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Payer Strategies for Primary Care Investment in California
California has set an ambitious goal to increase primary care spending to 15% of health care expenditures by 2034. This issue brief outlines six practical strategies health plans can use to strengthen primary care, improve health outcomes, reduce disparities, and…
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Resource
Medi-Cal in the H.R. 1 Era: Resources for the Field
Understand the Medi-Cal HR1 changes and their effects on California’s Medicaid program. See updates on upcoming policy shifts.
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Resource
The New Uninsured: State Policy Options for Californians Losing Medi-Cal Coverage
Up to two million Californians could lose Medi-Cal. This analysis examines two state coverage alternatives and the tradeoffs between cost, benefits, and access.
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Medi-Cal Bold Idea — Any Card, Any Provider: Unifying Networks and Administration
This proposal suggests restructuring Medi-Cal so that any credentialed provider could treat any Medi-Cal patient, regardless of plan assignment, through a single statewide provider network.
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Resource
Medi-Cal Bold Idea — Partially Unified Financing: Covered California for Most
This proposal suggests transitioning most Californians — including many currently enrolled in Medi-Cal — into Covered California plans. The model aims to create a more continuous and equitable coverage system.
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Medi-Cal Bold Idea — Multipayer Primary Care Payment Reform Model
This proposal outlines a unified primary care payment model across Medi-Cal, CalPERS, and Covered California.
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Medi-Cal Bold Idea — In-Home Supportive Services Integration into Managed Care
This proposal suggests integrating In-Home Supportive Services (IHSS) into Medi-Cal managed care to improve care coordination and oversight while preserving recipient self-direction.
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Medi-Cal Bold Idea — Consideration of a Medicaid Per Capita Cap
This proposal explores a shift from open-ended federal matching funds to a per capita cap model for Medicaid, examining how this approach could offer California greater policy flexibility and budget predictability.
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Six Bold Ideas for the Future of Medi-Cal
Six proposals explore how Medi-Cal could strengthen coverage, financing, and care delivery in the decade ahead.
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Blog
This Federal Experiment Is Pouring Money into Mental Hospitals. Will It Work?
California and other states are joining a federal pilot project that’s funneling new funding into institutional care for people with serious mental illness.
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CalAIM Billing Guide for Housing-Related Community Supports Providers
This updated guide outlines the five main steps of the health care billing cycle, with detailed instructions on how homeless services providers and community organizations can approach each activity.
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Almanac
California’s County-Based Health Plans Almanac — 2024 Edition
The state’s county-based health plans are public entities organized through one or more counties to ensure that Medi-Cal enrollees, and in some cases county employees and Covered California enrollees, receive comprehensive care. Where are these plans and who do they…
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Resource
Building on CalAIM’s Housing Supports: Strengthening Medi-Cal for People Experiencing Homelessness
This paper examines the successes, challenges, and opportunities in providing person-centered care to people experiencing homelessness. It offers seven recommendations California policymakers can take now to implement Medi-Cal housing supports and achieve person-centered care for people experiencing homelessness.
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CalAIM Behavioral Health Payment Reform
Learn about the organization of mental health and substance use disorder services in Medi-Cal, including financing and payment, and changes to those systems under the CalAIM Behavioral Health Payment Reform initiative.
