HealthLeaders Media January 20, 2022
‘The entire country is going to be watching CalAIM,’ says one California Medicaid MCO executive.
KEY TAKEAWAYS
– CalAIM, California’s new five-year Medicaid demonstration, launched January 2022 with a focus on integrating clinical and non-clinical care.
– Data-sharing for more coordinated, individualized care and population health management are among the goals and represent new MCO requirements.
– Initiatives like CalAIM are an example of systemic innovation to address systemic challenges.
Medi-Cal, California’s Medicaid program, is on a five-year path to innovating what it can offer and how, who will be involved, and what it will expect of its managed care plans. In December 2021, CMS approved the state’s CalAIM proposal to make Medi-Cal “integrate more seamlessly with other social services...
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