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With a population of nearly 40 million people and the fourth largest economy in the world—its $4.1 trillion gross domestic product outranks Japan, China, and Germany—what happens in California is noteworthy. And in the health and human service field, a lot is happening there.

Among the many factors shaping the California market is the five-year implementation of the California Advancing and Innovating Medi-Cal (CalAIM)—the state’s Medicaid reform initiative. Launched in 2022, the state is in its third year of the five-year plan. The successes—and challenges—of California’s Medicaid reform initiatives . . .

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Medicare

The Medicare program is a health insurance program funded by the federal government for older adults, aged 65 and above, as well as younger individuals who have disabilities or end-stage renal disease. There are both strategic opportunities and challenges for health and human service provider organizations serving Medicare beneficiaries, who often have complex health and social support needs. As a result, Medicare plans are looking for innovative services and initiatives that demonstrate a return-on-investment in spending and consumer outcomes.

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Medicare mental health specialists with high uptake of telemedicine mental health services between 2018 and 2023 had a 0.88 percentage point higher share of services provided to fee-for-service (FFS) beneficiaries in rural areas, compared to mental health specialists in the lowest telemedicine uptake quartile, according to a recent study. Much of the increase in rural service use was due to existing patients moving farther away from their specialists, rather than new rural beneficiaries seeking out… Read

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