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Equitably Identifying Individuals for Care Management: Strategies for CalAIM and Beyond

May 15, 2023 @ 2:00 pm - 3:00 pm

We thought the Webinar (discussed below) would be of interest to many NYS Council members, and particularly those who provide Care Management services.

Although the Webinar is based on the ongoing (California) CalAIM transformation effort, it looks like the conversation will go beyond what’s happening on the other coast, and focus specifically on the all-important topic of how to ensure equitable service eligibility and availability.  The Center for Healthcare Strategies is an excellent resource when it comes to policy design and implementation.

May 15, 11:00 am – 12:00 pm PT (2:00 – 3:00 pm ET)

Through CalAIM, California’s Medicaid transformation effort, managed care plans (MCPs) are offering new care management services for people with complex needs. Determining eligibility for care management services has traditionally relied on cost and utilization data from inpatient and emergency department visits. However, this approach can perpetuate inequities by disproportionately overlooking members of underserved groups and providing an incomplete picture of who has high needs and who would benefit most from such services.

This webinar, made possible by the California Health Care Foundation, will explore how California’s MCPs and other stakeholders nationally can ensure that eligibility guidelines and identification strategies for care management services prioritize equity and maximize impact. Panelists representing MCPs, health care systems, and policymakers, will share their perspectives on identification strategies, approaches they have developed to prioritize equity in eligibility, insights from their experiences to date, and what is needed to advance this work.

This 60-minute event will be relevant to California-based MCPs, as well as health care systems, policymakers, patients, patient advocates, and other complex care stakeholders in California and nationally.