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.
How Technology Drives Game-Changing Workforce Satisfaction
Thursday, January 26 | Thought Leadership,EHR Solutions and Operations,Care Coordination
EHRs have evolved to serve as a foundational launching point for integrated, coordinated healthcare. Hear how county providers can optimize the capabilities of their EHRs to help recruit and retain high-quality clinical, financial and operations staff to support overall workforce improvements.More
Wednesday, January 25 | Thought Leadership,Post-Acute Care,Value-based Care
From workforce issues to value-based reimbursement models and legislative & regulatory change, there is plenty for hospice and home care agencies to keep an eye on in 2023. The National Association of Home Care & Hospice (NAHC) President Bill Dombi discusses the trends of the new year and offers his expert advice on how to navigate the coming months.More
Tuesday, December 20 | Thought Leadership,Post-Acute Care,Value-based Care
According to a recent report, there will be a “healthy demand” for Continuing Care Retirement Communities (CCRC). That doesn’t mean there won’t be any challenges. Leaders of these full continuum communities are still dealing with issues like inflation and recovery from the coronavirus pandemic. Senior care expert Eva Bering, MSN, MHA, RN, NHA, shares her thoughts on what leadership and boards of not-for-profit life plan communities need to focus on for future success.More