Navigating value-based payments for enhanced care management (ECM)

Navigating value-based payments for enhanced care management (ECM)

CalAIM's enhanced care management (ECM) program provides a great opportunity for providers to deliver whole-person care while discovering additional revenue to reinvest in your community. A number of managed Medicaid plans (MCPs) are now offering some form of value-based payment. These value-based payments provide incentives to deliver high-quality, cost-effective care that improves patient outcomes and…

Improving outreach process for ECM and Community Supports

Improving outreach process for ECM and Community Supports

Though some Managed Medicaid plans (MCPs) pay for outreach efforts, most of their payments for ECM and CS services are contingent on successful enrollment. Improving outreach to connect with patients with complex medical and social needs requires a multifaceted approach, and community providers often find that it takes a lot of time to get the…

3 Cs of whole-person care management

3 Cs of whole-person care management

Whole-person care management takes into account each member's physical, mental, and social needs in order to achieve optimal health outcomes. This requires a team approach, where all stakeholders work together to achieve the common goal of improving the member's health and well-being. Communication, coordination, and collaboration (3Cs) are three critical components of whole-person care management,…