Delivery System Reform
Aurrera Health supports clients seeking to change the services, structure, and incentives within and across payers and programs to improve quality and health outcomes. As we increasingly recognize the variety of factors that truly contribute to overall health and wellbeing, the federal government and states are beginning to pay for new services, provider types, and ways of delivering care that focus on outcomes. The work dovetails closely with our whole person health portfolio.
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Enhanced Care Management (ECM) and Community Supports are core components of CalAIM, a multiyear initiative led by the California Department of Health Care Services (DHCS) that take a person-centered approach to social service delivery and care management for individuals with complex health and social needs.
Federally Qualified Health Centers (FQHCs) are a critical provider of health care, particularly for communities of color and Medicaid beneficiaries. It is vital that health centers are financially and operationally stable so they can continue to effectively provide patients with primary care, behavioral health, and dental services.
Prepared for the California Health Care Foundation by Aurrera Health Group and Capital Link, this paper identifies several key factors that enabled California’s health centers to manage the financial strain exacerbated by the COVID-19 pandemic while continuing to serve patients at a time when accessing health care involved new and unanticipated challenges.
Prepared for the DHCS and CDSS CalAIM Workgroup, this report explores ways to better integrate services, provide a single contact for children, and ensure access to specialty care in the child welfare system.
The Health Homes Program (HHP) is a Medi-Cal initiative that helps manage and coordinate care for enrollees with certain chronic health and/or mental health conditions who have high health care needs or who are experiencing chronic homelessness.
The State of California is midway through a five-year effort to dramatically expand, improve, and reorganize Medi-Cal’s system for treating people with substance use disorders (SUDs).
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