Sharp Healthcare and UC San Diego Health have also gained market share over the last couple of years, while Scripps Health has lost a bit of ground. San Diego 's healthcare provision is straining due to expansion of the Medi - Cal program . A report by the California Health Research Foundation has found that the total people in San Diego with Medi - Cal coverage had doubled to nearly 700,000 . Ha Tu , report co - author , said the greatest area of challenge lay in access to San Diego 's specialty care and behavioral health care , with many specialties unable to treat non - Cal patients because of low reimbursement rates . The report also looked at health care providers in the county and found that while some have gained market share others have lost out .
San Diego 's healthcare provision is straining due to expansion of the Medi - Cal program . A report by the California Health Research Foundation has found that the total people in San Diego with Medi - Cal coverage had doubled to nearly 700,000 . Ha Tu , report co - author , said the greatest area of challenge lay in access to San Diego 's specialty care and behavioral health care , with many specialties unable to treat non - Cal patients because of low reimbursement rates . The report also looked at health care providers in the county and found that while some have gained market share others have lost out .