Topic
California
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From HMOs to Homerooms: What Managed Care 101 Teaches Us About California’s Youth Behavioral Health Reform
HMO, PPO, EPO, capitation, value-based care — see how these managed care basics play out in real life through California’s CYBHI Fee Schedule program and its Evaluation Hub…
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Healthcare Costs and the New Population Needs Assessment
The new Population Needs Assessment requirements in California’s Population Health Management program aim to improve health outcomes while impacting healthcare costs. Initially, increased expenses from community engagement and…
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New California PNA Requirements: A Shift in Healthcare Strategy
As of 2024, California healthcare plans must submit a Population Needs Assessment every three years to enhance community engagement and address diverse health needs. This shift aims to…
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Academy · Administrative Work · Business · Calculators · California · California Advancing and Innovating Medi-Cal (CalAIM) · Care Coordination · Data Tools · Finance & HR · Funding · Health Equity · KPI · Managed Care · MCO · Medicaid · Modeling · Providers · Resource · Return on Investment Calculator · ToolkitsUnlock Financial Success with CalAIM: Budget Estimator Tool for CBOs
The CalAIM Budget Estimator Tool helps CBOs navigate the financial complexities of contracting under CalAIM. It offers an Excel-based template with built-in assumptions, cost input fields, revenue customization,…
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California · California Advancing and Innovating Medi-Cal (CalAIM) · Data Tools · Databank · Value Based Care · YouthUtilizing California State Data to Enhance Care for Foster Youth
The Continuum of Care for children in out-of-home settings can be enhanced by leveraging existing data sources. California’s CDSS, DDS, DHCS, and CDE provide crucial data on community…
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California · California Advancing and Innovating Medi-Cal (CalAIM) · Care Coordination · CHIP · CMS · Justice-Involved · Medicaid · Substance Use Disorders · Value Based Care · YouthMedicaid Coverage for Incarcerated Youth: California’s Initiative
What is the Justice-Involved Initiative? The Justice-Involved Initiative is a pioneering program under California’s Medicaid reforms, specifically designed to extend Medicaid coverage to incarcerated individuals. Historically, under the…
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Business · California · California Advancing and Innovating Medi-Cal (CalAIM) · Leadership · MedicaidStrategies for Success: Navigating California’s CalAIM Program
by Ali Modaressi, California Health Report California’s ambitious journey to reshape health care through the multiyear Medi-Cal reform effort known as California Advancing and Innovating Medi-Cal (CalAIM) represents…
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Unleashing the Power of Healthcare Data: Exploring HRSA’s Data Portal
Discover the power of the HRSA Data Portal in revolutionizing healthcare research and planning. Developed by the Health Resources and Services Administration (HRSA), this web-based platform provides access…
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California Primary Care Clinic Annual Utilization Data
California Primary Care Clinic Annual Utilization Data. Access the complete data set of annual utilization data reported by primary care clinics contains basic clinic identification information.
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Medi-Cal Managed Care Enrollment Report
This dataset contains the total number of Medi-Cal Managed Care enrollees based on the reported month, plan type, county, and health plan.
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Medi-Cal Managed Care Quality Improvement Reports (CA)
Various reports from the State of California regarding the quality of care provided by Medi-Cal managed care health plans. Plan-specific evaluation reports are also prepared for each individual…
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Payer Notice regarding the implementation of Senate Bill 855, Mental Health and Substance Use Disorder Coverage
Carenodes Health Enterprise Office of the Executive Dear Health Plan Representative, Please see attached Notice regarding the implementation of Senate Bill 855, Mental Health and Substance Use Disorder…