CalAIM perspectives: how to improve enrollment in enhanced care management
- Collection:
- Health Policy and Services Research
- Series Title(s):
- Perspectives from the field
- Author(s):
- Boyd-Barrett, Claudia, author
- Contributor(s):
- California HealthCare Foundation, issuing body.
- Publication:
- [Oakland, CA] : California Health Care Foundation, November 2023
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Community Health Services Health Services Accessibility Insurance, Health Managed Care Programs Medicaid Quality Assurance, Health Care State Health Plans California
- Genre(s):
- Technical Report
- Abstract:
- A first-of-its-kind convening in October brought together Medi-Cal managed care plans, health care providers, and community-based organizations from across the state to swap insights, share innovations, and develop ideas for boosting uptake of Medi-Cal’s ambitious new Enhanced Care Management benefit. Enhanced Care Management (ECM) is foundational to California’s efforts to transform Medi-Cal under the California Advancing and Innovating Medi-Cal (CalAIM ) initiative. Launched in 2022, the goal of ECM is to ensure Medi-Cal members with complex needs receive comprehensive care and support by assigning a lead care manager to coordinate all their health and health-related care, including social services. As with most major initiatives, the implementation of ECM is challenging. Managed care plans (MCPs) must recruit and partner with a wide range of providers, many of whom have never worked within the Medi-Cal system before. Together they must create new workflows, build mutual understanding and trust, and hire and train qualified staff to ensure a sufficient workforce. Above all, MCPs and ECM providers are tasked with figuring out how to effectively reach the Medi-Cal members that ECM is intended to help and deploy the benefit in a way that truly enhances these patients’ care and wellbeing.
- Copyright:
- Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY-NC-ND license. (More information)
- Extent:
- 1 online resource (1 PDF file (9 pages)).
- NLM Unique ID:
- 9918734180706676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918734180706676