CalAIM’s next step for California’s whole person care utilizing Care Management and 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. Initiatives that tightly align with the approach of CalAIM include focusing on population health, which involves matching the right patients to the right services at the right time and supporting coordination and access to services provided by counties and community-based organizations. This requires looking at the whole person and having the ability to see everything about an individual in a one-of-a-kind view, including all services they are and should be receiving.
As mentioned in our last blog post on CalAIM, we are reminded that “when talking about one’s health, it is not limited to just physical health. A person’s overall health has to do with mental, emotional, physical and spiritual well-being.”
Some of the focus comes from the call-out of populations with the most complex needs such as the following:
Many California providers are exploring solutions that allow them to apply different risk stratification to the populations.
Netsmart understands the connectedness needed for these initiatives and will advocate for you. We support the development and operation of community-based programs and are here to proactively address and help meet the needs to improve the overall health of the communities you serve. We know you and we’d like for you to get to know us too. Netsmart is California ready!
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