Full-stack platform to deliver whole-person care at scale and improve financial outcomes
CalAIM's population health management program requires managed care plans to proactively assess each of their member's health risks and health-related social needs and implement a comprehensive tailored set of services based on their needs and preferences across the continuum of care. CalAIM Basic population health management (BPHM) model is based on the simple principle of providing…
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,…