Healthcare leaders discussed the implementation of CalAIM, a multi-year plan to transform the state’s Medi-Cal program for a more seamless connection to additional social services, at the 2023 State of Reform Southern California Health Policy Conference. Part of the CalAIM initiative engages community-based health organizations for better integration between clinical providers and health plans through … Read more
California began redetermining Medi-Cal eligibility of members in April, and has since disenrolled 225,231 individuals, while 499,093 individuals have maintained their Medi-Cal coverage, according to Yingjia Huang, assistant deputy director of Health Care Benefits and Eligibility at the Department of Health Care Services (DHCS). This week, Huang hosted a webinar with stakeholders to go over … Read more
Several healthcare organization leaders discussed easing access to patient data and creating a stronger data sharing infrastructure, which could assist with improving care for patients, at the 2023 State of Reform Northern California Health Policy Conference. One caveat is ensuring the continued protection of patient privacy. Several panelists shared their personal experiences with the state’s … Read more
Stakeholders debated a bill that aims to boost the role of the Washington State Health Care Authority’s (HCA) Health Care Cost Transparency Board on Friday. Members of the Senate Committee on Health and Long Term Care discussed House Bill 1508 during a public hearing. The bill would direct the transparency board to conduct … Read more
In early February, Gov. Wes Moore, Lt. Gov. Aruna Miller, House Speaker Adrienne A. Jones (D – Baltimore), and Senate President Bill Ferguson (D – Baltimore City) announced a batch of reproductive healthcare bills that aim to strengthen Marylanders’ reproductive rights. The bill package addresses four main areas of reproductive healthcare: protections for … Read more
Establishing clearer communication standards will be key for health professionals in using predictive analytics to improve health outcomes for Hawaiians. Industry experts discussed efforts to utilize predictive analytics during the 2023 Hawaii State of Reform Health Policy Conference last month. Derek Vale, health systems management office chief at the Hawaii Department of Health’s … Read more
California Advancing and Innovating Medi-Cal (CalAIM), a long-term commitment to transform and strengthen Medi-Cal, has seen promising data results for its Enhanced Care Management (ECM) and Community Supports (CS) benefits. Early DHCS data shows that initial enrollment in ECM and CS were primarily from members who were transitioning from the Whole Person Care (WPC) pilot … Read more
Leveraging the transparency of healthcare prices and costs can help consumers make better informed decisions about their healthcare, and policy makers can make this happen by creating an All-Payer Claims Database (APCD). APCDs are state run databases where consumers can compare healthcare related rates. Additionally, APCDs can help stakeholders, policy makers, and businesses make data … Read more
According to RJ Briscione, Principal at the Focus Group, addressing the social determinants of health (SDOH) requires several critical elements: having reliable and current data on folks’ social needs; being on the ground and talking to people face-to-face; and the ability to adjust and make changes. Briscione guided a panel on how addressing these social … Read more
In this month’s newsletter we feature two new RFPs out of the Maryland Department of Health, a video interview with HFAM CEO & President Joe DeMattos, and a conversation on efforts to improve the implementation of Certified Community Behavioral Health Centers in the state. Thank you for reading! Emily Boerger State of Reform 1. … Read more