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.
Friday, January 26 | Human Services,EHR Solutions and Operations,Care Coordination,Legislative/Policy,Interoperability,Value-based Care
Watch the video below to learn how the IBH Model will positively impact the outcomes of individuals receiving behavioral health and/or addiction treatment services.More
Denials Prevention and Stable Staffing Strategies for RCM Leaders
Wednesday, January 24 | Thought Leadership,Human Services,Partnerships and Collaboration
Revenue Cycle Management has changed rapidly in the last 10 years. But the major challenges facing RCM leaders are still the same: denials and staffing. In this piece, two RCM experts from Netsmart weigh in on effective strategies for success, using a combination of process and technology for sustainability and growth.More
Thursday, November 30 | Thought Leadership,Human Services,Netsmart in the Community,Revenue Cycle/Billing
Erica Gregory and Deanna Cerwin, CFO of Resources for Human Development, explore growth strategies highlighting the crucial balance between technology and human resources in expanding behavioral health services. From building a strong foundation to mastering project management, the insights offer a practical roadmap for scaling operations efficiently and meeting the increasing demand for behavioral health services.More