CalOptima & IEHP Project 30% Membership Drops by 2028, Managed Care Revenue Cliff for FQHCs
California's two largest county-organized Medi-Cal plans are projecting catastrophic enrollment losses. CalOptima (Orange County) forecasts losing 650,000 of its 2.2M members by 2028 — a 30% drop.
IEHP (Inland Empire) — one of the nation's ten largest Medicaid plans — projects a similar 650,000-member loss from its 2.5M membership by 2028 (the same reporting cites ~300,000 members in the nearer term). Combined, 1.3 million managed care members could lose coverage across just two plans.
This is orders of magnitude beyond the initial 8% drops reported in early March. FQHCs dependent on managed care reimbursement face a compounding revenue crisis as their largest payers shrink.
Part of
- Medicaid financing and eligibility operations
Managed-care plan exits and transitions · Coverage-loss estimates
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FQHC Talent. (2026, March 24). CalOptima & IEHP Project 30% Membership Drops by 2028, Managed Care Revenue Cliff for FQHCs. Source: IE Voice / JR Report. Retrieved September 28, 2026, from https://www.fqhctalent.com/intel/medi-cal-managed-care-enrollment-collapse-2028
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