is this idea of innovation. In-house, we have a research team that does randomized controlled trials. We're committed to hyper transparency. Almost all of our data is released. We stratify it by everything we can think of to really identify where there might be pockets of coverage that aren't there or outcomes that are suboptimal. And we do a lot of deep listening with consumers and with the community to help inform what we do.“

Relevant Links

• Read more about Covered California’s Innovative Program to Improve Population Health
• See the details on Covered California’s Data and Research tools
• Announcement of the launch of Covered Californians Population Health Investments
• More info on how Covered California uses email nudges for enrollment

About Our Guest

Dr. S. Monica Soni is the Chief Medical Officer, and a Chief Deputy Executive Director at Covered California, leading the organization’s Health Equity and Quality Transformation division. In this capacity she is responsible for health equity, health care strategy, medical policy, and other clinical operations to continuously improve not only the health services provided through Covered California’s contracted health plans, but also California’s delivery system.

She is a board-certified internal medicine physician with more than a decade of experience working in both inpatient and outpatient settings and continues to see patients. She is an Associate Professor within the UCLA Department of Medicine and the Charles R. Drew University Department of Internal Medicine, where she is committed to residency diversification and pipeline development.

Prior to joining Covered California, Dr. Soni served as Associate Chief Medical Officer within Evolent Health focused on the delivery of high-quality, cost-effective specialty care for the over 16 million supported Medicaid lives across the United States. During her time at the organization, she played a critical role in clinical informatics, provider engagement, value-based strategies and innovation. Dr. Soni also served as the Director of Specialty Care for the Los Angeles County Department of Health Services, the second-largest municipal health system in the United States. There she ensured the delivery of timely and equitable specialty care across four hospitals, 20 ambulatory care clinics, the correctional health system and more than 200 community partners. She also worked as the Director of Continuity Care for Martin Luther King, Jr. Outpatient Center, where she led primary care, urgent care and transitions of care.

A graduate of Harvard College, Dr. Soni graduated cum laude with a bachelor’s degree in Anthropology. She received her medical degree from Harvard Medical School and completed her residency in internal medicine at the University of California, San Francisco with a focus in primary care. In addition, Dr. Soni was a fellow in the California Health Care Foundation Leadership Program and the Carol Emmott Foundation Fellowship. She is currently a board member for Mercy Housing California, a leading affordable housing organization, and previously served as a commissioner for the Los Angeles County Hospital and Health Care Delivery Commission.

Connect With Us

For more information on The Other 80 please visit our website - www.theother80.com. To connect with our team, please email claudia@theother80.com and follow us on twitter @claudiawilliams and LinkedIn

Subscribe to The Other 80 on YouTube so you never miss our video extras or special video episodes!