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.
Monday, September 18 | Thought Leadership,Human Services,Care Coordination,Cause Connected,Legislative/Policy,Value-based Care
The opioid crisis is one of the most serious healthcare issues in our nation today. But there is hope. We believe there are three strategies your organization can leverage to combat opioid addiction and overdose: integrated care, policy and technology. This blog outlines some examples of all three and lists helpful resources your organization can use.More
Thursday, September 14 | Thought Leadership,Human Services,Netsmart in the Community
By understanding mental health and suicide go hand-in-hand we can take the first step in reducing suicide risk and help heal our families, friends and loved-ones heal and grow forward as a community.More
Tuesday, August 29 | Thought Leadership,Human Services,Partnerships and Collaboration
If the past few years has taught us anything, it is that consumers of healthcare want to access care their way. We live in a digital world which is impacting how we deliver care. Netsmart is committed to meeting the new and varied needs of providers by developing solutions that meet them where they are. The same is true for consumers. Having had a taste of virtual services, many consumers will want to continue virtual care and prefer much broader digital experiences. At Netsmart, we call this focus on the user experience "extreme usability."More