Funder: California Health Care Foundation
Author: Giselle Torralba, MPH and Alexandra Kruse, MS, MHA, Center for Health Care Strategies; and Athena Chapman, MPP, and Elizabeth Evenson, Chapman Consulting
April 2021 | Brief
California’s two million Medi-Cal Seniors and Persons with Disabilities (SPDs) can face significant challenges getting the medical and long-term services and supports (LTSS) they need. Reform elements in the California Advancing and Innovating Medi-Cal (CalAIM) initiative have the potential to increase system integration and coordination of care for SPDs with Medi-Cal (California’s Medicaid program) only and those who qualify for both Medicare and Medi-Cal.
This brief, developed by the Center for Health Care Strategies (CHCS) and Chapman Consulting, and made possible with support from the California Health Care Foundation, explores: (1) foundational challenges that the state, Medi-Cal managed care partners, and other stakeholders face in implementing proposed reforms; (2) key success factors for the innovation and integration of care from the perspective of interviewed Medi-Cal managed care plans (MCPs); and (3) opportunities to advance the capacity to develop an integrated system of medical and LTSS for all SPDs. While oriented to the California landscape, the lessons can inform integration activities in other states.