CalOptima
Who they are
CalOptima is a health insurance payer operating in California. For an ASC, what matters isn't the logo — it's how CalOptima pays: where it runs rich, where it runs thin, and how its reimbursement compares with peer plans for the same procedures.
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What DataLily Insights shows
Whether you're an ASC benchmarking a contract or a provider team looking CalOptima up, DataLily Insights maps how it reimburses across procedures and markets — and where your own rates sit against the peer benchmark. Ask Rose and the answer comes back charted, in plain language, ending in a recommendation.
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A 15-minute walkthrough of CalOptima the way it pays.
What Insights reveals
What DataLily Insights reveals about CalOptima
Every benchmark runs across more than 100 billion data points spanning over 10 million providers, so you see CalOptima the way the market actually pays.
How CalOptima pays
See how CalOptima reimburses across procedures and markets, benchmarked against the peer plans competing for the same cases — not a raw rate sheet, a read on where it sits.
Geographic footprint
See where CalOptima concentrates — its presence spans California — and how that shapes the markets you compete in.
Peer position
Put your own position next to the benchmark for CalOptima and bring the gap to your next contract conversation.
Specialty mix
Understand which procedures and specialties drive CalOptima's volume, so you know where a rate change moves the needle.
Footprint
Where CalOptima
The states where this plan operates. Benchmark its rates in any market it touches.
- California
Ask Rose
Questions to ask Rose about CalOptima
Rose answers in plain language, charts the result, and ends with a recommendation. Bring one of these to a demo.
Answered
Common questions about CalOptima
Straight answers on how CalOptima pays and where DataLily Insights fits.
What kind of payer is CalOptima?
Where does CalOptima operate?
How does CalOptima compare with other payers for ASC procedures?
Is CalOptima paying my ASC below market?
Related payers
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Medicaid California Medi-Cal
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Blue Shield of California
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Blue Cross Blue Shield of Michigan
Alabama, Alaska, Arizona, Arkansas, California, Colorado, Connecticut, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Massachusetts, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Hampshire, New Jersey, New Mexico, New York, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Vermont, Virginia, Washington, Wisconsin, District of Columbia
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