The CalAIM initiative will implement broad reforms to California’s Medicaid delivery system, programs, and payment methodologies. It is intended to reduce system complexity, increase flexibility, improve quality of care, and drive system transformation through the use of value-based initiatives and payment reform. In the multi-year implementation, some of the provisions are slated to go live by January 1, 2022 and the final provisions are projected to go live by 2027.
California’s transformation includes leveraging lessons learned from the state and counties Whole Person Care, Health Homes Program, Coordinated Care Initiative, through integrated approaches for behavioral health, addiction treatment and primary care for complex populations.
In this OPEN MINDS exclusive half day session for California specialty provider organizations, we will hear from health and human services executives and payer system leaders that are trail blazing the transformation effort in the CalAIM new normal.AGENDA: 1:00pm - 1:30pm: A Current Snap Shot of CalAIM – What We Know Brief overview and update of CalAIM: Pending phases, new specialty provider organization opportunities for service delivery and next steps. Presenter: Richard Louis, III, Vice President West Region, OPEN MINDS 1:30pm - 2:30pm: The Health Plan Perspective On The CalAIM Initiative Gain insight into the health plan perspective on the CalAIM initiative and the new partnership opportunities for specialty provider organizations under CalAIM, as health plans explore integration of wrap-around services into population health strategies to address medical and social determinant health needs of persons with SMI, SED and co-occurring chronic health conditions. Presenters: Beau Hennemann, Director Special Programs CA Medicaid – Anthem Sarah Arnquist, Vice President, Account Partnerships, West Region, Beacon Health Options 2:30pm - 4:00pm: CalAIM: Community Strategies In The Development & Implementation Of Cross Sector Collaboration Towards Integration – Be Well OC Case Study Overview of emerging integrated service delivery approaches moving public payers and provider networks towards value-based reimbursement. The Orange County Health Care Agency, one of California’s largest county behavioral health systems, has contracted with Mind OC, Inc to work collaboratively and with community stakeholders to plan for strategies for value-based contracting. Mind OC is a 501(c)3 non-profit organization was created to facilitate Be Well OC, a movement driven by a coalition of over one hundred public/private/faith based/academic institutions united to build a system of Mental Health and SUD Care for all residents of Orange County. Presenters: Jeffery Nagel, Ph.D., Behavioral Health Director, Orange County Health Care Agency John Freeman, Senior Consultant, Operations, Mind OC Karen Linkins, Chief Operating Officer, Mind OC, Inc. 4:00pm - 5:00pm: Preparing For CalAIM – A Checklist For Specialty Provider Organization Executive Teams Understanding the administrative tools and organization systems enhancements is essential for provider organization executives in planning, positioning, contracting and developing new service delivery capabilities that will prepare specialty provider organizations for CalAIM system transformation to value-based reimbursement. Presenter: Richard Louis, III, Vice President West Region, OPEN MINDS 5:00pm - 6:00pm: Networking Reception If you are interested in attending the summit, please email firstname.lastname@example.org.