Local Collaboration and Timely, Complete Data
Among Key Factors to Successful Local Launches, Report
Finds
SACRAMENTO, Calif., July 7, 2022
/PRNewswire/ -- Health Net, one of the state's longest-serving
and most experienced Medi-Cal partners, has released a report
identifying early lessons learned and recommendations following the
January 2022 launch of California
Advancing and Innovating Medi-Cal (CalAIM). CalAIM is a
long-term initiative of the California Department of Health Care
Services. The initiative aims to "offer Californians a more
equitable, coordinated, and person-centered approach to maximizing
their health and life trajectory." This report specifically focuses
on the "Community Supports" benefits of CalAIM.
"CalAIM Community Supports are a unique opportunity to address
social drivers of health and help advance health equity," said Dr.
Pooja Mittal, Health Net's Chief
Health Equity Officer. "We've collectively organized around the
needs of our members to serve them more holistically and our early
learnings are reflected in our company's latest report. Still, we
know more work lies ahead and we are committed to working
proactively and collaboratively to ensure CalAIM's success."
Among the key insights identified in the report:
- Extensive Collaboration with Plan Partners and Providers is
Paramount: The report confirmed that planned and intentional
collaboration minimizes administrative burdens on providers,
counties, and others. Extending this model of collaboration and
support to relationships with locally embedded providers and
organizations is key to reducing health disparities.
- Foundational Need for Operational Support and Funding for
Local Providers: The report identified that many providers that
deliver Community Supports were new to Medi-Cal managed care and
required infrastructure, capacity building, and operational support
to meet program requirements. When providers received comprehensive
trainings and funding, they were better prepared to deliver care
from day one of implementation.
- Essential Role of Timely, Complete Data Sharing:
Accurate data creates a better picture of the Community Supports
needs of counties, which greatly informs how and where these
services are implemented, and which providers and organizations are
best suited to do the contracted work.
These key findings and best practices shared in the brief follow
Health Net's implementation of all 14 Community Supports services
in 31 counties as of January 1, 2022,
when Health Net leveraged their statewide footprint and long-term
relationships with trusted providers to facilitate the transition.
These insights inform recommendations for the broader healthcare
community to maximize the impact of CalAIM reforms and drive health
equity through the subsequent phases of implementation.
To best serve the most vulnerable residents across the state,
Health Net has identified the following recommended strategies:
- Lean into the deep knowledge of local providers who are viewed
as trusted advisors by residents
- Continue to invest in workforce development, training, and
recruitment to build new capacity and invest in technology to
support service efficiency and reach
- Leverage connected information systems that offer integrated
data on social drivers of health that impact patients to ensure
members are receiving the care they need
Learn more and read the full issue brief at Bridging the Divide.
Read other Health Net reports on addressing health equity,
workforce development and innovating within Medi-Cal here.
About Health Net:
At Health Net, we believe every person deserves a safety net for
their health, regardless of age, income, employment status or
current state of health. Founded in California more than 40 years ago, we're
dedicated to transforming the health of our community, one person
at a time. Today, Health Net's 2,600 employees and 90,000 network
providers serve 3 million members. That's nearly 1 in 12
Californians. We provide health plans for individuals, families,
businesses of every size and people who qualify for Medi-Cal or
Medicare — Coverage for Every Stage of Life™. Health Net also
offers access to substance abuse programs, behavioral health
services, employee assistance programs and managed health care
products related to prescription drugs. We offer these health plans
and services through Health Net, LLC and its subsidiaries: Health
Net of California, Inc., Health
Net Life Insurance Company and Health Net Community Solutions, Inc.
These entities are wholly owned subsidiaries of Centene Corporation
(NYSE: CNC), a Fortune 25 company that offers affordable and
high-quality products to nearly 1 in 15 individuals across the
nation. For more information, visit www.HealthNet.com.
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SOURCE Health Net