ECM (enhanced care management) and Community Supports (CS) benefits are targeted to high-cost, high-need members who will gain the most from from the whole-person, interdisciplinary, community-based care management services. It is the responsibility of managed care organizations (MCOs) to identify the right members based on DHCS defined eligibility criteria and connect them to the right…
Category: Health Navigation Platform
Health navigation is about solving problems
Navigating healthcare and health coverage is very complex for people. When we are not well, and seeking care, we are typically lost in our fragmented system. There is no playbook for people about how to navigate care and coverage. Even the most informed people struggle to make sense of it when they are healthy. Imagine…
Integrating digital point solutions to deliver a personalized experience
It was once a good idea - to find a point solution for a specific service offered by a new, innovative company to fill a gap in your benefits package. It has now become a huge challenge. With thousands of point solutions in many overlapping categories, it has become a huge challenge to find the…