In December 2023, the California Health Care Foundation published the results of a statewide survey designed to obtain a more detailed understanding of how implementation of the CalAIM (California Advancing and Innovating Medi-Cal) initiative was unfolding on the ground.

The online survey was conducted by Goodwin Simon Strategic Research (GSSR) during summer 2023 among 1,196 people working at managed care plans, behavioral health organizations, community-based organizations, and social services organizations, as well as people in related occupations, referred to collectively as “implementers” in the report.

To gain a sharper picture of how implementation is playing out regionally, GSSR produced five regional reports from the original data. These reports explore the unique challenges and successes faced by implementers in specific parts of the state. The focus on regional experiences aims to reveal detailed insights that could help in developing focused strategies to improve the impact of CalAIM.

CalAIM Experiences: Central Valley Implementers focuses on findings from Fresno, Kern, Kings, Madera, Merced, San Joaquin, Stanislaus, and Tulare Counties.

Key findings include these:

• More than half (58%) said that access to services has gotten better under CalAIM.
• More than half of respondents (53%) say CalAIM-related processes are at least somewhat effective, and most respondents (60%) are confident those processes will become more effective over time.
• When asked about challenges in implementing Enhanced Care Management or Community Supports, more than half of respondents (56%) said the payment structure does not fit the way their organization provides services.

CalAIM is still in the midst of implementation, so while reading the report, please keep in mind the survey timeline. Changes that went into effect since summer 2023 would not yet have been felt by survey respondents.