SNI plays three critical roles in support of California's public health care systems:

Informing and Shaping Policy

California’s public health care systems are best positioned to succeed if the policy landscape they operate in is grounded in the context of the work they do. This is why SNI’s work to inform and shape the policy and advocacy work of CAPH and other entities is so important.

This is perhaps most evident in the Medi-Cal 2020 waiver – a five-year, $7.1 billion set of programs that shifts the focus of care provided to patients of California’s public health care systems away from hospital-based and inpatient settings and towards outpatient, primary and specialty care settings. In 2014 and 2015, CAPH/SNI led an extensive research and development process to help design the waiver programs, working with multiple advisory boards composed of clinical and administrative leaders from across California’s public health care systems. This work continues as elements of the waiver continue to be refined.

Discussions at the federal level continue to threaten the Medicaid expansion and the Medicaid program in general. Advocates for low-income patients and health care safety net providers have pointed to the success of California’s public health care systems in recent years – as supported by SNI – in shifting their focus towards more effective and efficient primary and preventive care.

SNI also shapes CAPH policy and advocacy efforts around new federal Medicaid managed care regulations, a payment reform pilot program for Federally Qualified Health Centers, and other initiatives.

SNI’s policy efforts are informed by several member advisory groups, including the Clinical Advisory Committee, which consists of Chief Medical Officers and other clinical leaders at member systems, and the Metric Technical Advisory Committee, which consists of Chief Medical Information Officers and other data leaders at member systems. SNI harnesses the expertise of its members to ensure that policy is anchored in practice.