Monday, May 23 | Thought Leadership, EHR Solutions and Operations, Care Coordination
CalAIM (California Advancing and Innovating Medi-Cal) promises to strengthen Medi-Cal, offering people a more person-centered approach to provide and receive care in all aspects of life. Based on two waivers, Medi-Cal 2020 Section 1115 demonstration and CalAIM Section 1915(b), along with several State Plan amendments, CalAIM initiatives will improve care coordination, access to services and the overall health of California’s 14 million Medi-Cal enrollees. It is broad-reaching reform, balancing partnerships with providers, managed care plans and community-based organizations, built upon previous pilots such as California’s Whole Person Care pilot and it impacts all aspects of care. There are three main goals that are overarching to the design:
How does CalAIM seek to transform healthcare for Californians? Below are just some of the ways they are revamping healthcare.
Enhanced Care Management (ECM) and Community Supports are foundational components of CalAIM to meet the social needs, including medically supportive foods or housing supports. Community supports are new services provided by Medi-Cal managed care plans as cost effective alternatives to traditional medical services or settings.
Netsmart understands the complexity behind this comprehensive approach. We are working collaboratively with our clients to ensure you have the tools and education needed to meet these new requirements. We created a webinar series, kicking off with an overview of the goals and steps to complete the BHQIP, and continue with a monthly focus on the specific policies. This collaboration and sharing are critical as historically an EHR has been the instrument that many counties used to align their processes, services and data collection with the requests of the state. The depth and extent of CalAIM will require counties to grow beyond an EHR, to a comprehensive population health platform that has visibility into the whole person, beyond just healthcare to providing a catalyst that also advances equity and justice and we are honored to support the success of this exciting initiative.
CalAIM’s next step for California’s whole person care utilizing Care Management and Care Coordination
Wednesday, July 13 | Thought Leadership,EHR Solutions and Operations,Care Coordination
As Governor Gavin Newsom stated, “[CalAIM] is a once in a generation opportunity to completely transform the Medicaid system in California”. To move towards this transformation means intensive care coordination services will need to be provided at the community level to address not only physical and behavioral health, but psychosocial needs as well.More
Bringing Equity to the Forefront with CalAIM
Friday, June 24 | Thought Leadership,EHR Solutions and Operations,Care Coordination
The recent recommended changes for CalAIM and Medi-Cal reform have provided new mechanisms for counties to strongly engage with individuals on targeted Social Determinants of Care (SDoC).More
Self-care is Like a Box of Chocolates- The Options are Endless
Tuesday, May 31 | Post-Acute Care,Human Services,EHR Solutions and Operations,Interoperability
As Mental Health Awareness Month comes to an end, take a look at ways you can practice self-care all year long!More