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
B-
Rated B on Competitive Edge
Rated B on Growth Potential
Rated C 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

  • Transitional Rent became mandatory statewide on January 1, 2026, expanding demand.
  • Pacific Health's July 2026 partner page shows broad Medi-Cal plan coverage.
  • Aging and unhoused Medi-Cal populations strengthen demand for housing and street-medicine services.

What critics are saying

  • CalAIM policy changes after January 1, 2026 can reset reimbursement economics.
  • KRCR on August 3, 2026 showed care coordination remains underused, limiting growth.
  • Pacific Health Corp.'s 2012 kickback settlement still clouds the Pacific Health name.

What makes Pacific Health Group unique

  • Pacific Health Group bundles ECM, Community Supports, behavioral health, and street medicine.
  • It serves Medi-Cal members across 44 California counties through 39 health-plan partnerships.
  • Its model targets homelessness, complex needs, and social barriers through one care network.

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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

Recently Posted Jobs

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