Full-stack platform to deliver whole-person care at scale and improve financial outcomes
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…
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…