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…
Category: Health Benefits Platform
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…
Streamlining MA supplemental benefits
What are supplemental benefits in Medicare Advantage? Medicare Advantage plans cover all hospital and medical services provided under original Medicare. Outside of Medicare-covered services, MA plans provide additional coverage with supplemental benefits for their enrollees' health and social needs. These benefits include vision, dental, transportation, access to meals, hearing aids, gym memberships, and more. Who…