CalAIM Update: Enhanced Care Management Enrollment by Population of Focus, County and Medi-Cal Managed Care Plan January to December 2024
Report provides most recent publicly available ECM enrollment data and trend for 2024 by quarter. The report includes enrollment and penetration rates by managed care plan, county, and population of focus.
Policy Brief: Medi-Cal Managed Care: 2023 Performance in Post Emergency Department Follow-up Care for Medi-Cal Beneficiaries with Substance Use
Provides HEDIS performance data on how many Medi-Cal beneficiaries receive any follow-up after an emergency department visit for overdose or major substance use disorder within 7 days and within 30 days. In 2023.
Policy Brief: Eye Exams for People with Diabetes in California: HEDIS Scores 2021-2023
Provides HEDIS measures for dilated eye examinations for Medi-Cal, Medicare and commercial health plans
Policy Brief — Fatal Overdoses in California 2018-2023
Updates data on overdose deaths and emergency department visits over past 5 years. Deaths have doubled in past five years.
Issue Brief: Enhancing Financial Sustainability for Street Medicine: Examining Medi-Cal Managed Care Contracts with California Providers.
Review contracting issues between Medi-Cal managed care plans and street medicine providers.
SUD Counselor Certification: Training on Medication Assisted Treatment (MAT)
Review current curriculum to determine level of training on MAT.
Policy Brief: Prevalence of Individuals with a Developmental Disability Among California’s Unsheltered Population
Reviews data from “Point in Time (PIT)” counts suggesting that between 6-17% of unsheltered individuals self identify as having a developmental disability. Other surveys suggest the prevalence may be as high as 23%.
CALAIM Update – Including 2024 – Q1 and Q2: Enhanced Care Management Enrollment by Population of Focus and by Medi-Cal Managed Care Plan
Report provides most recent publicly available ECM enrollment data and trend from January 2023 through June 2024. Also provides enrollment data by population of focus About 75% of total enrollment statewide is in three populations of focus: Individuals experiencing homelessness, Individuals at risk of avoidable hospitalization or emergency department visits, and individuals with serious mental […]
Medi-Cal 101 Webinar Series: Overview of California’s Medicaid Program
Video recording and slides. Featuring Jane Ogle. Two-part series highlights include: Understanding the beneficiaries, exploring the benefits, navigating benefit access, and funding and financial structure.
Data Brief: Current Sources of Medication Assisted Treatment (MAT) for Medi-Cal beneficiaries with Opioid Use Disorder
Between 200,000 and 350,000 Medi-Cal beneficiaries are estimated to have a opioid use disorder and would benefit from medication assisted treatment (MAT) that dramatically reduce cravings and relapse. However, only 27% and 46% of these individuals who need it now receive MAT.