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Market drivers and examples of provider organization successes in the California managed care market (see California Health Care System Landscape: An OPEN MINDS State Profile), a state that’s frequently called a bellwether, is a helpful guide for financial sustainability planning. I regularly talk about financial sustainability strategies including managed care, value-based reimbursement (VBR), and the much-anticipated California Section 1115(a) Medicaid Waiver renewal process called Medi-Cal Healthier California for All (formally known as CalAIM), and frequently field the following question: “We have been hearing about managed care and VBR for years, but it never seems to . . .

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