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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