Full-stack platform to deliver whole-person care at scale and improve financial outcomes
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…
Whole-person care management takes into account each member's physical, mental, and social needs in order to achieve optimal health outcomes. This requires a team approach, where all stakeholders work together to achieve the common goal of improving the member's health and well-being. Communication, coordination, and collaboration (3Cs) are three critical components of whole-person care management,…
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…