| News & Insight

REPORT: Billing Better in CalAIM: How to Improve Reimbursement for Enhanced Care Management and Community Support

Enhanced Care Management (ECM) and Community Supports are core components of CalAIM, a multiyear initiative led by the California Department of Health Care Services (DHCS) that take a person-centered approach to social service delivery and care management for individuals with complex health and social needs.

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REPORT: Closing the Gap in California’s Health Data Exchange: Necessary Investments and Funding Opportunities

In July 2021, California Governor Gavin Newsom signed into law AB 133, which calls for the development and implementation of a statewide Health and Human Services Data Exchange Framework — consisting of a data sharing agreement, policies, and procedures — to govern the exchange of health information among health care entities and government agencies by January 31, 2024.

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Holding On: Community Health Centers’ Critical Role During the Pandemic

Federally Qualified Health Centers (FQHCs) are a critical provider of health care, particularly for communities of color and Medicaid beneficiaries. It is vital that health centers are financially and operationally stable so they can continue to effectively provide patients with primary care, behavioral health, and dental services.

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REPORT: Holding On: How California’s Health Centers Adapted Operations and Care for Patients During the Pandemic

Prepared for the California Health Care Foundation by Aurrera Health Group and Capital Link, this paper identifies several key factors that enabled California’s health centers to manage the financial strain exacerbated by the COVID-19 pandemic while continuing to serve patients at a time when accessing health care involved new and unanticipated challenges.

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California’s Public Hospitals are Improving Quality and Health Outcomes through PRIME

By Trish Violett, Junior Policy Consultant and Megan Thomas, Director, Quality Initiatives

Over the past four years, the 52 hospitals and health systems participating in the California Public Hospital Redesign and Incentives in Medi-Cal (PRIME) program have been working to improve care delivery and maximize health care value through a “pay-for-performance” model. The PRIME hospitals are using evidence-based quality improvement methods to achieve designated goals and outcomes on select clinical projects and associated performance metrics.

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