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.

Continue reading at CHCF.org »

Looking Forward: Examining Long-Term Services and Supports Integration and Opportunities to Strengthen Coordination Under CalAIM

May 11, 2021,11:15 am-12:30 pm PT (2:15-3:30 pm ET)

This webinar, made possible by the California Health Care Foundation, built on the brief authored by CHCS and Chapman Consulting and highlighted lessons from key LTSS partners and Medi-Cal MCPs as they prepare to advance reforms intended to improve care for SPDs. Panelists discussed their experiences developing partnerships under the Coordinated Care Initiative and described lessons around: (1) building and strengthening MCPs and LTSS partnerships; (2) addressing barriers and leveraging opportunities to expand access to home- and community-based services; and (3) elevating strategies to support data sharing and improve care coordination.

View the webinar materials »