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.

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.

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.

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.