| News & Insight
- Access and Managed Care Final Rules
- Delivery System Reform
- Focus Groups and Interviews
- Health Workforce
- Long-Term Services and Supports
- Maternal and Child Health
- Medicare-Medicaid Integration
- Mental Health and SUD
- Opioid Treatment Policy
- Policy Analysis and Development
- Quality and Performance Measurement
- Stakeholder Engagement and Facilitation
- Supporting Resilience
- Whole Person Health
CMS Managed Care Rule Implementation: How Secret Shoppers Can Enhance the Beneficiary Experience
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.
REPORT: Addressing Wages of the Direct Care Workforce Through Medicaid Policies
Recruitment and retention of the direct care workforce has been a longstanding challenge among states. Low wages are a particular barrier because direct care worker wages often compete with gig employment, where the work is less physically and emotionally taxing.
Webinar: Making Sense of Payment Mechanisms in ACO REACH
On Tuesday, June 28, 2022, Aurrera Health Group and Milliman experts gave an in-depth presentation to applicants of the CMS ACO REACH model and/or current Direct Contracting Entities.
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.
REPORT: Substance Use in California: Prevalence and Treatment
The health care system is moving toward acknowledging substance use disorders (SUD) as chronic illnesses, yet only about 10% of people with an SUD in the last year received treatment.
REPORT: Risky Business: California Health Centers Weakened by the COVID-19 Pandemic Prepare for the Future
California’s Federally Qualified Health Centers experienced many financial challenges as a result of the COVID-19 pandemic.
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.
REPORT: Improving California’s Health Care Delivery System for the Child Welfare-Involved Population: Concepts and Considerations
Prepared for the DHCS and CDSS CalAIM Workgroup, this report explores ways to better integrate services, provide a single contact for children, and ensure access to specialty care in the child welfare system.
REPORT: Whole Person Care Promising Practices: A Roadmap for Enhanced Care Management and In Lieu of Services
The enhanced care management benefit (ECM) and in lieu of services (ILOS) proposed under the California Advancing and Innovating Medi-Cal (CalAIM) proposal build upon the successes of California’s 25 Whole Person Care (WPC) pilots.
REPORT: How Medi-Cal Expanded Substance Use Treatment and Access to Care
Launched in 2015, the Drug Medi-Cal Organized Delivery System (DMC-ODS) is nation’s first Medicaid Section 1115 waiver to expand access to substance use disorder (SUD) treatment services.
REPORT: California’s Health Homes Program: Lessons Learned and Promising Practices
The Health Homes Program (HHP) is a Medi-Cal initiative that helps manage and coordinate care for enrollees with certain chronic health and/or mental health conditions who have high health care needs or who are experiencing chronic homelessness.
REPORT: Medi-Cal Moves Addiction Treatment into the Mainstream: Early Lessons from the Drug Medi-Cal Organized Delivery System Pilots
The State of California is midway through a five-year effort to dramatically expand, improve, and reorganize Medi-Cal’s system for treating people with substance use disorders (SUDs).
REPORT: Connecting the Justice-Involved Population to Medicaid Coverage and Care
This brief provides an overview of initiatives to connect the justice-involved population to Medicaid coverage and care in three states—Arizona, Connecticut, and Massachusetts.
REPORT: The Future of Care Coordination in California: A Synthesis of the “Beyond the MSSP Waiver” Convening
Seniors can face confusing care options in their efforts to remain in their homes as they age.