Pacific Health Group

Pacific Health Group

Integrated Medi-Cal care coordination provider

Overview

Pacific Health Group delivers integrated Medi-Cal care coordination in California, working with 39 health plans to serve over 38,000 members in 44 counties. Its flagship Enhanced Care Management coordinates medical, behavioral, and social services for people with the most complex health needs, supplemented by Community Supports like housing navigation, rent assistance, medically tailored meals, and home modifications. Street Medicine reaches unsheltered individuals, while Community Health Workers provide culturally responsive care navigation and advocacy; additional services include behavioral health support, medical transportation, and a Clubhouse for adults with mental illness. Guided by CalAIM, the organization aims to reduce fragmentation by addressing social determinants of health and managing risk and needs through a unified, whole-person approach.

About Pacific Health Group

Simplify's Rating
Why Pacific Health Group is rated
C+
Rated B on Competitive Edge
Rated B on Growth Potential
Rated D+ on Differentiation

Industries

Social Impact

Healthcare

Company Size

51-200

Company Stage

N/A

Total Funding

N/A

Headquarters

Carlsbad, California

Founded

2023

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Simplify's Take

What believers are saying

  • Pacific launched 2026 Transitional Rent, unlocking mandatory managed-care demand immediately.
  • August 2026 messaging shows underused Northern California services, leaving substantial growth headroom.
  • 39 health-plan partners expand cross-sell opportunities across Medi-Cal counties and member segments.

What critics are saying

  • CalAIM rule changes from DHCS in 2026 can slash reimbursement and utilization fast.
  • Health Net, L.A. Care, and Partnership can insource care coordination, squeezing Pacific’s contracts.
  • A data breach or billing dispute would devastate trust because members receive no-cost sensitive services.

What makes Pacific Health Group unique

  • Pacific Health Group’s ECM, Community Supports, and Street Medicine bundle spans 39 health plans.
  • Its 2026 Transitional Rent offering fits California’s first mandatory Community Support statewide.
  • The company reports serving 38,000 members across 44 counties, giving statewide operational breadth.

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Benefits

Health Insurance

Dental Insurance

Vision Insurance

Life Insurance

Disability Insurance

Health Savings Account/Flexible Spending Account

Flexible Work Hours

Remote Work Options

Paid Vacation

Paid Sick Leave

Paid Holidays

Hybrid Work Options

401(k) Retirement Plan

401(k) Company Match

Employee Assistance Program

Professional Development Budget

Employee Discounts

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