CalAIM experiences: implementer views after 18 months of reforms
- Collection:
- Health Policy and Services Research
- Contributor(s):
- California HealthCare Foundation, issuing body. Goodwin Simon Strategic Research, issuing body.
- Publication:
- [Oakland, CA] : California Health Care Foundation, December 2023
- Language(s):
- English
- Format:
- Text
- Subject(s):
- Health Care Reform Health Plan Implementation Medicaid -- organization & administration Medicaid -- statistics & numerical data Quality Improvement State Health Plans -- organization & administration State Health Plans -- statistics & numerical data Surveys and Questionnaires California
- Genre(s):
- Technical Report
- Abstract:
- In January 2022, the California Department of Health Care Services launched CalAIM (California Advancing and Innovating Medi-Cal), a multiyear initiative with the potential to improve outcomes for the millions of people enrolled in Medi-Cal, California’s Medicaid program. It also offers an unprecedented opportunity to move to a more integrated and people-centered approach to care for people with the most complex health and social needs, including those with behavioral health conditions and people experiencing homelessness, among others. In this still-early stage of implementation, much can be learned from people on the ground launching and running a multitude of new programs. Throughout this report, they are referred to as implementers. This report highlights both shared and differing perspectives from the staff and leaders of a broad range of health and social service providers. Encouragingly, implementers share many successes in improved access and more comprehensive care for people with complex needs. At the same time, implementers also surface significant challenges and important improvements that must be made to increase CalAIM’s effectiveness in the coming years. On behalf of the California Health Care Foundation, Goodwin Simon Strategic Research conducted qualitative and quantitative research among CalAIM implementers to gain a clearer picture of how implementation is occurring on the ground. An online survey was conducted July 21 to September 12, 2023, among 1,196 CalAIM implementers at least a little familiar with CalAIM. Also, for most respondents, 30% or more of their patient population are enrolled in Medi-Cal or are uninsured. The survey questions were shaped by six online focus groups among different types of implementers conducted March 28 to April 27, 2023. CalAIM is still in the midst of implementation, so while reading this report, keep the survey timeline in mind. Changes that went into effect in the summer of 2023 would not yet have been felt by many survey respondents. CHCF plans to conduct another survey in the summer of 2024 to measure progress and capture the effects of additional changes to CalAIM from the point of view of implementers. This report highlights differences among sectors, including perspectives from the staff and leaders of managed care plans, social service organizations, Federally Qualified Health Centers, and behavioral health organizations. In addition, it includes the perspectives of two linchpin roles in the complex care workforce, primary care providers and hospital discharge planners. A breakdown of who is included in each sector can be found in Appendix A under Methodology.
- 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 (61 pages))
- Illustrations:
- Illustrations
- NLM Unique ID:
- 9918734180806676 (See catalog record)
- Permanent Link:
- http://resource.nlm.nih.gov/9918734180806676