In this collection, CHCF offers commentary, analysis, and resources to facilitate a robust discussion around the payment and delivery system reforms being considered through CalAIM. In particular, CHCF is paying close attention to efforts to align financial incentives to improve quality in Medi-Cal managed care, modernize payments to the state’s Federally Qualified Health Centers, and integrate behavioral and physical health care delivery.

Publication

CalAIM and Health Data Sharing

May 2021
Manatt Health
Data Exchange, Medi-Cal
The California Advancing and Innovating Medi-Cal (CalAIM) program seeks to enhance information exchanged among managed care plans, providers, and county agencies. Learn more in this report, CalAIM and Health Data Sharing: A Road Map for Effective Implementation of Enhanced Care Management and In Lieu of Services.
Publication

Meeting the Moment: Strengthening Managed Care’s Capacity to Serve California’s Seniors and Persons with Disabilities

April 2021
Center for Health Care Strategies, Chapman Consulting
This issue brief highlights challenges and opportunities to improve care for Medi-Cal Seniors and Persons with Disabilities under the state's CalAIM initiative.
External Resource

CalAIM Data Exchange Roadmap: Manatt Webinar

February 2021

This Manatt webinar, which took place on February 26, 2021, explains the critical role data and innovation will play in supporting Medi-Cal’s new Enhanced Care Management benefit and In Lieu of Services model, and how stakeholders can exchange and use vital information. Materials from the webinar are available for download.
CHCF Blog

How to Fulfill the Promise of Medi-Cal

January 22, 2020
Sandra R. Hernández
Medi-Cal, Payment & Financing, Behavioral Health
One of the most important steps California can take to live up to its social and economic potential is to improve the effectiveness of the enormously important Medi-Cal program.
CHCF Blog

Why a Shared Savings Program Is Critical to CalAIM

January 28, 2020
Anne Sunderland
Medi-Cal, Payment & Financing
Chris Perrone, CHCF’s director of Improving Access, explores California's rare opportunity to chart a new course for Medi-Cal for years to come.
Publication

Shared Savings: Financial Incentives to Spur Better Care for Medi-Cal Patients

January 2020
Medi-Cal, Payment & Financing
The Department of Health Care Services's CalAIM process would change the way it pays Medi-Cal managed care plans to incentivize long-term improvements in quality of care and health outcomes for patients. It specifically calls out the need and potential benefit of a shared savings program, which would be an important, and overdue, advancement.
Publication

CalAIM Behavioral Health Proposals

February 2020
Behavioral Health, Medi-Cal
CalAIM: California Advancing and Innovating Medi-Cal is a multiyear initiative proposing broad delivery system, program, and payment reform across the Medi-Cal program. Read a summary of the proposals pertaining to behavioral health care.
CHCF Blog

Supporting the Nontraditional Workforce: Community Health Workers and Promotores

February 18, 2020
Jim Lloyd
Workforce, Medi-Cal
More payers and providers are recognizing the essential role these workers play in supporting patients with complex medical and social needs.
Publication

A Primer on Dual-Eligible Californians

September 2020
Amber Christ, Georgia Burke
Medi-Cal
More than a million Californians receive health care coverage from both Medicare and Medi-Cal. These dual-eligible enrollees are older adults with low incomes and people with disabilities. The goal of the paper is to help stakeholders understand the complexities of service delivery for dual-eligible enrollees and to assess the impact of proposed changes on how enrollees can access care under both Medicare and Medi-Cal.