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…
In the CalAIM ECM program, DHCS has provided standards for MCPs and ECM Providers to exchange information about members in the following types of exchanges: MCP Member Information File; ECM Provider Return Transmission File; ECM Provider Outreach Tracker File MCP MIF (Member Information File): MIF is a file containing information about the MCP's members. The MIF…
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…