Full-stack platform to deliver whole-person care at scale and improve financial outcomes
CalAIM (California Advancing and Innovating Medi-Cal) is a multi-year initiative by the California Department of Health Care Services (DHCS) to improve the health outcomes and quality of life for Medi-Cal members. The enhanced care management services of CalAIM are designed to provide more personalized, coordinated, and effective care to Medi-Cal beneficiaries with complex needs. The…
Many Medi-Cal managed care plans (MCPs) have introduced quality incentive programs (QIP) for Enhanced Care Management (ECM) providers. These QIP bonus payments are valuable incentives that encourage ECM providers to improve the quality of care they provide. By meeting specific quality metrics, ECM providers can earn a significant amount of money that can be used…
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…