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) projects a similar 650,000-member loss from its 2.5M membership. 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.
Primary source
IE Voice / JR ReportFQHC Talent. (2026, March 24). CalOptima & IEHP Project 30% Membership Drops by 2028 — Managed Care Revenue Cliff for FQHCs. Primary source: IE Voice / JR Report. Retrieved June 12, 2026, from https://www.fqhctalent.com/intel/medi-cal-managed-care-enrollment-collapse-2028
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