California HealthCare Foundation, issuing body.
Center for Health Care Strategies, Inc., issuing body.
Chapman Consulting, issuing body.
Decipher Health Strategies, issuing body.
Publication:
[Oakland, California] : California Health Care Foundation, August 2022
Over two million seniors and people with disabilities (SPDs) on Medi-Cal in California will be impacted by the various reforms, initiatives, and new policies being developed through CalAIM (California Advancing and Innovating Medi-Cal). In particular, one overarching goal of CalAIM is to streamline and create uniformity across the state and counties in terms of services, eligibility, benefits, and delivery systems. Currently, there is significant variation across counties in the organization and delivery of health and social care for SPDs in California. There is also a great deal of complexity, with enrollees in some counties interfacing with multiple delivery systems and programs with various points of entry and differences in eligibility criteria. As CalAIM seeks to reduce this complexity in the long term, in the short term it will involve moving or transitioning SPDs into new or consolidated delivery systems and programs. This issue brief describes key care delivery transitions that will impact SPDs during implementation of CalAIM, and considerations for transitioning SPDs into new delivery systems with a focus on addressing health equity by engaging consumers and educating providers. As the Department of Health Care Services (DHCS), Medi-Cal managed care plans, and provider organizations work together to engage SPDs in these new systems and programs, the information in this issue brief could inform their approach.
Copyright:
Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-ND license. (More information)